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1.	Elg, Mattias, et al. (författare) Public quality – for whom and how? : Integrating public core values with quality management 2017 Ingår i: Total Quality Management and Business Excellence. - Abingdon-on-Thames : Routledge. - 1478-3363 .- 1478-3371. ; 28:3-4, s. 379-389 Tidskriftsartikel (refereegranskat)abstract Quality management (QM) plays an important role in public organisations’ efforts to create better access to, and effectiveness of, specific services. When transferring QM models from market-based firms to public services provided by public organisations, several basic contrasts and even contradictions must be addressed. Core values of the public sector differ from those of the private sector, but what are the consequences of this distinction? In this article we discuss the importance of four central arguments on public services: rights and access have to be considered; equality is an important facet of public services; coerciveness is a unique feature of public services; and legitimacy can be improved by high-quality services. These arguments have not been discussed explicitly in the context of QM. Adding these central aspects of public services to the QM field could generate more sustainable ways for developing quality and QM in public services in particular and the public sector in general.
2.	Örnerheim, Mattias, 1974-, et al. (författare) Implementering i vården : En kunskapsöversikt om beslutsnivåer och professionsperspektiv 2018 Rapport (övrigt vetenskapligt/konstnärligt)abstract Hälso- och sjukvården liksom socialtjänsten är under ständig förändring – medicinska framsteg skapar nya möjligheter till behandling samtidigt som behoven av hälso- och sjukvård och socialtjänst ökar i takt med att allt fler lever längre med kroniska sjukdomar. Socialtjänsten kommer att behöva stödja fler med långvariga och komplexa behov, vilket band annat kommer att ställa krav på ändrade arbetssätt. En fortsatt utveckling i vården och omsorgen är viktigt för att i dag och i framtiden kunna tillhandahålla en god vård och omsorg som patienter och brukare känner förtroende för.Samtidigt finns tecken på att utvecklingen och lärandet inte sker i den omfattning som behövs. I olika analyser har Vårdanalys genom åren visat att lärandet mellan olika verksamheter och huvudmän är begränsat. Orsakerna bakom det är flera.Hösten 2017 initierade vi ett forskningsuppdrag med ambitionen att utifrån litteraturen identifiera övergripande utmaningar när det gäller implementering i hälso- och sjukvården och socialtjänsten. Vi gav professor Mattias Elg och postdoktor Mattias Örnerheim vid institutionen för ekonomisk och industriell utveckling (IEI), Linköpings universitet, uppdraget att presentera en kunskapsöversikt på detta tema.Deras översikt har varit ett värdefullt bidrag till Vårdanalys arbeten under 2017 och 2018 som på olika sätt analyserat utvecklingsarbete och deras förutsättningar att bidra till långsiktig utveckling. Det är vår förhoppning att den här promemorian kan tjäna som ett kunskapsunderlag i den fortsatta diskussionen om hur vi kan skapa bättre förutsättningar till lärande och utveckling i vården och omsorgen.Den här promemorian är författarnas redovisning av forskningsuppdraget i sin helhet och de står själva för innehållet.
3.	Abu Sa'a, Ehab, 1986-, et al. (författare) Guests or Collaborators? Exploring Industrial Engagement in University-Industry Collaborations 2024 Konferensbidrag (refereegranskat)
4.	Andersson, Ann-Christine, et al. (författare) Adapting a survey to evaluate quality improvements in Swedish healthcare Annan publikation (övrigt vetenskapligt/konstnärligt)abstract Quality improvement initiatives, a concept with origins in the manufacturing sector, have increased within the Swedish healthcare sector in recent decades. These efforts to improve quality can be seen as a response to demands for more cost-effectiveness and better medical results. However, studies have shown that less than 40% of these initiatives are successful (Olsson et al. 2007). The reason why specific improvement initiatives in healthcare fail or succeed is, therefore, a central question in studies of change. To be able to manage, improve and implement quality initiatives and improvements it is necessary to observe, measure and evaluate. Batalden and Davidoff (2007) point out that if there are no mechanisms to measure the changes, there is no way to know whether they actually lead to improvements. A more severe consequence, as stated by Sorian (2006), is that we sometimes accept an organizational system that not only fails to reward or encourage quality improvements but also sometimes punishes those who prioritize quality over cost-effectiveness. The need for more evidence about how to organize and manage new quality initiatives is identified as an important task within studies of healthcare improvement (Walshe 2009, Olsson et al. 2007).
5.	Andersson, Ann-Christine, et al. (författare) Evaluating a Breakthrough Series Collaborative in a Swedish Health Care Context 2014 Ingår i: Journal of Nursing Care Quality. - : Lippincott Williams & Wilkins. - 1057-3631 .- 1550-5065. ; 29:2, s. E1-E10 Tidskriftsartikel (refereegranskat)abstract This study evaluated the use of the Breakthrough Series Collaborative methodology in a Swedish county council improvement program, comparing measurements at the beginning and after 6 months. A questionnaire was used, and improvement processes and outcomes were analyzed. The results showed an overall large engagement in improvements, although the methodology and facilitators were seen as only moderately supportive.
6.	Andersson, Ann-Christine, et al. (författare) Evaluating a Breakthrough Series Collaborative in a Swedish healthcare context 2013 Annan publikation (övrigt vetenskapligt/konstnärligt)abstract Since the mid-1990s, increased attention has been placed on quality improvement and patient safety within the healthcare context. This study aims to evaluate the use of the Breakthrough Series Collaborative methodology in a Swedish county council improvement program, comparing measurements at the beginning and after six months. A questionnaire was used, and improvement processes and outcomes were analysed. The results showed an overall large engagement in improvements, although the methodology and the facilitators were seen as only moderately supportive. Nursing educators have highlighted the importance of improvement education amongst healthcare professions, and nurses could play an active role in improving healthcare practices and patient safety.
7.	Andersson, Ann-Christine, et al. (författare) Evaluating a questionnaire to measure improvement initiatives in Swedish healthcare 2013 Ingår i: BMC Health Services Research. - : BioMed Central. - 1472-6963. ; 13:48 Tidskriftsartikel (refereegranskat)abstract Background: Quality improvement initiatives have expanded recently within the healthcare sector. Studies have shown that less than 40% of these initiatives are successful, indicating the need for an instrument that can measure the progress and results of quality improvement initiatives and answer questions about how quality initiatives are conducted. The aim of the present study was to develop and test an instrument to measure improvement process and outcome in Swedish healthcare. Methods: A questionnaire, founded on the Minnesota Innovation Survey (MIS), was developed in several steps. Items were merged and answer alternatives were revised. Employees participating in a county council improvement program received the web-based questionnaire. Data was analysed by descriptive statistics and correlation analysis. The questionnaire psychometric properties were investigated and an exploratory factor analysis was conducted. Results: The Swedish Improvement Measurement Questionnaire consists of 27 items. The Improvement Effectiveness Outcome dimension consists of three items and has a Cronbach’s alpha coefficient of 0.67. The Internal Improvement Processes dimension consists of eight sub-dimensions with a total of 24 items. Cronbach’s alpha coefficient for the complete dimension was 0.72. Three significant item correlations were found. A large involvement in the improvement initiative was shown and the majority of the respondents were satisfied with their work. Conclusions: The psychometric property tests suggest initial support for the questionnaire to study and evaluate quality improvement initiatives in Swedish healthcare settings. The overall satisfaction with the quality improvement initiative correlates positively to the awareness of individual responsibilities.
8.	Andersson, Ann-Christine, et al. (författare) Five Types of Practice-Based ImprovementIdeas in Health Care Services: An EmpiricallyDefined Typology 2011 Ingår i: Quality Management in Health Care. - : Lippincott Williams & Wilkins. - 1063-8628 .- 1550-5154. ; 20:2, s. 122-130 Tidskriftsartikel (refereegranskat)abstract The aim of this study is to empirically identify and present different kinds of practice-based improvement ideas developed in health care services. The focus is on individual placement needs, problems/issues, and the ability to organize work on the development, implementation, and institutionalization of ideas for the health care sector. This study is based on a Swedish county council improvement program. Health care departments and primary health care centers in the Kalmar County Council were invited to apply for money to accomplish improvement projects. A qualitative content analysis was done of 183 proposed applications from various health care departments and primary health care centers. The following 5 types of improvement projects were identified: organizational process, evidence and quality, competence development, process technology, and proactive patient work. This illustrates the range of strategies that encourage letting individual units define their own improvement needs. These projects point to the various problems and experiences health care professionals encounter in their day-to-day work. To generalize beyond this improvement program and to validate the typology, we applied it to all articles found when searching for quality improvement projects in the journal Quality Management in Health Care during the last 2 years and found that all of them could be fitted into at least 1 of those 5 categories. This article provides valuable insights into the current state of improvemen work in Swedish health care, and will serve as a foundation for further investigations in this quality improvement program.
9.	Andersson, Ann-Christine, et al. (författare) Improvement Strategies : Forms and Consequences for Participation in Healthcare Improvement Projects 2013 Annan publikation (övrigt vetenskapligt/konstnärligt)abstract From a management point of view there are many different approaches from which to choose in how to engage staff in initiatives to improve performance. The present study investigates how two different types of improvement strategies stimulate and encourage involvement of different professional groups in healthcare organizations. The first type, Designed Improvement Processes, is constituted of a methodologically guided collaborative program. The second type, Intrapreneurship Projects, is characterized by an “intrapreneur” working with an improvement project in a rather free manner. The data analysis was carried out through classifying the participants´ profession, position, gender and the organizational administration of which they were a part. The result showed that nurses were the largest group participating in both improvement initiatives. Physicians were also well represented, although they seemed to prefer the less structured Intrapreneurship Projects approach. Assistant nurses, being the second largest staff group, were poorly represented in both initiatives. This indicates that the benefits and support for one group may push another group aside. Managers need to give prerequisites and incentives for staff who do not participate to do so.
10.	Andersson, Ann-Christine, et al. (författare) Practice-based improvement ideas in healthcare services 2010 Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract Objective. The present study will contribute to knowledge of how practitioners in a healthcare region engage in quality improvement initiatives. The focus is on individual placement needs, problems/issues and the ability to organize work on the development, implementation and institutionalization of ideas for the healthcare sector. Design and settings. This study is based on the Kalmar county council Improvement Program. Healthcare departments and primary healthcare centers in the county council were invited to apply for money to accomplish improvement projects. The aim is to empirically identify and present the different kinds of practice-based improvement ideas developed in healthcare services. The 202 applications received from various healthcare departments and primary healthcare centers are analyzed using qualitative content analysis. Outcome and Results. Five types of improvement projects were identified: Organizational Process; Evidence and Quality; Competence Development; Process Technology; and Proactive Patient Work. This illustrates the range of strategies that encourage letting individual units define their own improvement needs. In addition, a common characteristic among the studied project applications is to increase patient safety, effectiveness and availability of care, and education/training. Those intentions are found in many of the applications and therefore give the impression of being most important to caregivers today. Conclusions. These projects point to the various problems and experiences healthcare professionals encounter in their day-to-day work. This paper provides valuable insights into the current state of improvement work in Swedish healthcare, and will serve as a foundation for further investigations in this quality program.
11.	Andersson, Ann-Christine (författare) Practice-based Improvements in Healthcare 2010 Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract A central problem for the healthcare sector today is how to manage change and improvements. In recent decades the county councils in Sweden have started various improvement initiatives and programs in order to improve their healthcare services. The improvement program of the Kalmar county council, which constitutes the empirical context for this thesis, is one of those initiatives.The purpose of this thesis is to contribute to a broader understanding of large-scale improvement program in a healthcare setting. This is done by analyzing practitioner’s improvement ideas, describing participants in the improvement projects, revising and testing a survey to measure the development of improvement ideas and describing the improvement program from a theoretical perspective. The theoretical change model used looks at change from two opposing directions in six dimensions; Goals, Leadership, Focus, Process, Reward system and Use of consultants.The aims of the county council improvement program are to become a learning organization, disseminate improvement methodologies and implement continuous quality improvements in the organization. All healthcare administrations and departments in the county council were invited to apply for funds to accomplish improvement projects. Another initiative invited staff teams to work with improvement ideas in a program with support from facilitators, using the breakthrough methodology. Now almost all ongoing developments, improvements, patient safety projects, manager and leader development initiatives are put together under the county council improvement program umbrella.In the appended papers both qualitative and quantitative research approach were used. The first study (paper I) analyzed which types of improvement projects practitioners are engaged in using qualitative content analysis. Five main categories were identified: Organizational Process; Evidence and Quality; Competence Development; Process Technology; and Proactive Patient Work. Most common was a focus on organizational changes and process, while least frequent was proactive patient work. Besides these areas of focus, almost all aimed to increase patient safety and increase effectiveness and availability.Paper II described the participants in two of the initiatives, the categorized improvement projects in paper I and the team members in the methodology guided improvement programs. Strong professions like physicians and nurses were well represented, but other staff groups were not as active. Managers were responsible for a majority of the projects. The gender perspective reflected the overall mix of employees in the county council.Paper III described a revision and test of a Minnesota Innovation Survey (MIS) that will be used to follow and measure how quality improvement ideas develop and improve over time. Descriptive statistics were presented. The respondents were satisfied with their work and what they had accomplished. The most common comment was about time, not having enough time to work with the improvement idea and the difficulty of finding time because of regular tasks. This was the first test of the revised survey and the high use of the answer alternative “Do not know” showed that the survey did not fit the context very well in its present version.Trying to connect the county council improvement program and the initiatives studied in papers I and II with the change model gave rise to some considerations. The county council improvement program has an effort to combine organizational changes and a culture that encourages continuous improvements. Top-down and bottom-up management approaches are used, through setting out strategies from above and at the same time encouraging practitioners to improve their day-to-day work. Whether this will be a successful way to implement and achieve a continuous improvement culture in the whole organization is one of the main issues remaining to find out in further studies.
12.	Andersson, Ann-Christine (författare) Quality Improvement in Healthcare : Experiences from a Swedish County Council Initiative 2013 Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract Quality improvement (QI) has become an important issue in healthcare settings. A central question for many healthcare systems is how to manage improvement initiatives adequately. All county councils and regions managing healthcare in Sweden have started to work with QI at an organizational system level, to varied extents. The Kalmar county council improvement initiative constitutes the empirical basis of this thesis. The aim of the thesis is to provide knowledge about different aspects of a county-wide improvement initiative, and a broader understanding of factors and strategies that affect participation, management and outcomes. The overall study design is based on a case study.The first two studies illuminate the practice-based (micro level), bottom-up perspective. Inductively five different areas (categories) were identified. Factors influencing participation in improvement initiatives provided the basis for the next study. The result showed that different staff categories were attracted by different initiatives. The next two studies illuminate the top-down (macro/meso) management perspective. Managers’ views of how patients can participate were investigated and a content analysis of the written answers was made. Four main areas (categories) were identified. A survey study investigated all of the county council managers’ experiences of the whole improvement initiative. Overall the managers thought that the improvement work was worth the effort. To evaluate the Breakthrough Collaborative program, a survey was developed and tested. This survey was used to investigate process and outcome of the BC program. The majority of the respondents were satisfied with their work, but wanted more time for teams to meet and work. To find out if an improvement program can affect outcome and contribute to sustainable changes, interviews were made with project applicants (n=202). Almost half (48%) of the projects were funded, and of those 51% were sustained. Of the rejected (not funded) projects, 28% were accomplished and sustained anyway. The results in this thesis cannot show that the “golden mean” exists, or that a single best way to manage changes and improvements in a healthcare organization has been found, but the way QI initiatives are organized does affect participation and outcomes. The intention, from the management topdown system level, encouraging staff and units and letting practice-based ideas develop at all system levels, can stimulate and facilitate improvement work.
13.	Andersson, Ann-Christine, et al. (författare) Sustainable outcomes of an improvement programme: do financial incentives matter? 2013 Ingår i: Total Quality Management and Business Excellence. - : Taylor and Francis (Routledge): SSH Titles. - 1478-3363 .- 1478-3371. ; 24:7-8, s. 959-969 Tidskriftsartikel (refereegranskat)abstract The purpose of this study was to evaluate whether an improvement programme can contribute to positive sustainable improvements in an organisation, and whether financial incentives are driving forces for improvements. The material was all projects (n=232) that applied for funding in a county council improvement programme between 2007 and 2010. The projects were analysed as to whether they received funding (n=98) or were rejected (n=95). In addition, a categorisation of the projects intentions was analysed. Some projects were still ongoing, but 50 projects were implemented and sustained two or more years after being finalised. Implemented improvements were on different levels, from (micro-level) units up to the entire (macro-level) organisation. In addition, 27 rejected projects were finalised without funding. Eighteen of those 27 were sustainably implemented. This study indicates that there are incentives other than financial at work if an improvement programme contributes to sustainable improvements in the organisation. To encourage practice-based improvements is one way of incentivising the intention and effort to become and perform better.
14.	Andersson, Ann-Christine, et al. (författare) Towards an empiricallydefined taxonomy for health care improvement projects in a county council in Sweden 2009 Konferensbidrag (refereegranskat)
15.	Andersson, Ann-Christine, et al. (författare) Two Different Strategies to Facilitate Involvement in Healthcare Improvements : A Swedish County Council Initiative 2014 Ingår i: Global Advances in Health and Medicine. - : SAGE Publications. - 2164-957X .- 2164-9561. ; 3:5, s. 22-28 Tidskriftsartikel (refereegranskat)abstract Background: From a management point of view, there are many different approaches from which to choose to engage staff members in initiatives to improve performance.Objective: The present study evaluated how two different types of improvement strategies facilitate and encourage involvement of different professional groups in health-care organizations.Methods/Design: Empirical data of two different types of strategies were collected within an improvement project in a County Council in Sweden. The data analysis was carried out through classifying the participants' profession, position, gender, and the organizational administration of which they were a part, in relation to their participation.Setting: An improvement project in a County Council in Sweden.Participants: Designed Improvement Processes consisted of n=105 teams and Intrapreneurship Projects of n=202 projects.Intervention: Two different types of improvement strategies, Designed Improvement Processes and Intrapreneurship Projects.Main Outcome Measures: How two different types of improvement strategies facilitate and encourage involvement of different professional groups in healthcare organizations.Results: Nurses were the largest group participating in both improvement initiatives. Physicians were also well represented, although they seemed to prefer the less structured Intrapreneurship Projects approach. Assistant nurses, being the second largest staff group, were poorly represented in both initiatives. This indicates that the benefits and support for one group may push another group aside.Conclusions: Managers need to give prerequisites and incentives for staff who do not participate in improvements to do so. Comparisons of different types of improvement initiatives are an underused research strategy that yields interesting and thoughtful results.
16.	Andersson, Ann-Christine, et al. (författare) Using quality improvement methods to implement guidelines to decrease the proportion of urinary retention in orthopaedic care 2017 Ingår i: International Archives of Nursing and Health Care. - : ClinMed International Library. - 2469-5823. ; 3:1 Tidskriftsartikel (refereegranskat)abstract In patients treated with indwelling urethral catheter (IUC), complications such as catheter associated urinary tract infections are common, while underuse of IUC may cause harmful urinary retention (UR). A quality improvement (QI) program called ‘Indwelling urethral catheter (IUC) - only when needed’ was developed in Jönköping County Council, Sweden, aiming at creating a new approach: hospital staff should be able to identify and manage patients with risk of UR, prevent UR or treat UR without delay, and only use urinary IUCs on appropriate indications. The aim of this study was to describe the process of application of the quality improvement program. The Model for Improvement was used, and process coaches were appointed in the participating units. Their training was based on clinical issues and facts about UR, IUCs, guidelines, QI methods and measurements. Data were collected through prospective and retrospective patient record reviews, and differences were analyzed by inferential statistics.Before the intervention, only two patients out of 296 were cared for following the guidelines perfectly. During the intervention, adherence to guidelines showed a rising trend, and reached a new stable level, with an average of 67% adherence to guidelines. A systematic improvement program supported by coaches and improvement tools can increase the adherence to new guidelines and incorporate them into local practice. This study also shows that adherence to guidelines can improve patient safety, in this case a decreased risk for and incidence of UR in an orthopaedic patient population.
17.	Andersson, Ann-Christine, et al. (författare) Who conducts quality improvement initiatives in healthcare services? An evaluation of an improvement program in acounty council in Sweden 2010 Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract Purpose – The aim of this paper is to contribute to the knowledge of who engages in quality improvement initiatives and to describe whether staff professions or gender are relevant variables. Design/methodology/approach – This paper contains an evaluation of the participants in a specific defined strategic improvement initiative program in one county council in southeast Sweden. The improvement program was initiated by county council politicians to encourage improvement initiatives and to spread improvement skills and knowledge in the organization. The program is driven both “top down” (teaching/convincing line managers to demand improvements) and “bottom up” through improvement programs using methodology to help teams identify, plan and adopt improvements in their daily work. Data was collected from special applications (called Free Applications, FA) and from participants in the education program (called Improvement Program, IP), both of which include information about profession and 2 gender. A content analysis was made. After the first categorization of which types of improvement projects practitioners engage in, further analysis of staff disciplines, professions (hierarchy) and gender was done. The results were compared to the overall structure of staff presence in the county council. Findings – Changes in participation occurred over time. The FA (Free Applications) part (n=202) shows a higher share of leaders and managers (35%), but their participation in the IP (Improvement Program) (n=477) fluctuated (8-26%). Physicians were more represented in the FA than in the IP. The largest single group was nurses. Overall the gender perspective reflects the conditions of the county council, but in FA the representation of women was lower. Five types of improvement projects were identified: 1) Organizational process focus; 2) Evidence and quality; 3) Competence development; 4) Process Technology; and 5) Proactive patient work. Managers were most represented in the category “Organizational process”. The largest difference was seen in the category “Proactive patient work” with the highest occurrence among women (86%) and less among men (17%) and managers (21%). The patient as a contributor taking active part was not found in either the FA or the IP. Research limitations/implications – This study shows differences in participation between free applications and methodology-guided programs when it comes to professions and gender in the country council improvement drive. It may be useful for further research regarding how to successfully work for and implement improvements and change in healthcare environments. Practical implications – The study will discuss and contribute to further knowledge of whether profession, hierarchy and gender have an impact (obstructive or as an asset) in performing improvement work in healthcare settings. Originality/value - Not much has been written about who is accomplishing quality improvements in terms of profession and gender. This paper provides some valuable insights into the differences between staff categories (professions) and gender in the improvement work in Swedish healthcare.
18.	Andersson Hagiwara, Magnus, et al. (författare) Interrupted time series versus statistical process control in quality improvement projects 2016 Ingår i: Journal of Nursing Care Quality. - : LIPPINCOTT WILLIAMS & WILKINS. - 1057-3631 .- 1550-5065. ; 31:1, s. E1-E8 Tidskriftsartikel (refereegranskat)abstract To measure the effect of quality improvement interventions, it is appropriate to use analysis methods that measure data over time. Examples of such methods include statistical process control analysis and interrupted time series with segmented regression analysis. This article compares the use of statistical process control analysis and interrupted time series with segmented regression analysis for evaluating the longitudinal effects of quality improvement interventions, using an example study on an evaluation of a computerized decision support system.
19.	Ayas Pinar, Ebru, 1977-, et al. (författare) Affective Engineering Design of Waiting Areas in Swedish Health Centres 2007 Ingår i: International QMOD Conference,2007. Konferensbidrag (refereegranskat)
20.	Bartfai, Aniko, et al. (författare) Predicting Outcome for Early Attention Training After Acquired Brain Injury 2022 Ingår i: Frontiers in Human Neuroscience. - : FRONTIERS MEDIA SA. - 1662-5161. ; 16 Tidskriftsartikel (refereegranskat)abstract BackgroundThe training of impaired attention after acquired brain injury is central for successful reintegration in daily living, social, and working life. Using statistical process control, we found different improvement trajectories following attention training in a group of relatively homogeneous patients early after acquired brain injury (ABI). ObjectiveTo examine the contribution of pre-injury factors and clinical characteristics to differences in outcome after early attention training. Materials and MethodsData collected in a clinical trial comparing systematic attention training (APT) with activity-based attention training (ABAT) early after brain injury were reanalyzed. ResultsStroke patients (p = 0.004) with unifocal (p = 0.002) and right hemisphere lesions (p = 0.045), and those with higher mental flexibility (TMT 4) (p = 0.048) benefitted most from APT training. Cognitive reserve (p = 0.030) was associated with CHANGE and APT as the sole pre-injury factor. For TBI patients, there was no statistical difference between the two treatments. ConclusionOur study identifies indiscernible factors predicting improvement after early attention training. APT is beneficial for patients with right-hemispheric stroke in an early recovery phase. Knowledge of prognostic factors, including the level of attention deficit, diagnosis, and injury characteristics, is vital to maximizing the efficiency of resource allocation and the effectiveness of rehabilitative interventions to enhance outcomes following stroke and TBI.
21.	Berglund, Martina, et al. (författare) AFoU – a network for sustainable working life and development 2017 Ingår i: Proc. of the The Nordic Ergonomics and Society conference, NES-2017 ‘Joy at Work’, organized by Lund University (LTH) in association with the Ergonomics and Human Factors Society in Sweden (EHSS), and 20-23 August 2017, Sweden, Lund. Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract The aim of this paper is to describe and reflect on the development of the Swedish network AFoU (Workplace related R&D for sustainable working life). The overall goal with the network AFoU is to strengthen research contributing to sustainable working life, research that makes significant improvements, and future organizations characterized by competitiveness, quality and renewal through good working conditions. AFoU was started in 2015 and it consists of researchers from different disciplines, practitioners and representatives for unions and employer organizations. The network strives to combine high-quality research with practical use. This is achieved through collaboration between different stakeholders and across disciplines, thereby co-creating new knowledge that is needed to meet current and future demands.
22.	Berglund, Martina, et al. (författare) HELIX Competence Centre – Knowledge for Sustainable Working Life 2017 Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract The purpose of this paper is to describe HELIX Competence Centre at Linköping University and its work to contribute to sustainable working life. Research in HELIX Competence Centre is based on an interactive approach between researchers from different disciplines and partner organizations, including industrial organizations, public organizations, labour market organizations, and civil society organizations. The research programme includes four research themes: 1) Sustainable development processes in industrial production systems; 2) Growth and development in small enterprises; 3) Sustainable, innovative, and coordinated health and welfare processes; and 4) Diversity and inclusion in working life. Other activities include seminars and partnership meetings with different topics and a yearly HELIX day. The research and activities led by HELIX Competence Centre constitute an approach to integrate social and economic sustainability, produce scientific knowledge, and add value to practice in the partner organizations.
23.	Berglund, Martina, 1963-, et al. (författare) Scaling up and scaling down : Improvisational handling of critical work practices during the COVID-19 pandemic 2024 Ingår i: Management Learning. - : SAGE Publications Ltd. - 1350-5076 .- 1461-7307. ; 55, s. 305- Tidskriftsartikel (refereegranskat)abstract The aim of this article is to explore improvisational handling of critical work practices during the COVID-19 pandemic and interpret these practices from a learning perspective. Based on an interview study with representatives of private, public and intermediary organisations, the study identified three different types of improvisational handling as responses to the pandemic crisis involving ‘scaling up’ and ‘scaling down’ critical work practices. By ‘scaling up’ and ‘scaling down’, we refer to practices for which, due to the pandemic, it has been imperative to urgently scale up an existing operational process or develop a new process, and alternatively extensively scale down or cease an existing process. The types of improvisational handling differed depending on the discretion of involved actors in terms of the extent to which the tasks, methods and/or results were given beforehand. These types of improvisational handling resulted in temporary solutions that may become permanent after the pandemic. The framework and model proposed in the article can be used as a tool to analyse and learn from the changes in work practices that have been set in motion during the pandemic. Such learning may improve the ability to cope with future extensive crises and other rapid change situations. © The Author(s) 2022.
24.	Chibba, Aron (författare) Supply Chain Quality Management : Exploring performance of manufacturing organizations 2017 Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract This thesis addresses the issue of quality performance in supply chains in the manufacturers’context. Research shows that the management and performance of supply chains play a major rolein gaining competitive advantage, especially in times of decreasing international trade barriers andquickly evolving information technology. Some researchers claim that it is the supply chain itselfthat competes on a market and not merely the organisations with their specific strategies andgoals. Supply chain performance has been widely discussed in the research literature in recentyears. However, this research points out that supply chain quality management (SCQM) and itsimpact on firm performance (both inter-organisational and intra-organisational) have not beensufficiently understood. Further studies are needed to identify the direct and indirect impact ofSCQM practices on firm performance at multiple levels.A problem that many organisations face is the lack of resources and knowledge on how to managesupply chain quality performance (i.e., which performance to measure, how to controlperformance, and how to improve performance). Studies show that often even large companiesmeasure effectiveness using key performance indicators (KPI) and that these indicators often donot depict key characteristics critical to organisational performance or customer behaviour.Therefore, such indicators might be inadequate for fully capturing the performance of supplychains. As quality management standards evolve, managers need to adapt to changingrequirements. To fulfil the new version of ISO 9001, organisations are required to determinecriteria and apply methods to ensure effective operation and control of their processes (both intraorganisationaland inter-organisational performance). This includes monitoring and measuringperformance indicators. The quality performance of a supply chain is dependent on its ability toimprove and thereby enable organisations to stay competitive over time. Good measurements ofsupply chain quality performance must reflect this ability. To do so, organisations need to knowwhich measures and metrics to use and how to analyse performance of their supply chains.From the seven studies presented in this thesis we are able to draw a number of more generalconclusions that bear on the main research question: What improves quality performance of supplychains that include manufacturing? At the process level, it has been found that manufacturersshould focus on the quality and delivery performance of each process within the organisation. Atthe internal, integrated supply chain level, a manufacturing organisation should focus on quality(conformance), delivery performance (on-time delivery), and cost cutting in the internal supplychain. Collaboration using cross-functional teams seems most appropriate when working withproduct development. The use of a process-oriented mapping tool was found to facilitatedescription of information flows and physical material flows and also to identify disturbances thatcould be improved and rationalized to generate a better flow in the total supply chain. At both theupstream and downstream sides of the supply chain, one-sided measures that depict performanceover organisational boundaries were found to be the most common. At the downstream side of asupply chain, suppliers could be chosen based on cost, conformance, speed, and flexibility. At theupstream side, procedures that handle changing requirements and information about delays orincorrectness of materials were found to influence flow. The results from these seven studies arethe basis for the development of a supply chain quality improvement model. In the literature,supply chain performance is often discussed on a strategic level with measures for quality,flexibility and delivery. Managers also need metrics that can be followed up on at a detailed level(e.g., capacity load, breakdown rates, claims, cost of poor quality, and lead-times). To bridge thisgap, a Key Performance Indicators Matrix of supply chain quality performance indicators formanufacturers is proposed.
25.	Daneryd, Peter, et al. (författare) Intermountain Healthcare : Styrning för kvalitet i ett högpresterande system 2014 Rapport (övrigt vetenskapligt/konstnärligt)abstract Rapporten ”Strategier och ledningsredskap för framgångsrik hälso- och sjukvård” (Calltorp och Maathz, 2009) beskriver och analyserar lärdomar från ett antal internationellt erkända och högpresterande sjukvårdssystem. Intermountain Healthcare1 i Utah har väckt intresse i Sverige som en representant för denna grupp av avancerade och med vanligt använda mått högpresterande vårdsystem. Intermountain täcker ungefär hälften av Utahs 2,4 miljoner invånare, och har en starkt sammanhållen och integrerad karaktär trots att de konkreta vårdgivarna till cirka hälften är privata utförare. Vårdsystemet har framförallt utvecklat modeller för kunskapsstyrning, kvalitetsstyrning och process-utveckling och är allmänt erkända för sitt sätt att beskriva mål, mäta och följa upp resultat samt återkoppla dessa resultat som central styrningsinformation inom vårdsystemet. Man har konkret utvecklat det som numera ofta kallas ”värdebaserad” styrning av vården. Intermountain har rönt allt större uppmärk-samhet i USA och under de senaste 10 åren rankats som ett av de 5 bästa integrerade USA-systemen.Syftet med rapporten är att beskriva generella drag i organisering, principer, arbetssätt och metoder för kvalitetsstyrning inom Intermountain Healthcare. En central aspekt är att detta relaterar till och kan berika den pågående svenska utvecklingen av kunskaps-/kvalitetsstyrning av vården.Denna rapport är en introduktion till ett av de främsta hälso- och sjukvårds-systemen i USA, Intermountain Healthcare, huvudsakligen i Salt Lake City och i delstaten Utah. Intermountain har varit ett vårdsystem i snart 40 år och har under mer än 25 år byggt en organisationskultur med stark värdegrund som plattform och ständiga förbättringar. Resultatet är vård av hög kvalitet och till en lägre kostnad än de flesta andra hälso- och sjukvårdssystem i USA. Genom att man redan på 1960-talet började utveckla och använda IS och IT i vården, så finns en unikt lång tradition av beslutstöd både för vård och för management.Internationella jämförelser mellan svensk hälso- och sjukvård och den i andra länder har fått ökande betydelse på senare år. Intresset fokuseras dels mot framgångsfaktorer generellt och dels mot vårdens resultat i termer av kvalitet och ekonomi. Eftersom framgång ofta är kontextuell, behövs en djupare förståelse genom systematisk beskrivning och analys av det vårdsystem man möter i en jämförelse, för att säkerställa att positiva exempel ska få genomslag inom den svenska hälso- och sjukvårdens förbättringsområden. Lärdomar från arbetet med rapporten visar tydligt att lära av andra hälso- och sjukvårdssystem är ett kunskapsområde i sig vilket är centralt för att vara del i en pågående internationalisering.
26.	Eklund, Jörgen, et al. (författare) Interactive research for production and work development 2008 Ingår i: The 40th Nordic Ergonomics Society Annual Conference. Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract Interactive research performed as a collaborative approach in conjunction with organizations is considered a new and promising alternative to other research approaches. The purpose of this paper is to describe how interactive research could be used in the interaction between researchers and organizations when running projects to develop production systems and work performed in these systems. It also aims to identify advantages and disadvantages when applying interactive research. Two long term interactive research projects, organised in collaboration with the partnership of Helix Vinn Excellence Centre at Linköping University were performed and data were collected from documentation of interactive seminars, from notes and from interviews with key actors. Interactive research offers several advantages in comparison with traditional research approaches, foremost higher practitioner involvement and validation opportunities of the results. There are also several difficulties, foremost the need of extensive resources and competencies for the research. The overall experiences from participating practitioners were that they considered that the discussions had been useful, stimulating and interesting, and that the fast feedback from data collection was appreciated. One crucial issue is to what extent this interactive research approach may contribute to high quality research, or to what extent the pressure from the practitioners for actionable practical results will take over.
27.	Elg, Mattias, et al. (författare) Alternative arguments and directions for studying performance measurement 2009 Ingår i: Total Quality Management and Business Excellence. - : Taylor & Francis. - 1478-3363 .- 1478-3371. ; 20:4, s. 409-421 Tidskriftsartikel (refereegranskat)abstract The purpose of this article is to present and discuss alternative arguments and directions for the study of performance measurement. We classify and discuss performance measurement in three phases: the design and structure of the performance measurement system, the implementation of performance measurement, and the utilisation of performance measurement in everyday work. We argue the need for a general approach to the examination of performance measurement in organisations, a perspective that addresses the key questions identified by managers and how they deal with the design, implementation, and usage of performance measurement in real-time settings. Studies of performance measurement in the various three phases are proposed by means of an organisational framework. This framework takes into account internal dimensions, situational/contingency factors, external innovations, dimensions and outcomes. These various dimensions are developed in relation to performance measurement systems analysis.
28.	Elg, Mattias, 1968-, et al. (författare) An Integrative Framework for Product Development and Satisfaction Measurement 1999 Ingår i: In proceedings of the 3rd Annual International QFD Symposium,1999. Konferensbidrag (refereegranskat)
29.	Elg, Mattias, 1968-, et al. (författare) Att lyckas med förbättringsarbete - förbättra, förändra, förnya 2007 Bok (populärvet., debatt m.m.)abstract Att arbeta med ständiga förbättringar är en utmaning, men också en nödvändighet för att kunna möta konkurrens från låglöneländer. Genom att använda uppmärksamheten från vad företaget gör till hur det görs skapas det förutsättningar för att arbeta med att förbättra och förnya verksamheten. I ett lyckat förbättringsarbete involveras de anställda för att genom småskaliga och ständiga förbättringar skapa något som är bättre både för de anställda och organisationen. Denna bok förmedlar ett antal olika perspektiv på förbättringsarbete och ständiga förbättringar. Arbetet med ständiga förbättringar speglas utifrån ett teoretiskt, filosofiskt och praktiskt perspektiv. Vidare visar boken på hur förbättringsarbete kan ta olika utgångspunkter för att förändra, förbättra och förnya olika delar av en verksamhet. Boken består av två huvudsakliga delar. Den första delen behandlar olika former av ständiga förbättringar, s.k. förbättringsprogram, olika metoder och kulturella skillnader mellan olika delar av världen. I den andra delen ge en fördjupning i olika perspektiv på ständiga förbättringar med ett speciellt fokus på hur stända förbättringar används och tillämpas i svenska organisationer idag. Exempel hämtas från ett antal olika branscher och verksamheter som hälso- och sjukvård, kärnkraftsindustrin, tjänstesektorn samt tillverkningsindustrin.
30.	Elg, Mattias, et al. (författare) Balanced Scorecard as Organizational Practice : A multi-perspective analysis 2010 Annan publikation (övrigt vetenskapligt/konstnärligt)abstract Much academic attention has been directed towards management models, but there is limited research into the details of how these models are put to use in organizations. In this paper, we employ a multi-theoretical process perspective on the introduction of Balanced Scorecard in a Swedish healthcare organization. Through the application of actor-network theory, behavior setting theory and distributed cognition, we have identified a set of complementary observations and conclusions. First, we claim that a critical mass of actors is needed to support the change effort. We also emphasize the need for a problematization process in which critical voices are given room to influence the introduction. Further, we stress the importance of aligning the physical environment with organizational goals, and argue that well-designed feedback mechanisms may prevent undesired decoupling of managerial practice.
31.	Elg, Mattias, et al. (författare) Co-creation and learning in health-care service development 2012 Ingår i: Journal of Service Management. - : Emerald Group Publishing Limited. - 1757-5818 .- 1757-5826. ; 23:3, s. 328-343 Tidskriftsartikel (refereegranskat)abstract Purpose - The purpose of this study is to develop and evaluate a model for patient co-creation and learning based on diaries for use in health-care service development. In particular, the study aims to investigate the process of patient co-creation and different mechanisms through which health-care service providers can learn from the patient. Design/methodology/approach - The study is based on an action research approach. First, a development phase for patient co-creation and learning leading to a proposed model was conducted. Second, a test phase of the diary-based method was performed on 53 patients in three cases: orthopaedic care, rehabilitation care and gastroenterology care. Findings - The study suggests a model for co-creation and learning in health-care service development through three learning methods. First, the model may be used as a means for generating and collecting patient ideas; second, a single patient's story can be illustrated and can serve as incentive for health-care service development and creation of patient-centred care; finally, a larger number of diaries can be analysed and combined with patient surveys to provide a deeper understanding of how the patient experiences health care services. Originality/value - This study extends the research on diary-based methods as an operationalisation of co-creation in two ways. First, the study offers new and more diverse ways of using the rich material provided by customer diaries in the development of services. Second, the study suggests a co-creation approach of involving patients in health-care service development through patient diaries.
32.	Elg, Mattias, et al. (författare) Conditions for reporting performance measurement 2012 Ingår i: Total Quality Management and Business Excellence. - : Taylor and Francis (Routledge): SSH Titles. - 1478-3363 .- 1478-3371. ; 23:1, s. 63-77 Tidskriftsartikel (refereegranskat)abstract The purpose of this paper is to identify factors affecting the quality of a performance measurement (PM) system with particular focus on its ability to produce valid, trustworthy information. The study is based on a cross-case study design. Interviews were conducted with reporters to the national performance measurement system of waiting times in Swedish healthcare. The study focuses on the premises that managing operations through measures is not possible without a functioning reporting system. Thus, in order to put any performance measurement system into practice, several types of resources are needed. The results from the study show large differences in the conditions for reporting within a healthcare performance measurement system. We propose how various resources, contextual factors and internal dynamics create conditions for reporting of waiting time data. This is described in a framework that clarifies six different patterns: (1) Encouraging reporting; (2) Active responsibility; (3) Limited opportunities for reporting; (4) Abandoned reporting; (5) Passive responsibility; and (6) Total inactivity. This study provides the scholarly field of quality management research with a theoretical model for understanding various components of a performance measurement system.
33.	Elg, Mattias, 1968-, et al. (författare) Development of Process Oriented Innovations in Swedish Healthcare : a Longitudinal Study of Development Projects 2005 Ingår i: QMOD Conference,2005. - Palermo : Ordinelngegneri della provincia de Palermo. ; , s. 511- Konferensbidrag (refereegranskat)
34.	Elg, Mattias, 1968-, et al. (författare) Digitalisation and quality management: problems and prospects 2021 Ingår i: Production Planning and Control. - : Informa UK Limited. - 0953-7287 .- 1366-5871. ; 32:12, s. 990-1003 Tidskriftsartikel (refereegranskat)abstract Digitalisation provides both challenges and opportunities for Quality Management (QM). The purpose of this study is to identify various roles QM practitioners play in digitalisation initiatives to uncover the challenges and potential of QM's digitalisation journey. This issue is addressed through an analytical framework that stresses two dimensions: the exploration and exploitation of digitalised QM processes and value creation, which is performed by the customer or in interactions facilitated by the provider. Through a multiple-case study of four large Swedish organisations, we propose six different challenges and corresponding roles for QM. Further, the study identifies challenges of digitalisation affecting both exploitative and explorative practices throughout an organisation's value creation process. This research contributes to the existing literature with empirical evidence on the challenges induced by digitalisation, an area often discussed but not as often studied empirically.
35.	Elg, Mattias, et al. (författare) En metodansats för utvärdering av prestionsmätningssystem 2004 Rapport (övrigt vetenskapligt/konstnärligt)
36.	Elg, Mattias, 1968- (författare) Förstå, förutse och förbättra : om mätningar och dataanalys för verksamhetsutveckling 2022. - 1 Bok (övrigt vetenskapligt/konstnärligt)abstract Våra organisationer blir alltmer komplexa och det blir allt svårare att fatta kloka beslut om var utveckling av verksamheter bör sättas in. Samtidigt växer mängden data som är tillgänglig – och som kan hjälpa till att förstå vad som faktiskt sker i verksamheter och i samhället...
37.	Elg, Mattias, et al. (författare) Goal Orientation and Conflicts : Motors of Change in Development Projects in Health Care Service 2007 Ingår i: Quality Management in Health Care. - 1063-8628 .- 1550-5154. ; 16:1, s. 84-97 Tidskriftsartikel (refereegranskat)abstract The article presents parts of a larger research study which aims to explain how a process-oriented innovation unfolds and develops over time in the health care system in Sweden. It is said that local development teams have a rather broad notion of what it takes to implement the flow model. The theory used to explain the developmental patterns which have been identified in the national and local projects was presented.
38.	Elg, Mattias, 1968- (författare) Hur skapar vi god kvalitet i vår data? : ständiga förbättringar av prestationsmätningssystem 2007 Ingår i: Att lyckas med förbättringsarbete - förbättra, förändra, förnya. - Lund : Studentlitteratur. - 9789144029986 ; , s. 135-153 Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract Inom många organisationer används idag prestationsmätningar för att styra, leda och förbättra verksamheten. Genom prestationsinriktade mätetal kan företagsledare och övriga medarbetare få information om hur verksamheten fortskrider och kan, baserat på tolkningen av mätetalet, fatta beslut kring den operativa och strategiska planeringen.
39.	Elg, Mattias, 1968-, et al. (författare) Hållbart sjukdomsförebyggande arbete? : En studie av hur man arbetar med sjukdomsförebyggande arbete i två vårdsystem i USA 2017 Rapport (övrigt vetenskapligt/konstnärligt)abstract Det finns en stor enighet om att vårdens uppdrag behöver förändras för att möta behoven hos befolkningen på ett bättre sätt. Hälsoläget i de rika delarna av världen är i hög grad beroende av den demografiska utvecklingen (med åldrande befolkning) och våra levnadsvanor, som gör att vi drabbas av livsstilssjukdomar. I WHOs nuvarande globala strategi för “health for all” ingår hörnpelare som integrerad befolkningsorienterad hälso- och sjukvård där aspekter som prevention, sjukdomsförebyggande, patientmedverkan lyfts fram (WHO 2015). I EUs forsknings- och utvecklingsprogram och strategiska planering stödjer man projekt som visar hur man kan identifiera, sprida och stödja ”best practices” för kostnadseffektiv prevention vad beträffar rökning, missbruk av alkohol, övervikt och HIV/AIDS (EU 2016).I Sverige har vi utvecklat nationella riktlinjer för sjukdomsförebyggande metoder. Riktlinjerna har tagits fram av Socialstyrelsen för att stärka det sjukdomsförebyggande arbetet i vården och därigenom förbättra patienternas levnadsvanor. I riktlinjerna fokuseras fyra områden – tobak, riskbruk av alkohol, fysisk aktivitet och matvanor. Landstingen och kommunerna, har sedan introduktionen av riktlinjerna år 2011 arbetat med implementeringen. Huvudmännen har kommit olika långt i arbetet men bland annat utifrån den ansträngande situationen i stora delar av den svenska vården har det varit svårt att få tillräckligt genomslag för arbetet. Som ett led i insatserna för att stärka upp det sjukdomsförebyggande arbetet i Sverige har Socialstyrelsen uppdragit åt Linköpings universitet att belysa hur de sjukdomsförebyggande insatserna hanteras i två framstående hälso- och sjukvårdsorganisationer i USA. Den huvudsakliga frågeställningen är hur man organiserar arbetet med det sjukdomsförebyggande arbetet. Uppdraget innefattar även en genomgång av internationell vetenskaplig litteratur med syftet att komplettera de två ovan nämnda fallstudierna. Socialstyrelsen vill härigenom bidra med ökad kunskap om förutsättningar och metoder för att arbeta med sjukdomsförebyggande metoder i kliniskt arbete, företrädesvis primärvården. Denna studie vill därför bidra till kunskapsunderlag om hur realiseringen av de sjukdomsförebyggande metoderna kan ske.En utgångspunkt för att kunna ringa in de relevanta frågeställningarna ur ett svenskt perspektiv är de resultat som identifierats i tidigare rapport Översättning av riktlinjer – Fallstudier av sjukdomsförebyggande metoders genomslag av Elg m.fl. (2016). Här studerades fyra svenska vårdsystem och deras väg fram i det sjukdomsförebyggande arbetet. Fokus i föreliggande arbete är i likhet med tidigare studie de strukturer och processer som används för att styra, leda och organisera det sjukdomsförebyggande arbetet. Vi tar således utgångspunkt i slutsatserna från den tidigare studien och undersöker empiriskt hur man försöker utveckla och vidmakthålla lösningar på Southcentral Foundation (SCF) och Intermountain Healthcare (IH), två vårdsystem i USA.De studerade verksamheterna arbetar aktivt med sjukdomsförebyggande arbete, men utifrån delvis olika utgångspunkter. En viktig skillnad är att medan Intermountain Healthcare successivt, med nya initiativ, utökar sitt uppdrag, så ligger det sjukdomsförebyggande arbetet redan inbäddat i Southcentral Foundations grundläggande idé för primärvården. Det är också stora skillnader i patientpopulationernas storlek och socioekonomiska förhållanden. I analysen gör vi jämförelser mellan de två verksamheterna för att identifiera likheter och särdrag i hur man organiserar styrning och ledning om och för sjukdomsförebyggande. Genom denna analys identifierar vi angreppssätt och metoder som vi bedömer kan ha betydelse ur ett svenskt perspektiv.Fyra, som vi ser det, viktiga dimensioner av hur man i de två fallen arbetar med sjukdomsförebyggande presenteras i studien, nämligen 1) strategiskt styrnings- och ledningsfokus på frågorna; 2) lärande om sjukdomsförebyggande arbete i vårdens vardag; 3) skapande av tekniska stödsystem och processer som underlättar för sjukdomsförebyggande arbetet i vardagen; samt 4) vikten av att genom fysisk design av vårdens arbetsplatser underlätta integration av arbetsmoment och tekniska stödsystem och därigenom genomförandet av strategier för sjukdomsförebyggande arbete. Vi ser även i fallstudierna hur digitala designlösningar möjliggör för medskapande av sjukdomsförebyggande metoder hos medborgare och patienter.Såväl Intermountain Healthcare som Southcentral Foundation har visioner som betonar vikten av hälsofrämjande och sjukdomsförebyggande verksamheter, vilket för båda innebär att det strategiska styr- och ledningsarbetet också har fokus på sjukdomsförebyggande arbete som en naturlig del i verksamhetens uppdrag.Men en vision kan bli verkningslös om det inte finns strategier och ägarskap på högsta ledningsnivå, som aktivt arbetar för realisering av frågorna. I diskussionen lyfter vi fram betydelsen av detta aktiva ägarskap i termer av resurssättande, hur man knyter strategiskt viktiga partners till arbetet, hur man på strategisk nivå prioriterar sjukdomsförebyggande bland olika patientgrupper samt hur man också knyter an analys och uppföljning på strateginivå.Att man även prioriterar resurser för förbättringsarbete och forskning med inriktning mot sjukdomsförebyggande skapar också en förutsättning för långsiktighet. Det finns som vi ser det en dynamik och ett tilltagande fokus för just dessa frågor. I rapporten vill vi ringa in och sätta fokus på hur realiseringen av det sjukdomsförebyggande arbetet har gått till – vad som kan ligga bakom ett framgångsrik införande. Det är därför de organisatoriska processerna snarare än innehållet som vi tar fasta på och som vi också vill lyfta fram som avgörande för ett långsiktigt hållbart sjukdomsförebyggande arbete.Att lära om och för det sjukdomsförebyggande är en viktig del i framgången. Här ser vi exempel från våra fall där man via kontinuerlig träning och utbildning av de professionella lär sig att hantera frågorna genom vidareutbildningsinsatser. Det finns även fasta rutiner för att kontinuerligt träffas över organisationsgränser där frågorna diskuteras av kliniskt verksamma. Vi ser också att man proaktivt arbetar med berättelser om vad som kan åstadkommas genom sjukdomsförebyggande arbete. Därutöver finns på SCF särskilda funktioner inom primärvården som är specialister på att åstadkomma beteendeförändring hos patienter. Denna kompetens vill vi särskilt lyfta fram då den skapar goda möjligheter att hantera de ofta komplexa problem som behöver hanteras i primärvården.Både SCF och IH arbetar mycket aktivt för att skapa tekniska stödsystem och processer som underlättar arbetet i vardagen. Ett uttryck som används är ”det ska vara lätt att göra rätt” och i våra amerikanska fallstudier arbetas det aktivt med att identifiera lösningar som faktiskt gör det lättare att göra rätt. Det gäller till exempel arbetsprocedurer för sjukdomsförebyggande som bäddas in i den elektroniska patientjournalen, kriterier för att identifiera patienter som är i behov av förebyggande insatser samt standardiserade analys- och utvärderingsinstrument som underlättar beslut i vardagens vårdproduktion. Företrädare för de studerade vårdsystemen menar att nya sätt att kommunicera med patienter behöver utvecklas, ett arbete som man anser ännu är i sin linda. Digitaliseringen lyfts fram som en möjliggörare där tid och rum inte är avgörande för god vård.Man pekar speciellt inom SCF också på vikten av den fysiska designen av vårdens arbetsplatser. Det handlar om arbetsplatsens miljö och hur funktioner och kompetenser fysiskt är arrangerade i förhållande till varandra. När det gäller stöd för patienters sjukdomsförebyggande arbete spelar dessa frågor en viktig roll. Framförallt ser vi hur man fysiskt samlokaliserar team och hur man rumsligt placerar undersökningsrum, samtalsrum och ledning av primärvårdspersonal i avsikt att försöka optimera arbetet. Devisen ”out of sight, out of control” beskriver väl hur man anstränger sig för att ordna den fysiska miljön så att patienten konkret sätts i centrum. Inom IH breddas uppdraget bland annat genom att eftersträva lokalisering av sjukdomsförebyggande aktiviteter på nya sätt i kultur- och samhällscentrala institutioner. Dessa förebyggande insatser bedrivs inom ramen för det definierade vårduppdraget.Sammanfattningsvis, baserat på de reflekterade iakttagelser vi har gjort i de två amerikanska organisationerna, finns det en rad möjligheter till tips och råd som kan underlätta det svenska arbetet med sjukdomsförebyggande. Dessa sammanfattar vi i följande punkter:Ha en strategisk avsikt – De sjukdomsförebyggande insatserna har strategisk betydelse i de båda studerade vårdsystemens arbete. Ägarskapet i vårdsystemens ledningar är påtagligt. Detta är nödvändigt för att man ska få till ett hållbart arbete. Ta bort det ägarskapet och frågan är förlorad.Säkra resurser – framförallt säkerställande av kompetens – behöver prioriteras för att kunna hantera uppdrag som omfattar sjukdomsförebyggande insatser. Vi ser att både SFC och IH gör strategiska prioriteringar av resurser till primärvården för att detta uppdrag ska kunna få fotfäste.Balansera styrningen – Frågan om detaljstyrning av de sjukdomsförebyggande insatserna är komplex och hanteras olika på SCF och IH. På SCF är ansvaret för beslut om vård i primärvården fördelat till integrerade team som gör en kollektiv, professionell bedömning tillsammans med patient och anhöriga om patientens
40.	Elg, Mattias, et al. (författare) Impact Evaluation report : Helix Vinn Excellence Centre 2006 - 2015 2016 Rapport (övrigt vetenskapligt/konstnärligt)abstract This impact evaluation report concerns the activities of HELIX VINN Excellence Centre at Linköping University. HELIX is an established Centre within working life research, focusing specifically on sustainable development in organizations. This entails research and innovation activities that promote good working conditions, learning, health and gender equality in combination with an effective and innovative production system.In the HELIX VINN Excellence Centre, the interactive collaboration between researchers from different disciplines and the partner organizations has enabled us to face the challenges and the complexity of contemporary working life. The research strategy contained three key elements. Firstly, research and innovation activities were carried out with the well-established interactive research approach. Secondly, a multidisciplinary, integrative research approach was used. Researchers from different disciplines within behavioral sciences, management, business and public administration, entrepreneurship and innovation, as well the health and work sciences, collaborate within the Centre. Thirdly, a partnership approach was used, engaging universities and private firms as well as actors within the public sector and labour market organizations. The problems and issues defined in dialogue between partner organizations and researchers enabled the research activities.HELIX vision can be captured by the phrase Knowledge for Sustainable Development in Organizations. Our research programme has focused on organizational development across a broad front in working life, including attractive working environments, high welfare standards, and effective organizations, offering sustainable job opportunities.The research at HELIX has advanced scientific knowledge about development of new types of work arrangements and development of sustainable working life in Sweden. The Centre has also strengthened the potential for Swedish organizations to be more sustainable in the long-term and to stimulate endeavors between public and private organisations. As expressed by the partner organizations, they have joined HELIX to get support in developing their organization towards better economical and social sustainability. Our overarching goal has been to contribute significantly to scientific knowledge and, at the same time, add value to practice – that is, to put working-life research to use.The HELIX program has also had a considerable impact on partners and other organizations. Indeed, most partners report clear benefits from the research collaboration. These benefits may concern a direct, instrumental impact (e.g. changes in organizational policies and/or routines), an indirect impact (e.g. access to new knowledge and ideas or know-how), or impact in a broader sense (e.g. interactions with other participating companies, cross-fertilization of ideas). Participation in the HELIX partnership has also for many partners meant increased interaction with research and the university, and, thereby, a significantly increased access to research-based knowledge concerning issues covered by the HELIX research program.In spite of the often-reported difficulties in reaching direct and instrumental types of knowledge use, that is, types where research results are used more or less directly as input or guidelines for action or organizational change, our analysis shows that more than half of the respondents report direct, instrumental benefits from their engagement in HELIX, and almost three quarters of the respondents reported different forms of indirect impact. These findings are supported also by our impact cases.A closer analysis of the HELIX program and the cases reported above, indicate a number of key success factors. First, the multi-disciplinary and interactive research approach has made it possible to reach a high degree of relevance in research questions and projects. Second, the partner organizations have had a high degree of joint ownership of the HELIX program and the projects through the HELIX partnership. Third, in the most successful cases with respect to research use and impact, we have been able to anchor the projects at the top management level and, thereby, to assure a high degree of management attention and support for the research and innovation efforts. Fourth, that there is one or more enthusiasts or “idea champions” within the organization that can promote a project or a new idea. Fifth, in the most successful cases we have also been able to create opportunities for individual and collective learning through different types of learning activities, for example, joint analysis seminars and workshops for dissemination and use of research results.
41.	Elg, Mattias, 1968-, et al. (författare) Implementing multidimensional control systems in psychiatric organizations : an intervention based approach 2005 Ingår i: PCS/I Conference,2005. - Ljubljana : PCS. Konferensbidrag (refereegranskat)
42.	Elg, Mattias, 1968-, et al. (författare) Implementing Performance Measurement Systems : An Application of SPC in a Swedish Industrial Organization 2004 Ingår i: International QMOD Conference,2004. ; , s. 359- Konferensbidrag (refereegranskat)
43.	Elg, Mattias, 1968-, et al. (författare) Implementing Performance Measurement Systems in Swedish Psychiatry : A Method for Supporting Management Teams in Complex Implementation Situations 2004 Ingår i: PCSE,2004. Konferensbidrag (refereegranskat)
44.	Elg, Mattias, et al. (författare) Implementing statistical process control : An organizational perspective 2008 Ingår i: International Journal of Quality & Reliability Management. - : Emerald. - 0265-671X .- 1758-6682. ; 25:6, s. 545-560 Tidskriftsartikel (refereegranskat)abstract Purpose - The purpose of this paper is to contribute to the understanding of how statistical process control (SPC) methodology can be implemented and used in organizational settings. Design/methodology/approach - An action research model was used. Data were collected through formal meeting protocols, interviews and participant observation. Findings - Based on the results of an action research project, the paper emphasizes the need for: top management support with respect to roles such as infrastructural assistance, mentor, critic, financer, creating system validity through the involvement of people with experiential knowledge about the "world" in which SPC should be applied, keeping a small, highly knowledgeable development team with appropriate expertise together during the whole process from beginning to end, keeping the various end-users in focus but separate and prioritising between their different needs, and working with iterative design methodology. Research limitations/implications - The paper provides the research field with a unique case of implementing SPC using a computerized administrative data system. Practical implications - Organizations are given guidelines to use when implementing SPC. Originality/value - The paper contributes knowledge in an underdeveloped field of research. It may provide a basis for further research and scholarly analysis. © Emerald Group Publishing Limited.
45.	Elg, Mattias, 1968-, et al. (författare) Leda för kvalitet : hörnstenar för kvalitetsutveckling i offentlig verksamhet 2019 Bok (övrigt vetenskapligt/konstnärligt)abstract Kvalitetsutveckling sker inte av sig självt. För att utveckla och förbättra verksamheter krävs systematiska sätt att arbeta med kvalitetshöjande insatser av många individer under lång tid.Leda för kvalitet ger en helhetsbild över centrala frågor som välfärdens tjänsteleverantörer behöver ställa sig i den systematiska kvalitetsutvecklingen. Den ger också förslag på inriktning av angreppssätt och metoder för att komma till rätta med kvalitetsproblem. Till boken finns en arbetsbok som kan användas av hela personalgruppen. Arbetsboken ger, förutom grundläggande kunskaper i kvalitetsarbete som man har nytta av för all framtid, en utmärkt start på det utvecklingsprojekt som just nu är aktuellt att sätta igång med.
46.	Elg, Mattias, 1968- (författare) Mätetalens betydelse för ledarskapet i teambaserad verksamhet 2009. - 1 Ingår i: <em>Mot ett förändrat ledarskap? om chefers arbete i team. och processorganiserad verksamhet</em>. - Lund : Studentlitteratur. ; , s. 202- Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract Många organisationer har under senare år påbörjat ett förändringsarbete som syftar till en organisering i form av målstyrda arbetsgrupper/team, och en processorientering av hela eller delar av verksamheten. Detta innebär också att nya krav och förväntningar riktas mot chefer i organisationen, exempelvis vad gäller ledarskapets inriktning och den kompetens som ledare bör ha. Den kategori chefer som denna bok främst handlar om är vad som brukar kallas första linjens chefer - en grupp chefer som ofta möter förändrade och motstridiga förväntningar och krav på sitt ledarskap. I bokens inledande kapitel ges en översiktlig beskrivning av de teorier och skolbildningar som varit dominerande i ledarskapsforskningen. Här ges också en mer utförlig beskrivning av de riktningar som utvecklats under de senaste 10-15 åren och som har hög relevans för förståelsen av ledarskap i team- och processorganiserade verksamheter. Andra frågor/områden som behandlas är: o Vilka dilemman och utmaningar i arbetet möter första linjens chefer? o Vilken betydelse har en ökande användning av mätetal för ledarskapet i team- och processorganiserade verksamheter? o Hur ser första linjens chefer på betydelsen av delaktighet i den egna organisationen? o Hur kan ledarskapet i team- och processorganiserade verksamheter förstås från ett genusperspektiv? o I vilken grad framträder ett mer utvecklings- och lärinriktat ledarskap i de studerade organisationerna? Boken är lämplig som kurslitteratur vid universitet och högskolor, men också inom olika typer av personal- och ledarutbildningar. Den vänder sig också till forskare och alla som i olika praktiska sammanhang intresserar sig för frågor om ledarskap och ledarutveckling.
47.	Elg, Mattias, 1968- (författare) Mätningar för bättre styrning : att synliggöra och hantera variation för styrning och förbättring av offentlig verksamhet 2013 Rapport (övrigt vetenskapligt/konstnärligt)abstract Denna metodhandbok handlar om hur variation kan synliggöras och hanteras i offentliga verksamheter ur ett systemperspektiv. Här presenteras och exemplifieras hur man kan arbeta med metoder för att analysera data från olika processer. Innehållet bygger på kunskap om kvalitetsutveckling, mätning och statistik som har sitt ursprung i forskning om kvalitets- och verksamhetsutveckling. I Metodhandboken presenteras olika metoder för att synliggöra variation med exempel från olika offentliga verksamheter. De som bidragit med data är Bolagsverket, Migrationsverket, Skatteverket och Försäkringskassan.
48.	Elg, Mattias (författare) Mätningar och utvecklingsorienterat lärande 2014 Ingår i: Lärande i arbetslivet. - Linköping : Linköpings universitet. - 9789175192918 ; , s. 65-78 Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract I detta kapitel vill jag utmana båda dessa ståndpunkter genom att lyfta fram ett perspektiv på mätningar som inte har diskuterats så utförligt i forskningen, nämligen organisering av mätetalsanvändning för ett utvecklingsorienterat lärande. Jag menar att under vissa betingelser fungerar mätetal och mätningar som stöd för verksamhetsinriktad utveckling och lärande. Jag försöker ta fasta på argumentet att mer avancerade former av lärande i arbetet kräver arbetsplatser som har en inbyggd design för lärande (Ellström, 2011). Frågan blir då hur användningen av mätetal kan bli en del av den inbyggda designen för lärande på arbetsplatsen och hur man kan förstå på vilka sätt organisering kan gå till. Finns det någon systematik för detta? Genom tre berättelser av tillämpningar av mätningar som stimulerat och även lett till utveckling i en vårdverksamhet belyser jag möjligheter och begränsningar i lärandet med stöd av mätetal. Vad som speciellt lyfts fram i dessa fall är att mätningar möjliggör upptäckter av avvikelser i arbetsrutiner och processer. Sådana avvikelser kan upptäckas genom olika former av mätsystem, här illustrerat genom månatliga mätningar av vårdhygien, patientdagbok och kvalitetsregister. Mätningarna blir här en processens röst som byggs in i lärandet på arbetsplatsen. En slutsats är att när mätningar är relevant och meningsfullt inbäddade i organisatoriska sammanhang möjliggörs reflektion och utvecklingsorienterat lärande.
49.	Elg, Mattias, 1968- (författare) Mätningarnas roll i chefers styrning och förbättringsarbete 2016. - 2 Ingår i: Mot ett förändrat ledarskap?. - Lund : Studentlitteratur AB. - 9789144111919 ; , s. 147-161 Bokkapitel (övrigt vetenskapligt/konstnärligt)
50.	Elg, Mattias, 1968-, et al. (författare) Organisation och design av verksamhetsuppföljning -En metod för implementering av uppföljningsfrågor i ett löpande ledningsarbete i psykiatrisk vård 2004 Ingår i: Verksamhetsuppföljning inom psykiatrin,2004. Konferensbidrag (refereegranskat)

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