Organization

The Stephen M. Shortell Center for Organizational Research in the Health Sector Publications

Innovation Culture Declines Drive Exnovation of Patient Engagement Strategies in Primary Care

May 20, 2026

A new paper authored by CHAMP faculty found that nearly half of U.S. primary care practices removed previously adopted patient engagement strategies between 2017 and 2023, a phenomenon the study terms "exnovation." The study, led by CHAMP Co-Director Dr. Hector Rodriguez and published in collaboration with CHAMP Founder Dr. Stephen Shortell and colleagues at Dartmouth's School of Public Health, tracked 714 adult primary care practices over five years and found that while overall adoption of patient engagement strategies including shared decision-making tools, motivational interviewing, and...

Aligning Systems for Equitable Vaccination Access

May 12, 2026

Systems for Action (S4A) presents Aligning Health and Social Systems to Promote Vaccination Access for Populations Experiencing Systemic Barriers lead by CHAMP faculty on May 20th, 2026 at 9:00 AM (PT).

This RWJF Systems for Action study builds on the nationwide Aging and Disability Vaccination Collaborative (ADVC) — an initiative administered by USAging and funded by the U.S. Administration for Community Living — which empowers community-based organizations to align social services, public health, and health care to expand access to seasonal...

US Primary Care Physician Payments for Productivity and Quality: Trends from Longitudinal National Practice Surveys

March 17, 2026

A new study co-authored by CHAMP Co-Director Hector Rodriguez reported new findings on how primary care physician compensation is evolving amid ongoing payment reform efforts. The study, published in the Journal of General Internal Medicine, draws on longitudinal data from two waves of the National Survey of Health Organizations and Systems (2017–2018 and 2022–2023) to examine how primary care practices across the United States are compensating their physicians. Analyzing responses from 432 practices, the researchers found that productivity-based compensation declined by 6% over...

2026 Organizational Behavior in Healthcare Conference

April 8, 2026

The annual Organizational Behavior in Healthcare conference, held this year at the University of Oxford and Said Business School, examined how health and care organizations navigate the demands of sustainability. Earlier conferences have considered adaptation and resistance to policy change, innovation and transformation, and the dynamics of power, leadership and culture.

CHAMP founder and UC Berkeley Emeritus Faculty, Dr. Stephen Shortell,...

Why HR Has Failed to Address Healthcare's WorkforceCrisis: The Need for a Systems Partner Role

February 11, 2026

A new paper co-authored by CHAMP visiting faculty Aoife McDermott and CHAMP faculty Hector Rodriguez argues that human resources functions in healthcare have fallen short in addressing the sector's deepening workforce crisis — and offers a concrete framework for how HR can expand its role to drive meaningful, system-level change.

The study, "Why HR Has Failed to Address Healthcare's Workforce Crisis: The Need for a Systems Partner Role," was published this month in the Human Resource Management Journal. The paper was co-authored by Aoife M. McDermott, a 2022–23 Commonwealth...

Why HR Has Failed to Address Healthcare's Workforce Crisis: The Need for a Systems Partner Role

Aoife McDermott
Graeme Currie
Hector P Rodriguez
2026

Attempts to remedy sustained workforce challenges facing healthcare organizations globally have been largely ineffective,despite increased political attention. In this paper we draw on contextually based human resource theory to explain why thesechallenges remain intractable. We demonstrate that professional healthcare workers' employment relationships are embeddedwithin systems as well as organizations, and that system‐level constraints limit organizational capacity to address workforceissues. Informed by UK and US examples of issue‐oriented, place‐based and system approaches to...

2025 California Primary Care Language Access Survey Report

March 9, 2026
Executive Summary The 2025 California Primary Care Language Access Survey (CPCLAS), sponsored by the California Health Care Foundation (CHCF), is the first statewide assessment of language access infrastructure within California’s safety-net clinics, addressing a critical data gap as federal protections for Limited English Proficiency (LEP) populations face potential rollback. Leveraging survey data from 101 clinic leaders and 14 in-depth qualitative interviews, the report illuminates the operational realities of Community Health Centers (CHCs) and independent primary care practices serving...

2025 California Primary Care Language Access Survey Report

Executive Summary The 2025 California Primary Care Language Access Survey (CPCLAS), sponsored by the California Health Care Foundation (CHCF), is the first statewide assessment of language access infrastructure within California’s safety-net clinics, addressing a critical data gap as federal protections for Limited English Proficiency (LEP) populations face potential rollback. Leveraging survey data from 101 clinic leaders and 14 in-depth qualitative interviews, the report illuminates the operational realities of Community Health Centers (CHCs) and independent primary care practices serving...

California Medical Interpreter Pilot Project (MIPP) Evaluation

February 25, 2026
Executive Summary

Language access remains a significant barrier for millions of Medi-Cal members in California, hindering their ability to fully understand medical information, provide informed consent, and engage effectively in their own care. This often leads to misdiagnosis, treatment errors, reduced adherence to medical advice, and persistent health disparities. Existing solutions have often been fragmented or insufficient, underscoring the critical need for a comprehensive and standardized approach to language services.

To address these challenges, the California Department of...

Medical Interpreter Pilot Project (MIPP) Evaluation

Executive Summary

Language access remains a significant barrier for millions of Medi-Cal members in California, hindering their ability to fully understand medical information, provide informed consent, and engage effectively in their own care. This often leads to misdiagnosis, treatment errors, reduced adherence to medical advice, and persistent health disparities. Existing solutions have often been fragmented or insufficient, underscoring the critical need for a comprehensive and standardized approach to language services.

To address these challenges, the...