A Healthcare Supply Chain Context
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Georgia Southern University Digital Commons@Georgia Southern Electronic Theses and Dissertations Graduate Studies, Jack N. Averitt College of Spring 2015 The Effect of Executive Style on Risk Management: A Healthcare Supply Chain Context Stephen R. Spulick Follow this and additional works at: https://digitalcommons.georgiasouthern.edu/etd Part of the Operations and Supply Chain Management Commons Recommended Citation Spulick, Stephen R., "The Effect of Executive Style on Risk Management: A Healthcare Supply Chain Context" (2015). Electronic Theses and Dissertations. 1287. https://digitalcommons.georgiasouthern.edu/etd/1287 This dissertation (open access) is brought to you for free and open access by the Graduate Studies, Jack N. Averitt College of at Digital Commons@Georgia Southern. It has been accepted for inclusion in Electronic Theses and Dissertations by an authorized administrator of Digital Commons@Georgia Southern. For more information, please contact [email protected]. THE EFFECT OF EXECUTIVE STYLE ON RISK MANAGEMENT: A HEALTHCARE SUPPLY CHAIN CONTEXT by STEPHEN RONALD SPULICK (Under the direction of Steve Rutner) ABSTRACT This dissertation attempts to determine the effect of managerial Executive on healthcare supply chain risk management maturity. The healthcare industry is faced with constant risk to its supply chain and operates under the expectation that healthcare will continue to be delivered even under the most severe and disruptive of conditions. The effect of a manager, who operationalizes firm strategy, may impact the maturity level of a hospital’s risk management efforts. Through multi- method research, this study seeks to understand the effects of management on healthcare risk management maturity. Survey and interview methods were used to understand the relationship between healthcare supply chain managers and the effect they have on a firm’s risk management efforts in their supply chain. The study’s value lies in the identification of a unique measurement of healthcare supply chain risk management maturity clusters and initial support based on qualitative findings. INDEX WORDS: Executive Style, Supply chain risk management maturity, Supply chain management, Survey, Cluster analysis, Interview, Multiple method 2 THE EFFECT OF EXECUTIVE STYLE ON RISK MANAGEMENT: A HEALTHCARE SUPPLY CHAIN CONTEXT by STEPHEN RONALD SPULICK B.A., Fordham University, 1990 M.B.A., University of Phoenix, 2007 A Dissertation Submitted to the Graduate Faculty of Georgia Southern University in Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY STATESBORO, GEORGIA 3 © 2015 STEPHEN SPULICK All Rights Reserved 4 THE EFFECT OF EXECUTIVE STYLE ON RISK MANAGEMENT: A HEALTHCARE SUPPLY CHAIN CONTEXT by STEPHEN RONALD SPULICK Major Professor: Steve Rutner Committee: Karl Manrodt Gerard Ledlow Christopher Boone Electronic Version Approved: Spring 2015 5 DEDICATION I would like to dedicate this work to my family. With your support I was able to make new discoveries about myself and what can be accomplished with perseverance, hard work and dedication. You make this effort worthwhile. 6 ACKNOWLEDGEMENTS I would like to first thank God for providing whatever skill has allowed me the opportunity to undertake and complete this task. Any shortcomings are my own and provide proof that I am a work-in-progress. I would like to thank Karl Manrodt, who worked closely with me as my original Committee Chair, for the guidance, talks and occasional kick in the pants when needed. Your example of a strong work ethic, attention to detail and continued high standards make this work better. I would like to also thank the other committee members, Steve Rutner, Jerry Ledlow and Chris Boone. Your commitment to help me and mentor me keeps me in awe. Your insightful guidance and discernment of the research processes and pitfalls helped me avoid many barriers and sidestep many errors. Thank you, and as I have mentioned to Karl previously, your skill and knowledge are exemplars to strive for. I would like to express thanks to my cohort who, as I look back, endured many discussions and presentations that were made better by your feedback. I hope you find some of the best of yourselves in my work. I would like to also acknowledge the sacrifices of my family during this process. Without your support and willingness to do without an active Dad and husband this would not be possible. I will work to make sure your sacrifice was not in vain. 7 TABLE OF CONTENTS ACKNOWLEDGEMENTS ............................................................................................................ 6 LIST OF TABLES ........................................................................................................................ 10 LIST OF FIGURES ...................................................................................................................... 13 INTRODUCTION ........................................................................................................................ 14 Research Objectives and Research Questions ....................................................................... 30 Executive Style and supply chain risk management complexities ........................................ 33 Research Approach ................................................................................................................ 40 Contribution ........................................................................................................................... 43 Dissertation Format ............................................................................................................... 45 LITERATURE REVIEW ............................................................................................................. 46 Introduction ........................................................................................................................... 46 Contingency Theory .............................................................................................................. 46 Supply Chain Risk Management ........................................................................................... 51 Overview of the SCRM maturity framework ........................................................................ 56 Risk ........................................................................................................................................ 70 Risk management .................................................................................................................. 74 Firm strategy .......................................................................................................................... 83 Executive Style ...................................................................................................................... 88 8 Research Hypotheses ............................................................................................................. 98 METHODOLOGY ..................................................................................................................... 103 Multiple Method Research Overview .................................................................................. 103 Study 1 - Quantitative Research Overview ......................................................................... 105 Study 2 - Qualitative Research Overview ........................................................................... 117 Multiple method integration ................................................................................................ 129 DATA ANALYSIS AND RESULTS ......................................................................................... 133 Study 1 Quantitative Research Findings ............................................................................. 133 Discussion of Quantitative Study One Results .................................................................... 191 Study 2 Qualitative Research Findings ............................................................................... 193 Summary of Qualitative Study Two Results ....................................................................... 209 CONCLUSONS AND IMPLICATIONS ................................................................................... 212 Overall Dissertation Contributions ...................................................................................... 213 Study One Research Contribution and Implications ........................................................... 214 Study Two Research Contribution and Implications ........................................................... 220 Combined Research Implications ........................................................................................ 222 Research Limitations ........................................................................................................... 225 Future Research Directions ................................................................................................. 226 REFERENCES ........................................................................................................................... 227 APPENDIX A ............................................................................................................................. 268 9 APPENDIX B ............................................................................................................................. 270 APPENDIX C ............................................................................................................................