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A network of networks.

Rick Iedema1, Raj Verma2, Sonia Wutzke3

  • 1Monash Centre for Health Research and Implementation, Monash University , Melbourne, Australia.

Journal of Health Organization and Management
|May 10, 2017
PubMed
Summary
This summary is machine-generated.

The NSW Agency for Clinical Innovation (ACI) acts as a "network of networks," fostering collaboration and empowering healthcare professionals for system reform. This centralized decentralization model enhances practice improvement and influence.

Keywords:
Clinical networksHealthcare networksManaged networksNetwork governanceResearcher-in-residence ethnography

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Area of Science:

  • Health Services Management
  • Organizational Networks
  • Healthcare Reform

Background:

  • Networks are crucial for health system reform.
  • Understanding network governance is essential for effective healthcare improvement.
  • The NSW Agency for Clinical Innovation (ACI) provides a unique model for network management.

Purpose of the Study:

  • To investigate how the NSW Agency for Clinical Innovation (ACI) governs and manages its networks.
  • To explore how ACI leverages networks and resources for healthcare practice improvement.
  • To understand the role of ACI's network structures in large-scale system transformation.

Main Methods:

  • A ten-month case study of the NSW Agency for Clinical Innovation (ACI).
  • In-depth participation in network activities and discussions with agency staff.
  • Interviews with selected health services in New South Wales.

Main Results:

  • ACI functions as a "network of networks," dynamically mediating resources and stakeholder dynamics.
  • The agency exhibits "centralized decentralization," co-locating innovation agents with implementation expertise.
  • This model strengthens "strategic hybrids"—healthcare professionals driving change.

Conclusions:

  • Co-location and interaction among clinical networks create synergies and enhance reform impact.
  • Effective network governance requires flexible, multi-network collaboration.
  • ACI's model empowers network governance through dynamic collaboration and specialized support teams.