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Measuring Organizational Capacity to Accelerate Health Care Innovation in Academic Health Centers
Marilyn M Lombardi1, Regena G Spratling, Wei Pan
1Duke University School of Nursing, Durham, North Carolina (Dr Lombardi); Georgia State University School of Nursing and Health Professions, Atlanta (Dr Spratling); Duke University School of Nursing, Durham, North Carolina (Dr Pan); and Clinical Professor (retired), Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (Dr Shapiro).
Academic health centers need to innovate care delivery quickly. A new 21-item scale measures innovation capacity, identifying Culture, Structure, and Policy as key factors for success.
Area of Science:
- Health Services Research
- Organizational Behavior
- Innovation Management
Background:
- Academic health centers face financial pressures, necessitating rapid innovation in care delivery.
- Limited guidance exists on organizational factors driving accelerated healthcare innovation.
- The study addresses this gap by developing a scale to assess innovation capacity.
Purpose of the Study:
- To conceptualize, develop, and preliminarily test the Accelerated Healthcare Innovation Capacity scale.
- To identify key organizational determinants facilitating high-impact healthcare innovations.
- To provide a tool for evaluating and enhancing innovation capacity in academic health centers.
Main Methods:
- Instrument development followed a standardized process, including expert panel review for content validity.
- A survey was administered to 53 administrators, clinicians, and faculty at an academic health center.
- Data analysis included reliability (Cronbach's α), internal consistency, and construct validity (exploratory factor analysis).
Main Results:
- Expert panels achieved high agreement (S-CVI = 0.91) on the scale's content relevance.
- The scale demonstrated high reliability with Cronbach's α = 0.941.
- Exploratory factor analysis supported a multidimensional framework (Culture, Structure, Policy) for healthcare innovation support.
Conclusions:
- The Accelerated Healthcare Innovation Capacity scale is a reliable and valid instrument.
- Healthcare innovation support is a complex, multidimensional construct.
- Findings have implications for research, managerial practice, and staff development in quality management and organizational change.
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