Enhancing Learning, Innovation, Adaptation, and Sustainability in Health Care Organizations: The ELIAS Performance Management Framework

Persaud, D. David

doi:10.1097/hcm.0000000000000014

Cited by 22Healthcare Quality and ManagementOrganizational Learning and LeadershipOrganizational Leadership and Management Strategies

Enhancing Learning, Innovation, Adaptation, and Sustainability in Health Care Organizations: The ELIAS Performance Management Framework

Persaud, D. David·2014·The Health Care Manager

DOI 10.1097/hcm.0000000000000014

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Abstract

The development of sustainable health care organizations that provide high-quality accessible care is a topic of intense interest. This article provides a practical performance management framework that can be utilized to develop sustainable health care organizations. It is a cyclical 5-step process that is premised on accountability, performance management, and learning practices that are the foundation for a continuous process of measurement, disconfirmation, contextualization, implementation, and routinization This results in the enhancement of learning, innovation, adaptation, and sustainability (ELIAS). Important considerations such as recognizing that health care organizations are complex adaptive systems and the presence of a dynamic learning culture are necessary contextual factors that maximize the effectiveness of the proposed framework. Importantly, the ELIAS framework utilizes data that are already being collected by health care organizations for accountability, improvement, evaluation, and strategic purposes. Therefore, the benefit of the framework, when used as outlined, would be to enhance the chances of health care organizations achieving the goals of ongoing adaptation and sustainability, by design, rather than by chance.

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Approaches to monitoring included diverse areas to assess including having appropriate data to document progress, having a management or monitoring system in place, and having regular reporting and feedback mechanisms.
“Approaches to monitoring included diverse areas to assess including having appropriate data to document progress [64, 65], having a management or monitoring system in place [15, 53, 61, 66, 67], and having regular reporting and feedback mechanisms [46, 47, 52, 54, 68, 69].”
From Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare (2018) · cites this paper as [52]

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Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare
Lennox, L., Maher, L., & Reed, J. (2018) · Implementation Science · doi:10.1186/s13012-017-0707-4 · Cited by 421 · see citing works

Authors: Persaud, D. D.
Affiliations: Dalhousie University (CA)
Corresponding author: Persaud, D. David
ORCID: Persaud, D. David
Venue: The Health Care Manager
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2014-07
Volume: 33
Issue: 3
Pages: 183-204
ISSN: 1525-5794 (ISSN-L)
DOI: 10.1097/hcm.0000000000000014
OpenAlex: W2053995607
Cited by: 22
References: 150
Citations by year: 2026: 2 · 2025: 1 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 6 · 2019: 1 · 2018: 4 · 2016: 1 · 2015: 1
FWCI: 1.22
Type: journal article
Language: en
Open access: closed
Locations: The Health Care Manager (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Organizational Learning and Leadership
Social Sciences › Business, Management and Accounting › Strategy and Management › Organizational Leadership and Management Strategies
Keywords: performance management, learning organization, innovation, organizational adaptation, accountability, complex adaptive systems, learning culture, continuous improvement, routinization, quality of care
MeSH terms: Humans, Learning, Organizational Innovation, Social Responsibility, Program Evaluation, Models, Organizational, Evidence-Based Practice, Health Facility Administration

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Enhancing Learning, Innovation, Adaptation, and Sustainability in Health Care Organizations: The ELIAS Performance Management Framework

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