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Full-Text Articles in Policy Design, Analysis, and Evaluation

Organizational Alignment: A Tool For Obtaining Greater Organizational Efficiency And Effectiveness In A State Government Agency, Patricia A. Collins Apr 2002

Organizational Alignment: A Tool For Obtaining Greater Organizational Efficiency And Effectiveness In A State Government Agency, Patricia A. Collins

Dissertations

This study focuses on the modem day use of TQM, reengineering and privatization initiatives to gain efficiency and effectiveness in government operations, and the impact of alignment on the successful implementation of these three initiatives. A large state government agency which is currently using TQM, reengineering and privatization was used as a case study. Two-hundred-and-twenty-four employees were voluntary participants. This study examined three research questions: 1. Could the level of alignment, as hypothesized by Labovitz and Rosansky, be replicated with a sample of public agency employees? 2. Is the agency aligned, based on the Labovitz and Rosansky model, to successfully ...


Demographic Factors Predictive Of Medicaid Enrollment In Michigan Counties, Dale Kennedy Howe Apr 2002

Demographic Factors Predictive Of Medicaid Enrollment In Michigan Counties, Dale Kennedy Howe

Dissertations

Recent changes in administration of the Medicaid program make it imperative that local agencies improve their ability to forecast demand for Medicaid services. In October of 1998 the State of Michigan redesigned the Medicaid specialty care in Michigan from a fee-for-service system to a capitated system. In a capitated healthcare system, financial risk is a result of unanticipated changes in the population size and mix. Numerous demographic factors, such as crime, population, unemployment, median age, income, and ethnicity may be used to improve the accuracy of predicted changes in enrollment for Medicaid. Using naive ordinary least squares models as the ...