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An Empirical Assessment of High-Performing Medical Groups: by Stephen Shortell; Julie Schmittdiel; Margaret Wang; Rui Li;

By Stephen Shortell; Julie Schmittdiel; Margaret Wang; Rui Li; Robin Gillies

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Organizational structure in the research center or university’s case will change as the life cycle progresses. These changes will dictate who the actors are and what role the actors will play in the organization. Daft (1995) has four stages outlined for progression of the organization. The Organizational Framework • 31 entrepreneurial stage focuses on the birth of the organization where goals identified will be the focus of the actors. The collectivity stage indicates that the employees recognize the organizational goals and leadership begins to take hold of the organization.

Rise of Federal Agencies’ Influence over Research Institutions • 17 The Environmental Protection Agency (EPA) was established in 1970 to promote clean air and water in the environment (EPA 2004b). The EPA was composed of the following functions from different agencies: • • • • • • • • Federal Water Quality Administration—Department of the Interior Pesticide Studies—Department of the Interior Bureau of Solid Waste Management and Bureau of Water Hygiene Some functions from the Bureau of Radiological Health of the Environmental Control Administration—Department of Health, Education and Welfare Some functions from the Food and Drug Administration— Department of Health, Education and Welfare Ecological Studies from the Council on Environmental Quality Some functions from the Atomic Energy Commission and Federal Radiation Council Functions from the Agricultural Research Service—Department of Agriculture As seen from the functions list, EPA has a broad and sweeping mandate that incorporated many areas from several different agencies.

These two maps show the number of incidents that have occurred with all types of HAZMAT used at public research centers and research universities since 1951. In addition, the geographic information system (GIS) maps illustrate how many incidents have occurred in the northeastern part of the country, where dense population centers are located, compared to midwest, southern, or western regions of the country. Thus, a multitude of factors—the increasingly federalized research agenda and the regulatory strictures attached, the presence of research universities in urban areas, the increasing perceived virulence of research materials, the rise of the new animal antivivisectionists and their fellow travelers as well as sporadic but effective public outcries—pressed for change and dictated the need for striking a balance between HAZMAT security sufficient enough to assuage public concerns and protect assets while simultaneously encouraging independent thought, experimentation, and the sharing of results.

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