TY - JOUR
KW - Attitude of Health Personnel
KW - Delivery of Health Care, Integrated
KW - Female
KW - Health Care Surveys
KW - Humans
KW - Male
KW - Mental Health Services/organization & administration
KW - Primary Health Care/organization & administration
KW - Program Evaluation
KW - United States
KW - United States Department of Veterans Affairs
KW - Veterans Health
AU - J. H. Ford II
AU - D. Krahn
AU - K. A. Oliver
AU - J. Kirchner
A1 - 
AB - OBJECTIVE: To explore staff perceptions about sustainability, commitment to change, participation in change process, and information received about the change project within the Veterans Administration Primary Care and Mental Health Integration (PC-MHI) initiative and to examine differences from the Veterans Health Administration Mental Health Systems Redesign (MHSR) initiative. DATA SOURCES: Surveys of change team members involved in the Veterans Affairs PC-MHI and MHSR initiatives. STUDY DESIGN: One-way analysis of variance examined the relationship between commitment, participation and information, and sustainability. Differences in PC-MHI sustainability were explored by location and job classification. Staff sustainability perceptions were compared with MHSR results. PRINCIPAL FINDINGS: Sustainability differed by staff discipline. Difference between MHSR and PC-MHI existed by job function and perceptions about the change benefits. Participation in the change process and information received about the change process were positively correlated with sustainability. Staff commitment to change was positively associated with staff perceptions about the benefits of change and staff attitudes toward change. CONCLUSIONS: Sustainability is an important part of organizational change efforts. Change complexity seems to influence perception about sustainability and impacts staff perceptions about the benefits of change. These perceptions seem to be driven by the information received and opportunities to participate in the change process. Further research is needed to understand how information and participation influence sustainability and affect employee commitment to change.
BT - Quality management in health care
C5 - Financing & Sustainability
CP - 4
CY - United States
DO - 10.1097/QMH.0b013e31826d1d1a
IS - 4
JF - Quality management in health care
N2 - OBJECTIVE: To explore staff perceptions about sustainability, commitment to change, participation in change process, and information received about the change project within the Veterans Administration Primary Care and Mental Health Integration (PC-MHI) initiative and to examine differences from the Veterans Health Administration Mental Health Systems Redesign (MHSR) initiative. DATA SOURCES: Surveys of change team members involved in the Veterans Affairs PC-MHI and MHSR initiatives. STUDY DESIGN: One-way analysis of variance examined the relationship between commitment, participation and information, and sustainability. Differences in PC-MHI sustainability were explored by location and job classification. Staff sustainability perceptions were compared with MHSR results. PRINCIPAL FINDINGS: Sustainability differed by staff discipline. Difference between MHSR and PC-MHI existed by job function and perceptions about the change benefits. Participation in the change process and information received about the change process were positively correlated with sustainability. Staff commitment to change was positively associated with staff perceptions about the benefits of change and staff attitudes toward change. CONCLUSIONS: Sustainability is an important part of organizational change efforts. Change complexity seems to influence perception about sustainability and impacts staff perceptions about the benefits of change. These perceptions seem to be driven by the information received and opportunities to participate in the change process. Further research is needed to understand how information and participation influence sustainability and affect employee commitment to change.
PP - United States
PY - 2012
SN - 1550-5154; 1063-8628
SP - 240
EP - 251
EP - 
T1 - Sustainability in primary care and Mental Health Integration projects in Veterans Health Administration
T2 - Quality management in health care
TI - Sustainability in primary care and Mental Health Integration projects in Veterans Health Administration
U1 - Financing & Sustainability
U2 - 23011071
U3 - 10.1097/QMH.0b013e31826d1d1a
VL - 21
VO - 1550-5154; 1063-8628
Y1 - 2012
ER -