Skip to main content
Top
Published in: The Journal of Behavioral Health Services & Research 1/2010

01-01-2010 | Regular Article

Implementation of Evidence-Based Practice and Organizational Performance

Authors: Peter S. Hovmand, PhD, David F. Gillespie, PhD

Published in: The Journal of Behavioral Health Services & Research | Issue 1/2010

Login to get access

Abstract

Administrators of mental health services may expect evidence-based practice (EBP) to offer strategic benefits. Existing theory suggests that the benefits of implementing EBP vary by organizational characteristics. This paper presents a conceptual framework for considering how implementation impacts organizational performance. The framework is developed as a system dynamics simulation model based on existing literature, organizational theory, and key informant interviews with mental health services administrators and clinical directors. Results from the simulations show how gains in performance depended on organizations’ initial inertia and initial efficiency and that only the most efficient organizations may see benefits in organizational performance from implementing EBP. Implications for administrators, policy makers, and services researchers are discussed.
Literature
1.
go back to reference Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.
2.
go back to reference Drake B, Hovmand PS, Jonson-Reid M, et al. Adopting and teaching evidence-based practice in master’s level social work programs. Journal of Social Work Education. 2007;43(3):431–446.CrossRef Drake B, Hovmand PS, Jonson-Reid M, et al. Adopting and teaching evidence-based practice in master’s level social work programs. Journal of Social Work Education. 2007;43(3):431–446.CrossRef
3.
go back to reference Hoagwood KE. The research, policy, and practice context for delivery of evidence-based mental health treatments for adolescents: A systems perspective. In: Evans D, Foa E, Gur R, Hedin H, eds. Treating and Preventing Adolescent Mental Health Disorders: What We Know and What We Don’t Know: A Research Agenda for Improving the Mental Health of Our Youth. New York: Oxford University Press; 2005:545–560. Hoagwood KE. The research, policy, and practice context for delivery of evidence-based mental health treatments for adolescents: A systems perspective. In: Evans D, Foa E, Gur R, Hedin H, eds. Treating and Preventing Adolescent Mental Health Disorders: What We Know and What We Don’t Know: A Research Agenda for Improving the Mental Health of Our Youth. New York: Oxford University Press; 2005:545–560.
4.
go back to reference Bartels SJ, Dums AR, Oxman TE, et al. Evidence-based practices in geriatric mental health care. Psychiatric Services. 2002;53(11):1419–1431, November 1, 2002.CrossRefPubMed Bartels SJ, Dums AR, Oxman TE, et al. Evidence-based practices in geriatric mental health care. Psychiatric Services. 2002;53(11):1419–1431, November 1, 2002.CrossRefPubMed
5.
go back to reference Gonzales JJ, Ringeisen HL, Chambers DA. The tangled and thorny path of science to practice: tensions in interpreting and applying “evidence”. Clinical Psychology: Science and Practice. 2002;9(2):204–209.CrossRef Gonzales JJ, Ringeisen HL, Chambers DA. The tangled and thorny path of science to practice: tensions in interpreting and applying “evidence”. Clinical Psychology: Science and Practice. 2002;9(2):204–209.CrossRef
6.
go back to reference Rosen A. Knowledge use in direct practice. Social Service Review. 1994;68(4):561–577.CrossRef Rosen A. Knowledge use in direct practice. Social Service Review. 1994;68(4):561–577.CrossRef
7.
go back to reference Hoagwood K, Burns BJ, Kiser L, et al. Evidence-based practice in child and adolescent mental health services. Psychiatric Services. 2001;52(9):1179–1189.CrossRefPubMed Hoagwood K, Burns BJ, Kiser L, et al. Evidence-based practice in child and adolescent mental health services. Psychiatric Services. 2001;52(9):1179–1189.CrossRefPubMed
8.
go back to reference Newman M, Papdopoulous I, Sigsworth J. Barriers to evidence-based practice. Intensive and Critical Care Nursing. 1998;14(5):231–238.CrossRefPubMed Newman M, Papdopoulous I, Sigsworth J. Barriers to evidence-based practice. Intensive and Critical Care Nursing. 1998;14(5):231–238.CrossRefPubMed
9.
go back to reference Rosenheck RA. Organizational process: a missing link between research and practice. Psychiatric Services. 2001;52(12):1607–1612.CrossRefPubMed Rosenheck RA. Organizational process: a missing link between research and practice. Psychiatric Services. 2001;52(12):1607–1612.CrossRefPubMed
10.
go back to reference Proctor E, Knudsen KJ, Fedoravicius NF, et al. Implementation of evidence-based practice in community behavioral health: agency director perspectives. Administration and Policy in Mental Health and Mental Health Services Research. 2007;34(5):479–488.CrossRefPubMed Proctor E, Knudsen KJ, Fedoravicius NF, et al. Implementation of evidence-based practice in community behavioral health: agency director perspectives. Administration and Policy in Mental Health and Mental Health Services Research. 2007;34(5):479–488.CrossRefPubMed
11.
go back to reference Klein KJ, Knight AP. Innovation implementation: overcoming the challenge. Current Directions in Psychological Science. 2005;14(5):243–246.CrossRef Klein KJ, Knight AP. Innovation implementation: overcoming the challenge. Current Directions in Psychological Science. 2005;14(5):243–246.CrossRef
12.
go back to reference Repenning NP. A simulation-based approach to understanding the dynamics of innovation implementation. Organization Science. 2002;13(2):109–127.CrossRef Repenning NP. A simulation-based approach to understanding the dynamics of innovation implementation. Organization Science. 2002;13(2):109–127.CrossRef
13.
go back to reference Sastry MA. Problems and paradoxes in a model of punctuated organizational change. Administrative Science Quarterly. 1997;42(2):237–275.CrossRef Sastry MA. Problems and paradoxes in a model of punctuated organizational change. Administrative Science Quarterly. 1997;42(2):237–275.CrossRef
14.
go back to reference Pfeffer J, Salancik GR. The External Control of Organizations: A Resource Dependence Perspective. Stanford: Stanford University Press; 1978. Pfeffer J, Salancik GR. The External Control of Organizations: A Resource Dependence Perspective. Stanford: Stanford University Press; 1978.
15.
go back to reference Scott WR, Meyer JW. The organization of societal sectors: propositions and early evidence. In: Powell WW, DiMaggio PJ, eds. The New Institutionalism in Organizational Analysis. Chicago: University of Chicago Press; 1991:108–140. Scott WR, Meyer JW. The organization of societal sectors: propositions and early evidence. In: Powell WW, DiMaggio PJ, eds. The New Institutionalism in Organizational Analysis. Chicago: University of Chicago Press; 1991:108–140.
16.
go back to reference Powell WW. Expanding the scope of institutional analysis. In: Powell WW, DiMaggio PJ, eds. The New Institutionalism in Organizational Analysis. Chicago: The University of Chicago Press; 1991:183–203. Powell WW. Expanding the scope of institutional analysis. In: Powell WW, DiMaggio PJ, eds. The New Institutionalism in Organizational Analysis. Chicago: The University of Chicago Press; 1991:183–203.
17.
go back to reference Ozcan YA, Shukla RK, Tyler LH. Organizational performance in the community mental health care system: the need fulfillment perspective. Organization Science. 1997;8(2):176–191.CrossRef Ozcan YA, Shukla RK, Tyler LH. Organizational performance in the community mental health care system: the need fulfillment perspective. Organization Science. 1997;8(2):176–191.CrossRef
18.
go back to reference Ostroff C, Schmitt N. Configurations of organizational effectiveness and efficiency. The Academy of Management Journal. 1993;36(6):1345–1361.CrossRef Ostroff C, Schmitt N. Configurations of organizational effectiveness and efficiency. The Academy of Management Journal. 1993;36(6):1345–1361.CrossRef
19.
go back to reference Meyer MW, Zucker LG. Permanently Failing Organizations. Newbury Park: Sage; 1989. Meyer MW, Zucker LG. Permanently Failing Organizations. Newbury Park: Sage; 1989.
20.
go back to reference Zaltman , Duncan , Holbek . Innovations and Organizations. New York: Wiley; 1973. Zaltman , Duncan , Holbek . Innovations and Organizations. New York: Wiley; 1973.
21.
go back to reference Rogers EM. Diffusion of Innovation. 4th edn. New York: Free Press; 1995. Rogers EM. Diffusion of Innovation. 4th edn. New York: Free Press; 1995.
22.
go back to reference Hannan MT, Freeman J. Structural inertia and organizational change. American Sociological Review. 1984;49(2):149–164.CrossRef Hannan MT, Freeman J. Structural inertia and organizational change. American Sociological Review. 1984;49(2):149–164.CrossRef
23.
go back to reference Chinman M, Young AS, Hassell J, et al. Toward implementation of mental health consumer provider services. The Journal of Behavioral Health Services & Research. 2006;33(2):176–195.CrossRef Chinman M, Young AS, Hassell J, et al. Toward implementation of mental health consumer provider services. The Journal of Behavioral Health Services & Research. 2006;33(2):176–195.CrossRef
24.
go back to reference Deming WE. Out of the Crisis. Cambridge: Massachusetts Institute of Technology, Center for Advanced Engineering Study; 1986. Deming WE. Out of the Crisis. Cambridge: Massachusetts Institute of Technology, Center for Advanced Engineering Study; 1986.
25.
go back to reference Forrester JW. Principles of Systems. Waltham: Pegasus Communications; 1971. Forrester JW. Principles of Systems. Waltham: Pegasus Communications; 1971.
26.
go back to reference Sterman JD. Business dynamics: Systems Thinking and Modeling For a Complex World. New York: McGraw-Hill; 2000. Sterman JD. Business dynamics: Systems Thinking and Modeling For a Complex World. New York: McGraw-Hill; 2000.
27.
go back to reference Levin G, Roberts EB. The Dynamics of Human Service Delivery. Cambridge: Ballinger; 1976. Levin G, Roberts EB. The Dynamics of Human Service Delivery. Cambridge: Ballinger; 1976.
28.
go back to reference Waldrop MM. Complexity: The Emerging Science at the Edge of Order and Chaos. New York: Simon & Schuster; 1992. Waldrop MM. Complexity: The Emerging Science at the Edge of Order and Chaos. New York: Simon & Schuster; 1992.
29.
go back to reference Harrison JR, Carroll GR. Culture and Demography in Organizations. Princeton: Princeton University Press; 2006. Harrison JR, Carroll GR. Culture and Demography in Organizations. Princeton: Princeton University Press; 2006.
30.
go back to reference Axelrod R. Advancing the art of simulation in the social sciences. Complexity. 1997;3:16–22.CrossRef Axelrod R. Advancing the art of simulation in the social sciences. Complexity. 1997;3:16–22.CrossRef
31.
go back to reference Office of Behavioral and Social Sciences Research. The Contributions of Behavioral and Social Sciences Research to Improving the Health of The Nation: A Prospectus for the Future. Washington, DC: U.S. Department of Health and Human Services; 2007. Office of Behavioral and Social Sciences Research. The Contributions of Behavioral and Social Sciences Research to Improving the Health of The Nation: A Prospectus for the Future. Washington, DC: U.S. Department of Health and Human Services; 2007.
32.
go back to reference Hovmand PS, Gillespie DF. Dynamics of Innovation Implementation in Social Service Organizations. Paper presented at International System Dynamics Conference, July 2006, Nijmegen, Netherlands. Hovmand PS, Gillespie DF. Dynamics of Innovation Implementation in Social Service Organizations. Paper presented at International System Dynamics Conference, July 2006, Nijmegen, Netherlands.
33.
go back to reference Tushman ML, Newman WH, Romanelli E. Convergence and upheaval: managing the unsteady pace of organizational evaluation. California Management Review. 1986;29(1):29–44. Tushman ML, Newman WH, Romanelli E. Convergence and upheaval: managing the unsteady pace of organizational evaluation. California Management Review. 1986;29(1):29–44.
34.
go back to reference Tushman ML, Romanelli E. Organizational evolution: a metamorphosis and model of convergence and reorientation. In: Cummings LL, Staw BM, eds. vol. 7, Research in Organizational Behavior. Vol 7. Greenwich: JAI; 1985:171–222. Tushman ML, Romanelli E. Organizational evolution: a metamorphosis and model of convergence and reorientation. In: Cummings LL, Staw BM, eds. vol. 7, Research in Organizational Behavior. Vol 7. Greenwich: JAI; 1985:171–222.
35.
go back to reference Tushman ML, Virany B, Romanelli E. Executive succession, strategic reorientations, and organization evolution. Technology and Society. 1985;7:297–313.CrossRef Tushman ML, Virany B, Romanelli E. Executive succession, strategic reorientations, and organization evolution. Technology and Society. 1985;7:297–313.CrossRef
36.
go back to reference Samuel Y, Jacobsen C. A system dynamics model of planned organizational change. Computational and Mathematical Organization Theory. 1997;3(3):151–171.CrossRef Samuel Y, Jacobsen C. A system dynamics model of planned organizational change. Computational and Mathematical Organization Theory. 1997;3(3):151–171.CrossRef
37.
go back to reference Hannan MT, Freeman J. The population ecology of organizations. The American Journal of Sociology. 1977;82(5):929–964.CrossRef Hannan MT, Freeman J. The population ecology of organizations. The American Journal of Sociology. 1977;82(5):929–964.CrossRef
38.
go back to reference Romanelli E, Tushman ML. Organizational transformation as punctuated equilibrium: an empirical test. Academy of Management Journal. 1994;37:1141–1166.CrossRef Romanelli E, Tushman ML. Organizational transformation as punctuated equilibrium: an empirical test. Academy of Management Journal. 1994;37:1141–1166.CrossRef
39.
go back to reference Burke C. Medicaid Funding For Nonprofit Heatlhcare Organizations. Washington, DC: The Aspen Institute; 2007. Burke C. Medicaid Funding For Nonprofit Heatlhcare Organizations. Washington, DC: The Aspen Institute; 2007.
Metadata
Title
Implementation of Evidence-Based Practice and Organizational Performance
Authors
Peter S. Hovmand, PhD
David F. Gillespie, PhD
Publication date
01-01-2010
Publisher
Springer US
Published in
The Journal of Behavioral Health Services & Research / Issue 1/2010
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-008-9154-y

Other articles of this Issue 1/2010

The Journal of Behavioral Health Services & Research 1/2010 Go to the issue