Implementing Change on the Front Lines: A Management Case Study of West Feliciana Parish Hospital
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In the policy implementation field, theorists are challenged to develop stepwise frameworks that facilitate the implementation of public policy. This case studies the implementation of a Medicare charity care policy in a small rural hospital using the top-down implementation framework. It offers an overview of top-down implementation theory and a discussion of top-down research findings as they relate to the real implementation experiences of hospital administrators. The case presents six recommendations for the effective implementation of a new policy on the front lines.