BOX 5-2
Checklist for Effective Implementation of Collaborative Ventures Among Health Care Organizations

I. Precollaboration Issues

a. Cost-benefit analysis

i. Choosing a collaboration model

ii. Potential for reconfiguring resources through collaboration

b. Partner selection

i. Strategic intent

1. Mutual and individual organizational interests

2. Mission/vision alignment

ii. Cultural compatibility

iii. Context

c. Strategic planning

i. Planning committee

ii. Setting priorities

II. Transition Issues

a. Governance

i. Monitoring and evaluation

ii. Problem analysis and solution

b. Decision making

c. Conflict management

d. Critical success and failure factors

i. Speed of collaboration

ii. Communication with employees

III. Follow-Up Issues

a. Cultural integration

b. Human resources

i. Redeploying; managing layoffs; reducing employee resistance

c. Operational integration

i. Resource allocation

d. Ongoing governance

SOURCE: D’Aunno et al., 2012.

Finally, relatively fragmented and narrow disciplinary approaches have hindered both research and practice in this area. For example, the vast majority of studies of hospital mergers focus on their financial performance (Vogt and Town, 2006), with little attention given to other key outcomes, such as access to care, and, similarly, with little attention to leadership using the concepts and principles discussed above. Promoting more effective col-



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