Research & Evidence

Surfacing advanced frameworks that have the potential to drive meaningful change in complex organizations.

Research Synthesis & Application

We study the past to shape the future. Our reviews of scholarship in healthcare management, organizational theory, and bioethics do not stay academic — we surface and translate insights into usable frameworks and tools for change.

We distill advanced thinking into brief, action-oriented pieces for operational leaders. We draw from foundational ideas, including:

  • Types of integration (normative, process, functional, structural, interpersonal)

  • High reliability organizing in complex systems

  • Heedful interrelating and mindful organizing

  • The cost disease and structural economic forces

  • The ethical tensions inherent in organizational decision-making

Fast Facts That Drive Change

Performance Needs a Clear Definition

Fewer than 50% of academic medical centers have a defined, operationalized concept of ‘performance,’ making it difficult to align workforce efforts and institutional goals.

Integration Matters

Healthcare systems often treat integration as a single outcome, but research shows it is multi-dimensional — spanning normative, process, functional, structural, and interpersonal domains — and requires distinct strategies and measures.

Initiatives Can Falter

Large-scale reforms, such as High Reliability Organization (HRO) initiatives, demonstrate that without clear alignment between operational structures and normative goals, even sustained efforts over decades can yield uncertain and uneven results.

We close these gaps — by connecting evidence to action.

Forum Linked Research

Many of the articles we review become the foundation of our Monthly Forum sessions, where discussion pushes research beyond theory and into practice.