Aligning Ideologies and Institutions: Reorganization in the HIV/AIDS Services Administration of New York City

How effective was organizational reform implemented inside one critical New York City health agency? Specifically we examine the extent to which the reorganization of the HIV/AIDS Services Administration (HASA) into the Medical Insurance Services Administration (MICSA) achieved three goals: (1) real...

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Bibliographic Details
Published in:Public administration review 2011-03, Vol.71 (2), p.243-252
Main Authors: Isett, Kimberley R., Sparer, Michael, Glied, Sherry A. M., Brown, Lawrence D.
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
AIDS
Business management
Cities
Government agencies
Health insurance
Health services
HIV
Housing
Human immunodeficiency virus
Human resources
Institutional reform
Insurance
Interviews
Knowledge transfer
Management
Medicaid
Medical service
Medication administration
New York
New York, New York
Organizational Change
Protective services
Public administration
Public services
Qualitative Methods
Qualitative research
Reorganization
Research facilities
Reviews
Services
Spotlight on Critical Grassroots Public Administration Issues
Studies
U.S.A
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Summary:How effective was organizational reform implemented inside one critical New York City health agency? Specifically we examine the extent to which the reorganization of the HIV/AIDS Services Administration (HASA) into the Medical Insurance Services Administration (MICSA) achieved three goals: (1) realizing synergies among the component MICSA programs; (2) cross-fertilizing ideas among MICSA agencies; and (3) facilitating HASA operations through the lens of organization change theory. Qualitative methods including interviews, site visits, and document analysis triangulate the effects of the reorganization. Implications for organization change literature are explored, especially highlighting where more theoretical and empirical studies are needed.
ISSN:0033-3352
1540-6210
DOI:10.1111/j.1540-6210.2011.02335.x