A Behavioral Model of Innovative Search: Evidence from Public Hospital Services

This article examines the generative mechanisms and underlying contingencies of innovative search. Extending behavioral arguments to the public sector context, it proposes that changes in innovative activity reflect either of two organizational search processes. The first process, commonly known as problemistic search, is triggered by negative performance feedback and initiated to identify appropriate solutions for the performance problem at hand. The second process is known as slack search. It is driven by the availability of excess resources, which decision makers seek to employ most fruitfully. In addition to these fundamental driving forces of innovative search, the proposed behavioral model attributes important moderating roles to organizational slack and regulatory endorsement. In particular, it suggests that public service organizations with high levels of available slack are most likely to engage in problemistic search following perceived performance shortfalls. Similarly, it is assumed that problemistic search is most salient among organizations with full regulatory endorsement. Conversely, when endorsement is low, slack search gains in importance. These behavioral propositions are tested based on novel panel data from the entire population of public nonspecialist hospital organizations in the English National Health Service. Findings from fixed-effects panel regression analyses offer broad support for the proposed behavioral model of innovative search, which has important implications for public administration research and practice. ‘‘The concepts needed for a theory of decision making by political organizations are not strikingly different from those needed in dealing with the firm’’ (Cyert and March 1963, 198).

[1]  L I Iezzoni,et al.  Explaining differences in English hospital death rates using routinely collected data , 1999, BMJ.

[2]  Barry M. Staw,et al.  Threat-rigidity effects in organizational behavior: A multilevel analysis. , 1981 .

[3]  J. Broadbent,et al.  Public service professionals and the New Public Management : Control of the professions in the public services , 2001 .

[4]  J. Newman The new public management, modernisation and instituitional change: Disruptions, disjunctures and dilemmas , 2001 .

[5]  R. Wolfe ORGANIZATIONAL INNOVATION: REVIEW, CRITIQUE AND SUGGESTED RESEARCH DIRECTIONS* , 1994 .

[6]  Colin Douglas,et al.  NHS plc: The Privatisation of Our Health Care , 2004, BMJ : British Medical Journal.

[7]  Justin Tan,et al.  Organizational Slack and Firm Performance During Economic Transitions: Two Studies from an Emerging Economy , 2003 .

[8]  W. Boeker,et al.  Organizational performance and adaptation: effects of environment and performance on changes in board composition. , 1991, Academy of Management journal. Academy of Management.

[9]  Jitendra V. Singh Performance, Slack, and Risk Taking in Organizational Decision Making , 1986 .

[10]  A. Lewin,et al.  Innovators and imitators: Organizational reference groups and adoption of organizational routines , 2005 .

[11]  J. Kimberly,et al.  Organizational innovation: the influence of individual, organizational, and contextual factors on hospital adoption of technological and administrative innovations. , 1981, Academy of Management journal. Academy of Management.

[12]  A. V. D. Ven,et al.  Central perspectives and debates in organization theory. , 1983 .

[13]  Ewan Ferlie,et al.  New public management : current trends and future prospects , 2001 .

[14]  Henrich R. Greve,et al.  Innovations as Catalysts for Organizational Change: Shifts in Organizational Cognition and Search , 2000 .

[15]  Joel A. C. Baum,et al.  Dancing with Strangers: Aspiration Performance and the Search for Underwriting Syndicate Partners , 2005 .

[16]  Kent D. Miller,et al.  Variable Organizational Risk Preferences: Tests of the March-Shapira Model , 2004 .

[17]  Harvey Goldstein,et al.  League Tables and Their Limitations: Statistical Issues in Comparisons of Institutional Performance , 1996 .

[18]  S. Bretschneider,et al.  The "Publicness Puzzle" in Organization Theory: A Test of Alternative Explanations of Differences between Public and Private Organizations* , 1994 .

[19]  Pino G. Audia,et al.  Less Likely to Fail: Low Performance, Firm Size, and Factory Expansion in the Shipbuilding Industry , 2006, Manag. Sci..

[20]  Ewan Ferlie,et al.  Changing Public Service Organizations: Current Perspectives and Future Prospects , 2003 .

[21]  Carolyn J. Heinrich Do Government Bureaucrats Make Effective Use of Performance Management Information , 1999 .

[22]  John N. Friedman,et al.  Performance Improvement and Performance Dysfunction: An Empirical Examination of Impacts of the Emergency Room Wait-Time Target in the English National Health Service , 2007 .

[23]  D. Teece,et al.  DYNAMIC CAPABILITIES AND STRATEGIC MANAGEMENT , 1997 .

[24]  Donald C. Hambrick,et al.  Large Corporate Failures as Downward Spirals , 1988 .

[25]  J. Dutton,et al.  THE CREATION OF MOMENTUM FOR CHANGE THROUGH THE PROCESS OF STRATEGIC ISSUE DIAGNOSIS , 1987 .

[26]  Frances S. Berry Innovation in Public Management: The Adoption of Strategic Planning , 1994 .

[27]  L. Festinger A Theory of Social Comparison Processes , 1954 .

[28]  Richard M. Walker,et al.  Measuring Innovation - Applying the Literature-Based Innovation Output Indicator to Public Services , 2002 .

[29]  Fariborz Damanpour,et al.  The Adoption of Technological, Administrative, and Ancillary Innovations: Impact of Organizational Factors , 1987 .

[30]  S. Borins Public Management Innovation , 2001 .

[31]  George Alexander Boyne,et al.  Theme: Local Government: Concepts and Indicators of Local Authority Performance: An Evaluation of the Statutory Frameworks in England and Wales , 2002 .

[32]  F. Damanpour Organizational Innovation: A Meta-Analysis Of Effects Of Determinants and Moderators , 1991 .

[33]  H. Rainey,et al.  Goals, Rules, and Effectiveness in Public, Private, and Hybrid Organizations: More Evidence on Frequent Assertions About Differences , 1992 .

[34]  Joel A. C. Baum,et al.  HITS AND MISSES: MANAGERS’ (MIS)CATEGORIZATION OF COMPETITORS IN THE MANHATTAN HOTEL INDUSTRY , 2003 .

[35]  Kent D. Miller,et al.  Performance Feedback, Slack, and The Timing of Acquisitions , 2008 .

[36]  D. Teece Explicating dynamic capabilities: the nature and microfoundations of (sustainable) enterprise performance , 2007 .

[37]  Jared D. Harris,et al.  Incentives to Cheat: The Influence of Executive Compensation and Firm Performance on Financial Misrepresentation , 2006, Organ. Sci..

[38]  P. Bromiley,et al.  Toward a Model of Risk in Declining Organizations: An Empirical Examination of Risk, Performance and Decline , 1996 .

[39]  J. March,et al.  A Behavioral Theory of the Firm , 1964 .

[40]  Daniel A. Levinthal,et al.  Innovation and Learning: The Two Faces of R&D , 1989 .

[41]  Mark A. Mone,et al.  Organizational Decline and Innovation: A Contingency Framework , 1998 .

[42]  Henrich R. Greve,et al.  Organizational Learning from Performance Feedback: A Behavioral Perspective on Innovation and Change , 2003 .

[43]  Kathleen M. Eisenhardt,et al.  DYNAMIC CAPABILITIES, WHAT ARE THEY? , 2000 .

[44]  Paul C. Nutt,et al.  Comparing Public and Private Sector Decision-Making Practices , 2006 .

[45]  James L. Perry,et al.  The Public-Private Distinction in Organization Theory: A Critique and Research Strategy , 1988 .

[46]  A. Huff,et al.  STRATEGIC GROUPS: A COGNITIVE PERSPECTIVE , 1993 .

[47]  R. Eden,et al.  Core Articles: Executive Agencies, Performance Targets and External Reporting , 2002 .

[48]  Carolyn J. Heinrich Outcomes–Based Performance Management in the Public Sector: Implications for Government Accountability and Effectiveness , 2002 .

[49]  Robert D. Behn,et al.  Why Measure Performance? Different Purposes Require Different Measures , 2003 .

[50]  Bradley E. Wright,et al.  Connecting the Dots in Public Management: Political Environment, Organizational Goal Ambiguity, and the Public Manager's Role Ambiguity , 2006 .

[51]  P. Bromiley Testing a Causal Model of Corporate Risk Taking and Performance , 1991 .

[52]  Heechun Kim,et al.  Ownership Structure and the Relationship Between Financial Slack and R&D Investments: Evidence from Korean Firms , 2008, Organ. Sci..

[53]  H. Kelley The processes of causal attribution. , 1973 .

[54]  Markku Jokisaari,et al.  The Role of Reference Groups and Network Position in the Timing of Employment Service Adoption , 2010 .

[55]  David L. Deephouse,et al.  Does Isomorphism Legitimate? , 1996 .

[56]  D. Osborne,et al.  Reinventing Government: How the En-trepreneurial Spirit is Transforming the Public Sector , 1992 .

[57]  Richard Staelin,et al.  Identifying Generalizable Effects of Strategic Actions on Firm Performance: The Case of Demand-Side Returns to R&D Spending , 1995 .

[58]  E. Johnsen Richard M. Cyert & James G. March, A Behavioral Theory of The Firm, Prentice-Hall, Inc., Englewood Cliffs, New Jersey, 1963, 332 s. , 1964 .

[59]  Kent D. Miller,et al.  Situational and institutional determinants of firms' R&D search intensity , 2007 .

[60]  R. Walker,et al.  An Empirical Evaluation of Innovation Types and Organizational and Environmental Characteristics: Towards a Configuration Framework , 2007 .

[61]  George Alexander Boyne,et al.  Performance Targets and Public Service Improvement , 2006 .

[62]  Cynthia A. Montgomery,et al.  Putting leadership back into strategy. , 2008, Harvard business review.

[63]  Zi-Lin He,et al.  Exploration vs. Exploitation: An Empirical Test of the Ambidexterity Hypothesis , 2004, Organ. Sci..

[64]  J. March,et al.  Managerial perspectives on risk and risk taking , 1987 .

[65]  Graham P. Martin,et al.  Leadership, Service Reform, and Public-Service Networks: The Case of Cancer-Genetics Pilots in the English NHS , 2009 .

[66]  Stephen Martin,et al.  Multiple Public Service Performance Indicators: Toward an Integrated Statistical Approach , 2005 .

[67]  Richard M. Walker,et al.  INNOVATION TYPE AND DIFFUSION: AN EMPIRICAL ANALYSIS OF LOCAL GOVERNMENT , 2006 .

[68]  H. Greve Performance, Aspirations, and Risky Organizational Change , 1998 .

[69]  Laurence J. O'Toole,et al.  Modeling the impact of public management: implications of structural context , 1999 .

[70]  A. V. D. Ven,et al.  Explaining Development and Change in Organizations , 1995 .

[71]  Rm Walker,et al.  Innovation Type and Organizational Performance: An Empirical Exploration , 2009 .

[72]  Linda Argote,et al.  A Behavioral Theory of the Firm - 40 Years and Counting: Introduction and Impact , 2007, Organ. Sci..

[73]  J. F. Galloway The new National Health Service , 1946 .

[74]  Marguerite Schneider,et al.  Characteristics of Innovation and Innovation Adoption in Public Organizations: Assessing the Role of Managers , 2009 .

[75]  W. T. Stanbury,et al.  Toward a Political Economy of Government Waste: First Step, Definitions , 1995 .

[76]  Mason A. Carpenter,et al.  Perceived Managerial Discretion: A Study Of Cause And Effect , 1997 .

[77]  Jonathan O'Brien,et al.  The capital structure implications of pursuing a strategy of innovation , 2003 .

[78]  D. Levin,et al.  Umbrella Advocates Versus Validity Police: a Life-Cycle Model , 1999 .

[79]  Diana Hicks,et al.  Hospitals: The hidden research system , 1996 .

[80]  S. Schneider,et al.  Framing and conflict: aspiration level contingency, the status quo, and current theories of risky choice. , 1992, Journal of experimental psychology. Learning, memory, and cognition.

[81]  George A. Boyne,et al.  Public and Private Management: What's the Difference? , 2002 .

[82]  W. Scott,et al.  A Multidimensional Model of Organizational Legitimacy: Hospital Survival in Changing Institutional Environments , 1998 .

[83]  S. Borins,et al.  Encouraging innovation in the public sector , 2001 .

[84]  M. Moore Creating public value : strategic management in government , 1995 .

[85]  S. Dawson,et al.  New Public Management : A discussion with special reference to UK health , 2005 .

[86]  Henrich R. Greve,et al.  A Behavioral Theory of Firm Growth: Sequential Attention to Size and Performance Goals , 2008 .

[87]  David L. Deephouse,et al.  An Examination of Differences between Organizational Legitimacy and Organizational Reputation , 2005 .

[88]  James D. Westphal,et al.  Customization or Conformity? An Institutional and Network Perspective on the Content and Consequences of TQM Adoption , 1997 .

[89]  Johan P. Olsen,et al.  Ambiguity and choice in organizations , 1976 .

[90]  M. Hannan,et al.  Structural Inertia and Organizational Change , 1984 .

[91]  M. Hannan,et al.  The Population Ecology of Organizations , 1977, American Journal of Sociology.

[92]  Wei-Ru Chen,et al.  Determinants of Firms' Backward- and Forward-Looking R&D Search Behavior , 2008, Organ. Sci..

[93]  J. Sillince,et al.  ‘A Rounded Picture is What We Need’: Rhetorical Strategies, Arguments, and the Negotiation of Change in a UK Hospital Trust , 2004 .

[94]  Faïz Gallouj,et al.  Mapping innovation dynamics in hospitals , 2005 .

[95]  L. Bourgeois On the Measurement of Organizational Slack , 1981 .

[96]  K. Meier,et al.  Serpents in the Sand: Managerial Networking and Nonlinear Influences on Organizational Performance , 2007 .

[97]  Ranjay Gulati,et al.  Is Slack Good or Bad for Innovation , 1996 .

[98]  G. Huber,et al.  Organizational Actions in Response to Threats and Opportunities , 2001 .

[99]  T. Salge,et al.  Hospital innovativeness and organizational performance: evidence from English public acute care. , 2009, Health care management review.

[100]  W. Ocasio TOWARDS AN ATTENTION-BASED VIEW OF THE FIRM , 1997 .

[101]  B. Lundvall,et al.  Forms of knowledge and modes of innovation , 2007 .

[102]  Sheila M. Puffer,et al.  Corporate Performance and CEO Turnover: The Role of Performance Expectations , 1991 .

[103]  S. Borins Loose Cannons and Rule Breakers, or Enterprising Leaders? Some Evidence About Innovative Public Managers , 2000 .

[104]  S. Borins Innovating with Integrity: How Local Heroes Are Transforming American Government , 1998 .

[105]  Mark C. Suchman,et al.  Legitimacy in Organizational Institutionalism , 2009 .

[106]  A. Ho Accounting for the Value of Performance Measurement from the Perspective of Midwestern Mayors , 2006 .

[107]  Vinit M. Desai,et al.  Constrained Growth: How Experience, Legitimacy, and Age Influence Risk Taking in Organizations , 2008, Organ. Sci..

[108]  H. Thomas,et al.  Strategic Groups as Reference Groups: Theory, Modeling and Empirical Examination of Industry and Competitive Strategy , 1995 .

[109]  J. March Footnotes To Organizational Change , 1980 .

[110]  George A. Boyne,et al.  Where Next? Research Directions on Performance in Public Organizations , 2005 .

[111]  Glenn B. Voss,et al.  The Effects of Slack Resources and Environmentalthreat on Product Exploration and Exploitation , 2008 .

[112]  S. Martin Best value: new public management or new direction , 2001 .

[113]  H. Greve A Behavioral Theory of R&D Expenditures and Innovations: Evidence from Shipbuilding , 2003 .

[114]  C. Halaby,et al.  Panel Models in Sociological Research: Theory into Practice , 2004 .

[115]  C. Hood,et al.  What's measured is what matters: targets and gaming in the English public health care system , 2006 .

[116]  H. Rainey,et al.  Goal Ambiguity and Organizational Performance in U.S. Federal Agencies , 2005 .

[117]  Carolyn J. Heinrich Evidence-Based Policy and Performance Management , 2007 .

[118]  Rhys William Andrews,et al.  External Constraints on Local Service Standards: The Case of Comprehensive Performance Assessment in English Local Government , 2005 .

[119]  J. March,et al.  Variable risk preferences and the focus of attention , 1992 .

[120]  James D. Westphal,et al.  Getting by with the Advice of Their Friends: CEOs' Advice Networks and Firms' Strategic Responses to Poor Performance , 2003 .

[121]  George Alexander Boyne,et al.  Strategy Content and Public Service Organizations , 2004 .

[122]  Kristina B. Dahlin,et al.  Aspiration Performance and Railroads' Patterns of Learning from Train Wrecks and Crashes , 2007, Organ. Sci..