There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful. In The Challenge to Change, Rebecca Kolins Givan analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will rewarded by positive transformation in a particular institution’s day-to-day operation. Givan’s in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy. Givan illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. Givan spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. Givan provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment.

A cohesive, multi-level approach for sustainable educational reform! This completely revised edition of The Challenge of School Change addresses the concerns behind the school change movement, examines theories and implementation strategies, and analyzes a new framework for change. Designed for educational leaders, this collection: Focuses on tri-level reform—school, district, and state/national levels working together to build and strengthen capacity for change Features notable experts, including Richard F. Elmore, Andy Hargreaves, Elizabeth A. City, Pedro A. Noguera, Carmel Crévola, Jim Knight, and Kenneth Leithwood Provides practical implementation examples for tri-level reform Looks at the essential role that hope and emotion play

This edited volume addresses how the state system, the organizing political institution in world politics, copes with challenges of rapid change, unanticipated crises, and general turmoil in the twenty-first century. These disruptions are occurring against the background of declining US influence and the rising power of countries in Asia, Africa, and Latin America. Traditional inter-state security concerns coexist with new security preoccupations, such as rivalries likely to erupt over the resources of the global commons, the threat of cyber warfare, the ever-present threat of terrorism, and the economic and social repercussions of globalization. The contributors explore these key themes and the challenges posed by rapid change.

In an era of increased global competition, of business takeovers, downsizing, restructuring, and even outright failure, intelligent organizational change is the most difficult challenge facing American business. The authors present a comprehensive overview which will be essential for managers.

Change happens. Either intentionally or unintentionally, we find ourselves entangled with change on a daily basis. Depending on the day and our mood, our ability to successfully "rock" change or "roll" with the punches can come and go faster than a one-hit wonder. True rock stars understand that change is a journey. They then find the will to grind it out in the face of adversity to achieve the kind of lasting change they seek. Rock 'n' Roll with It offers a unique approach to creating and accepting powerful and lasting change in your life. Presented through the lens of our beloved Rock 'N' Roll, this book will help you create and perform a personal "set list" designed to keep you engaged while developing the characteristics needed to become a true Rock Star of Change. Thought-provoking interviews with legendary change makers will inspire you to put on your leather pants and shake what your Mama gave you. Brant Menswar and Jim Trick, both real-life rock stars and passionate change agents, skillfully guide your journey through change soundly explaining how change works and equipping you with specific strategies to accomplishing the kind of transformational change that leads to the type of life you really want...one that bears fruit and enriches those around you.

Also included are an introduction describing the intellectual and practical challenges facing the military reformer in peacetime and a concluding essay by Dennis Showalter drawing together the issues examined in the preceding studies and setting these themes in an interpretive, historiographical context. The Challenge of Change has been designed to meet the needs of historians, military professionals, and defense analysts."--BOOK JACKET.

The Challenge of Change is a fascinating behind-the-scenes account of a major transition period in Ireland's health system. Brendan Drumm records his experiences as chief executive of the Health Service Executive (2005–2010) and recounts his vision for Ireland's health service. While acknowledging the problems with and criticisms of the HSE, Drumm's vision has been and still is one of reform. The Challenge of Change: Discusses how the foundations for an integrated healthcare system were laid in Drumm's five years in the HSE.Highlights the obstacles to an integrated healthcare system and healthcare reform in Ireland, including the political and public service system, and the challenge of bringing doctors, nurses and other clinicians along with change.Discusses all the major issues that Drumm dealt with in his role and that the HSE is still dealing with, including the National Children's Hospital, developing primary care teams, the new consultants' contract and major adverse events.Gives an insider's view on the challenges to reform in a public sector context, which feeds into the wider problem of consensus in Ireland's governance structures – in anything from the banks to the political system. "He provides a rare insight into the machinations of health services delivery often threading a fine balancing act between political masters, the aspirations of a general public with parochial interests, and an unyielding bureaucracy long accustomed to doing things its own way." Tom Brett, Director of General Practice and Primary Health Care Research, School of Medicine, The University of Notre Dame, Australia, British Journal of General Practice, July 2012