The purpose of this article was to identify some common organizational features of multisector health care alliances (s) and the analytic challenges presented by those characteristics in assessing organizational change.
Two rounds of an Internet‐based survey of participants in 14 s.
We highlight three analytic challenges that can arise when quantitatively studying the organizational characteristics of s—assessing change in 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 s participating in the Robert Wood Johnson Foundation's Aligning Forces for Quality (4Q) program.
High levels of instability and turnover in membership create challenges in using survey data to study changes in key organizational characteristics of s. We offer several recommendations to diagnose the source and extent of these problems.