Compliance and Regulatory Efficacy and Sustainability in Specialty Academic Medicine: A Longitudinal Evaluation Study

摘要

The purpose of this study was to develop and test a Conceptual Framework for an evaluation model for compliance and regulatory programs in specialty academic medicine. The Framework was built on three research questions to determine the following items within a specialty academic medical institution: (i) the Program Elements for effective and sustainable compliance and regulatory programs, (ii) the required knowledge and skills for stakeholder groups, and (iii) the motivation and organizational influences which improve stakeholder efficacy and program sustainability. There was a total of 21 Program Elements derived from both professional and theoretical literature. Those elements were then matched against the gap analysis model for assessing organizational performance based on knowledge and skills, motivational, and organizational influences as developed by Clark and Estes (2008). Finally, 15 recommendations were developed, along with each of the required elements for evaluation and implementation using the New World Model developed by James D. Kirkpatrick and Wendy Kayser Kirkpatrick (2016). Items such as leading indicators, critical behaviors, required drivers, and several other components provide content and context for immediate and long-term summative assessment, to address the program sustainability, aim of the study.