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Implementing Change on the Front Lines: A Management Case Study of West Feliciana Parish Hospital
Author(s) -
Chustz Mark H.,
Larson James S.
Publication year - 2006
Publication title -
public administration review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.721
H-Index - 139
eISSN - 1540-6210
pISSN - 0033-3352
DOI - 10.1111/j.1540-6210.2006.00637.x
Subject(s) - front (military) , field (mathematics) , public administration , implementation research , public policy , policy analysis , political science , public relations , process management , sociology , business , nursing , medicine , engineering , mechanical engineering , mathematics , psychological intervention , law , pure mathematics
In the policy implementation field, theorists are challenged to develop stepwise frameworks that facilitate the implementation of public policy. This case studies the implementation of a Medicare charity care policy in a small rural hospital using the top‐down implementation framework. It offers an overview of top‐down implementation theory and a discussion of top‐down research findings as they relate to the real implementation experiences of hospital administrators. The case presents six recommendations for the effective implementation of a new policy on the front lines.