A Dynamic Model Linking Organisational Systems to Clinical Performance in Australian Hospitals

Summary

With increasing pressure on the hospital sector in Australia and at a time of substantial reform, this project will model the influence of feedback loop processes on hospital system effectiveness, and by association, its influence on the relationships between four hospital systems and clinical performance. These findings can have a significant impact on performance within Australian hospitals and in turn, the health and wellbeing of the Australian population.

Preliminary findings

Preliminary findings from this Linkage project have covered a range of topics. Analysis of quantitative data has suggested a relationship between human resource management (HRM) practices and measures of clinical care. The qualitative data indicates that hospitals with high performing systems of HRM have a shared 'philosophy' focused on best practice, innovation and continuous improvement. The team have also identified the ‘best practice’ approach to learning and development for line managers in hospitals is having excellent training programs. The relationship between accreditation programs and promotion of a high performance approach to HRM has also been explored in a paper currently under review.

Chief investigators

  • Associate Professor Keith Townsend (Griffith University, Australia)
  • Dr Sandra Lawrence (Griffith University, Australia)
  • Professor Adrian Wilkinson (Griffith University, Australia)
  • Dr David Greenfield (University of NSW)

Research fellow

  • Dr Ashlea Kellner (Griffith University)

In the media

Research activities

Research outputs

  • Greenfield, David, Kellner, Ashlea, Townsend, Keith, Wilkinson, Adrian and Lawrence, Sandra (2014), “Health service accreditation reinforces and mindset of high–performance human resource management: lessons from an Australian study”, International Journal for Quality in Health Care, vol. 26, no. 4, pp. 372–377.
  • Kellner, Ashlea, Greenfield, David, Lawrence, Sandra Anne, Townsend, Keith and Wilkinson, Adrian (2013), “Does hospital accreditation promote high performance human resource management practice?”, 30th Annual Conference of Quality and Safety in Population Health and Healthcare, 13–16 October, Edinburgh, Scotland.
  • Kellner, Ashlea, Lawrence, Sandra, Townsend, Keith and Greenfield, David (2014) “How frontline manager learning and development influences governance and leadership”, 31st International Safety and Quality Conference: Quality and Safety Along the Health and Social Care Continuum, International Society for Quality Health Care, 5–8 October Rio de Janeiro, Brazil (peer reviewed abstract).
  • Kellner, Ashlea, Townsend, Keith and Wilkinson, Adrian (2016) “‘The mission or the margin?’ The high performance work system in a non–profit organisation”, The International Journal of Human Resource Management.
  • Kellner, Ashlea, Townsend, Keith, Wilkinson, Adrian, Greenfield, David and Lawrence, Sandra (2016) “The message and the messenger: identifying and communicating a high performance ‘HRM Philosophy’”, Personnel Review, vol. 45, no. 6.
  • Kellner, Ashlea, Townsend, Keith, Wilkinson, Adrian, Greenfield, David and Lawrence, Sandra Anne (2013), “How does hospital accreditation assist high performance human resource management practice?”, 27th Annual Conference of the Australian and New Zealand Management Conference, 4–6 December, Hobart, Tasmania.
  • Kellner, Ashlea, Townsend, Keith, Wilkinson, Adrian, Lawrence, Sandra and Greenfield, David (2016) “Learning to manage: development experiences of hospital frontline managers”, Human Resource Management Journal.
  • Lawrence, Sandra, Greenfield, David, Kellner, Ashlea, Townsend, Keith and Wilkinson, Adrian (2013), “Change in HRMprocesses and clinical performance in Australian hospitals: the influence of accreditation as a motivator”, 27th Annual Conference of the Australian and New Zealand Management Conference, 4–6 December, Hobart, Tasmania.
  • Lawrence, Sandra, van Gellecum, Yolanda, Dennis, C. and Greenfield, David (2015), “The association between HRM, safety and quality: evidence from a longitudinal analysis of a health service accreditation program”, 32nd International Safety and Quality Conference: Building Quality and Safety into the Health Care System, International Society of Quality in Health Care, 4–7 October, Doha, Qatar (poster).
  • Lawrence, Sandra, van Gellecum, Yolanda, Dennis, C. and Greenfield, David (2015), “The association between HRM, safety and quality: evidence from a longitudinal analysis of a health service accreditation program”, 32nd International Safety and Quality Conference: Building Quality and Safety into the Health Care System, International Society of Quality in Health Care, 4–7 October, Doha, Qatar (peer reviewed abstract).
  • Lawrence, Sandra, van Gellecum, Yolanda, Townsend, Keith, Wilkinson, Adrian and Kellner, Ashlea (2014), “The link between HRM and clinical performance: a longitudinal perspective”, 28th Annual Conference of the Australia and New Zealand Management Conference, 3–5 December, Sydney.
  • Townsend, Keith, Lawrence, Sandra and Wilkinson, Adrian (2013), ‘The role of hospitals’ HRM in shaping clinical performance: a holistic approach’, The International Journal of Human Resource Management, vol. 24, no. 16, pp. 3062-3085.

More information

For more details about our research, get in touch