Harkness Project Title: Academic Health Center Mergers: Understanding Institutional Processes in U.S. Health Care

Mentors: Stephen M. Shortell, Ph.D., and Charlene Harrington, Ph.D.

Placement: University of California, Berkeley

Biography at time of Harkness Fellowship: Martin J. Kitchener, a 1999–2000 Commonwealth Fund Harkness Fellow in Health Care Policy, is a lecturer in organizational behavior in the School of Business at Cardiff University. He is also principal researcher on a Welsh Office-funded study investigating the dynamics of inter-professionals working in mental health care. Before joining the Business School as an Economic and Social Research Council management teaching fellow, Kitchener worked for the U.K. National Health Service. His research has focused on the organization and management of professional service organizations in health, social care and local government. Kitchener has published his work in national and international journals including Organization, Public Administration, British Journal of Management and the International Journal of Public Sector Management. He co-authored A Managed Service: The External Management of Children’s Homes, and has contributed chapters to edited volumes on research methods, institutional theory and the management of change in health care.

Project: Kitchener examined the merger between the academic health centers of Stanford University and the University of California, San Francisco – with a particular focus on the organizational and cultural roadblocks that led to the merger’s failure.  He conducted a literature review, analyzed internal documents, and interviewed key players in the merger process.

Career Activity Since Fellowship

• Professor, Business School, Cardiff University, 2007
• Professor, Department of Social and Behavioral Sciences, University of California, San Francisco, 2006 (Adjunct Professor, 2007)
• Associate Professor, Department of Social and Behavioral Sciences, University of California, San Francisco, 2004
• Services Employees International Union (SEIU) Research Recognition Award, 2003
• Assistant Professor, Department of Social and Behavioral Sciences, University of California, San Francisco, 2000

Current Position: Professor and Associate Dean for Engagement, Business School, Cardiff University. (Updated January 2012)

E-Mail: kitchenermj@cardiff.ac.uk

Harkness-Related Publications

Kitchener M, Ng T, and Harrington C. “Medicaid Home and Community-Based Services for the Elderly: Trends in Programs and Policies,” Journal of Applied Gerontology 2007; 26(3): 305-324.

Kitchener M., Ng T, Miller N, and Harrington C. “Public Expenditure Savings from the Use of Medicaid Home and Community-Based Waivers,” Journal of Health and Social Policy 2006; 22(2): 31-50.

Miller N., Elder K, Rubin A, Kitchener M, and Harrington C. “Strengthening Home and Community Based Care Through Medicaid Waivers.” Journal of Aging and Social Policy 2006; 18(1): 1-16.

Kitchener M, Hernandez M, Ng T, and Harrington C. “Residential Care Provision in Medicaid Home and Community-Based Waivers: A National Study of Program Trends.” The Gerontologist 2006; 46(2): 165-172.

Kitchener M, Ng T, Miller N, Harrrington C, “Medicaid Home and Community-Based Services: National Program Trends,” Health Affairs 2005; 24(1): 206-212.

Harrington C, Tonner C, Wellin V, Kitchener M, Kaskie B, Halladay PM, Crawford C, Ganchoff C, Newcomer R.  “The Role of Medi-Cal in California’s Long-Term Care System,” Presented to the Department of Social and Behavioral Sciences, University of California, San Francisco, July 2000.