title: Assessing organizational change in multisector community health alliances.
abstract: OBJECTIVE
  The purpose of this article was to identify some common organizational features of multisector health care alliances (MHCAs) and the analytic challenges presented by those characteristics in assessing organizational change.
  
  
  METHODS
  Two rounds of an Internet-based survey of participants in 14 MHCAs.
  
  
  METHODS
  We highlight three analytic challenges that can arise when quantitatively studying the organizational characteristics of MHCAs-assessing change in MHCA organization, assessment of construct reliability, and aggregation of individual responses to reflect organizational characteristics. We illustrate these issues using a leadership effectiveness scale (12 items) validated in previous research and data from 14 MHCAs participating in the Robert Wood Johnson Foundation's Aligning Forces for Quality (AF4Q) program.
  
  
  RESULTS
  High levels of instability and turnover in MHCA membership create challenges in using survey data to study changes in key organizational characteristics of MHCAs. We offer several recommendations to diagnose the source and extent of these problems.
authors.affiliation: Department of Health Management and Policy, The University of Michigan, Ann Arbor, MI.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Alexander
authors.forename: Larry R
authors.initials: LR
authors.lastname: Hearld
authors.forename: Yunfeng
authors.initials: Y
authors.lastname: Shi
mesh_terms: D003153:Community Health Services / Q000458:organization & administration*; D007373:Interinstitutional Relations; D020407:Internet; D007857:Leadership; D009936:Organizational Innovation; D011594:Psychometrics; D011795:Surveys and Questionnaires; D014481:United States
keywords: Health care organizations and systems; organization theory; psychometrics
references.citation: J Appl Psychol. 2002 Apr;87(2):220-9
references.pmid: 12002951
references.citation: Am J Prev Med. 2006 Apr;30(4):351-61
references.pmid: 16530624
references.citation: Med Care. 2013 Aug;51(8):e51-7
references.pmid: 23860333
references.citation: J Healthc Manag. 1998 Jan-Feb;43(1):51-66; discussion 66-7
references.pmid: 10178793
references.citation: J Public Health Manag Pract. 2006 Jan-Feb;12(1):33-6
references.pmid: 16340513
references.citation: Health Care Manage Rev. 1995 Winter;20(1):54-64
references.pmid: 7744606
references.citation: J Occup Health Psychol. 2002 Jul;7(3):265-76
references.pmid: 12148957
references.citation: Am J Community Psychol. 2011 Mar;47(1-2):12-27
references.pmid: 21052823
references.citation: Am J Manag Care. 2012 Sep;18(6 Suppl):s95
references.pmid: 23286714