Cross-case Synthesis Research Articles

African American Women Managers’ Experiences in Predominantly Black Work Environments: A Multiple Case Study

Research indicates that the agentic experience of the African American woman manager is unique and does not conform to the traditional gender standards of leadership. This study addressed the experiences of African American women managers in predominantly black work environments, as the implication of these experiences on their ability to lead remains unknown. To this end, a multiple-case study design was used. Semi-structured interviews were conducted with 10 African American women managers, and along with a literature review and reflective field notes constituted the major sources of data collection. Through thematic analysis and cross-case synthesis and analysis, eight categories enclosing a total of 12 themes were identified. The African American woman manager emphasizes continuing education for career ascension and is determined to ascend in whatever arena provides the most likely opportunity for growth. This study makes an original contribution to the theoretical literature on intra-racial discrimination by offering insight into the experiences of the agentic African American woman leader and her experience as a double minority in a predominately black workplace. Recommendations are made for future research directions and social change initiatives on the topic of leadership experiences of African American women managers.

Involvement of Students With Severe Disabilities in Specialized Health Care Procedures

A recommended practice in the field of severe disabilities is involving students in their specialized health care procedures; however, little is known about how this practice is occurring in schools. The purpose of this qualitative multiple-case study was to understand how secondary-age students with severe disabilities are involved in their specialized health care at school. Purposeful sampling resulted in nine cases and a total of 41 participants. A case comprised a secondary-age focus student and the student’s parent(s), special education teacher, school nurse, and classroom nurse or paraprofessional. Data sources were observations, interviews, and document reviews. The researchers analyzed the data using an iterative inductive coding approach for each individual case to identify patterns in the data followed by a cross-case synthesis using visual matrices to identify salient themes across cases. This process resulted in four themes depicting how students were involved in their specialized health care at school, which were (a) partially participating, (b) interacting with adults, (c) engaging in risky behaviors, and (d) passively participating. The findings from this study highlight a need for improved attention to the promotion of self-care in specialized health care for this population.

Competitive advantage of carbon efficient supply chain in manufacturing industry

Abstract The competitiveness of the manufacturing industry is fundamentally intertwined between sustainable production and carbon efficiency in the supply chain. There is a growing level of alertness to environmental protection vis-a-vis emission control and the climate change. Apart from the cost reduction, network optimization, profit maximization, risk mitigation, and value-added services, the modern manufacturing has added carbon footprint reduction to their performance indices. Therefore, the focus is changing to green manufacturing and carbon efficient supply chain, which is intended to improve their production and product consumption as a result of competitive advantage. However, mitigating the climate change demands a more fundamental shift in the way the manufacturing industry delivers products and services to the end users. This research investigates how the competitive advantage of a carbon efficient supply chain can be sustained. Some automobile manufacturing company in the United Kingdom were considered as the case study. Data were sourced through interview, survey questions and from the existing literature. The cross-case synthesis was applied to draw comparison among different companies used as the case study. Influencing drivers and barriers associated with the automobile manufacturing supply chain were identified. The investigation revealed that consumers are the major driver of competitive advantage in manufacturing, with the competition now moved to supply chain which is associated with a different level of product consumption. The impact of other existing strategic factors was also identified. A flow chart for the strategic implementation of carbon efficiency practices along the supply chain was developed. In overall, the study revealed the need for the implementation of carbon reduction strategies in business development.

Quasi-Public Place-Governance: An Exploration of Shopping Centres

SUMMARY Shopping centres face multiple issues arising from their status as quasi-public Third Places. Such challenges are compounded by the enduring, difficult retail environment. Against this backdrop, the research explores how a legally pluralistic understanding of place-governance could inform future strategies for securing shopping centres’ roles within the community. This UK-based, bistage, multi-case study draws on various data sources collected from seven shopping centres across Northern England. It adopts both thematic analysis and cross-case synthesis to generate rich findings. The data analysis identified three key themes: the diverse shopping centre population, internally generated norms and externally developed law. This article makes a bifold contribution to the literature. First, it commingles and develops theories of legal geography and legal pluralism to introduce a new tripartite lens for exploring place-governance, which comprises black-letter, policy and cultural elements. Secondly, it utilizes this model to generate empirically based findings about shopping centre place-governance from the insider perspectives of centre management, centre operatives and tenants.

DevOps in practice: A multiple case study of five companies

Abstract Context: DevOps is considered important in the ability to frequently and reliably update a system in operational state. DevOps presumes cross-functional collaboration and automation between software development and operations. DevOps adoption and implementation in companies is non-trivial due to required changes in technical, organisational and cultural aspects. Objectives: This exploratory study presents detailed descriptions of how DevOps is implemented in practice. The context of our empirical investigation is web application and service development in small and medium sized companies. Method: A multiple-case study was conducted in five different development contexts with successful DevOps implementations since its benefits, such as quick releases and minimum deployment errors, were achieved. Data was mainly collected through interviews with 26 practitioners and observations made at the companies. Data was analysed by first coding each case individually using a set of predefined themes and thereafter perform a cross-case synthesis. Results: Our analysis yielded some of the following results: (i) software development team attaining ownership and responsibility to deploy software changes in production is crucial in DevOps. (ii) toolchain usage and support in deployment pipeline activities accelerates the delivery of software changes, bug fixes and handling of production incidents. (ii) the delivery speed to production is affected by context factors, such as manual approvals by the product owner (iii) steep learning curve for new skills is experienced by both software developers and operations staff, who also have to cope with working under pressure. Conclusion: Our findings contributes to the overall understanding of DevOps concept, practices and its perceived impacts, particularly in small and medium sized companies. We discuss two practical implications of the results.

Examining Cost Measurements in Production and Delivery of Three Case Studies Using E-Learning for Applied Health Sciences: Cross-Case Synthesis.

BackgroundThe World Health Report (2006) by the World Health Organization conveys that a significant increase is needed in global health care resourcing to meet the current and future demand for health professionals. Electronic learning (e-Learning) presents a possible opportunity to change and optimize training by providing a scalable means for instruction, thus reducing the costs for training health professionals and providing patient education. Research literature often suggests that a benefit of e-Learning is its cost-effectiveness compared with face-to-face instruction, yet there is limited evidence with respect to the comparison of design and production costs with other forms of instruction or the establishment of standards pertaining to budgeting for these costs.ObjectiveTo determine the potential cost favorability of e-Learning in contrast to other forms of learning, there must first be an understanding of the components and elements for building an e-Learning course. Without first taking this step, studies lack the essential financial accounting rigor for course planning and have an inconsistent basis for comparison. This study aimed to (1) establish standard ingredients for the cost of e-Learning course production and (2) determine the variance instructional design has on the production costs of e-Learning courses.MethodsThis study made use of a cross-case method among 3 case studies using mixed methods, including horizontal budget variance calculation and qualitative interpretation of responses from course designers for budget variance using total quality management themes. The different implementation-specific aspects of these cases were used to establish common principles in the composition of budgets in the production and delivery of an applied health professional e-Learning course.ResultsA total of 2 case studies reported significant negative budget variances caused by issues surrounding underreporting of personnel costs, inaccurate resource task estimation, lack of contingency planning, challenges in third-party resource management, and the need to update health-related materials that became outdated during course production. The third study reported a positive budget variance because of the cost efficiency derived from previous implementation, the strong working relationship of the course project team, and the use of iterative project management methods.ConclusionsThis research suggests that the delivery costs of an e-Learning course could be underestimated or underreported and identifies factors that could be used to better control budgets. Through consistent management of factors affecting the cost of course production, further research could be undertaken using standard economic evaluation methods to evaluate the advantages of using e-Learning.

An Overview of Next-generation Manufacturing Execution Systems: How important is MES for Industry 4.0?

Abstract The purpose of this paper is to understand the evolution of manufacturing execution systems (MES) in the digital transformation era. Theoretical propositions made on MES (based on literature survey) were empirically examined using three case studies in Danish companies. Findings gave an overview of Industry 4.0 ready MES and identified its role in factories of the future. It is a first attempt to analyze the concepts behind next-generation MES to give a primer on ‘MES as a digital twin’, via first iteration of results from cross-case synthesis of collected data. The paper also maps the current MES research pertaining to Industry 4.0 into key groups to highlight its significance in digital manufacturing.

Univariate Time Series Forecasting of Temperature and Precipitation with a Focus on Machine Learning Algorithms: a Multiple-Case Study from Greece

We provide contingent empirical evidence on the solutions to three problems associated with univariate time series forecasting using machine learning (ML) algorithms by conducting an extensive multiple-case study. These problems are: (a) lagged variable selection, (b) hyperparameter handling, and (c) comparison between ML and classical algorithms. The multiple-case study is composed by 50 single-case studies, which use time series of mean monthly temperature and total monthly precipitation observed in Greece. We focus on two ML algorithms, i.e. neural networks and support vector machines, while we also include four classical algorithms and a naive benchmark in the comparisons. We apply a fixed methodology to each individual case and, subsequently, we perform a cross-case synthesis to facilitate the detection of systematic patterns. We fit the models to the deseasonalized time series. We compare the one- and multi-step ahead forecasting performance of the algorithms. Regarding the one-step ahead forecasting performance, the assessment is based on the absolute error of the forecast of the last monthly observation. For the quantification of the multi-step ahead forecasting performance we compute five metrics on the test set (last year’s monthly observations), i.e. the root mean square error, the Nash-Sutcliffe efficiency, the ratio of standard deviations, the coefficient of correlation and the index of agreement. The evidence derived by the experiments can be summarized as follows: (a) the results mostly favour using less recent lagged variables, (b) hyperparameter optimization does not necessarily lead to better forecasts, (c) the ML and classical algorithms seem to be equally competitive.

PHP352 - SUCCESS FACTORS FOR THE IMPLEMENTATION OF MARKET ACCESS AGREEMENTS IN EMERGING MIDDLE-INCOME MARKETS IN PREPARATION FOR OUTCOMES BASED CONCEPTS

Market access agreements (MAA) are an accepted tool to increase patient access to innovative medicines and to facilitate reimbursement in high-income markets. Based on this experience, health systems are increasingly embracing outcomes based concepts. Yet, adoption of MAA in emerging middle-income markets appears to be slow. Thus, the aim of this study is to understand challenges and success factors for MAA in emerging markets to overcome potential limitations and to prepare for outcomes based concepts in these geographies. Literature review to analyze MAA from an emerging markets perspective and to understand stakeholders’ perceptions of MAA, particularly in South-Eastern Europe, Middle East, and Africa. In-depth case study research for Serbia, Lebanon, and South Africa based on interviews with local market access experts and secondary data analysis. Cross-case synthesis to compare approaches and to identify common success factors for the implementation of MAA. Identified success factors for MAA in the analyzed emerging middle-income countries include: Shared understanding of local specifics and access hurdles across all involved parties Co-creation of tailored solutions that respect local particularities, product specifics, and health system needs Minimizing burden of data collection and contract management Closely measure and track the impact of the agreement. Research revealed that fit-for-purpose MAA are an adequate tool to increase patient access to innovative medicines in emerging middle-income countries provided that the aforementioned success factors are considered. Additionally, no evidence could be found that would prevent a future advancement towards outcomes based concepts if key success factors are met.

National Quality Standard in Schools: Leadership Enabling Power and Agency

THE POLITICAL IMPERATIVE that underscores the quest for continuous improvement and quality provision of early childhood education and care in Australia has seen the unparalleled development of a federal policy framework for children's services. The Council of Australian Governments (COAG) agreed to a National Quality Framework (NQF) and, as part of this, the National Quality Standard (NQS) was developed to drive continuous improvement and set a national benchmark for the provision of children's services outside the schooling sector. The Western Australian Minister for Education required not only prior-to-school children's services to meet the NQS, but also the early years of school that cater for children aged four years to eight years (Kindergarten to Year 2). This research project followed the journey of four schools that implemented the NQS in 2016, in the first year of mandatory use. A case study approach using qualitative methods of individual and focus group interviews of principals, teachers, teaching assistants and Department of Education consultants was undertaken. The data was analysed by the coding of common themes and by completing a cross-case synthesis. Leadership was the most common theme for successful implementation of the NQS. This paper reports on the aspects of leadership across multiple layers that represented the involvement of Department of Education consultants, principals and staff at four public schools. Essentially, the NQS increased staff power and agency, and united their vision for continuous quality improvement that contributes to the national quality agenda for children.

As repercussões do tratamento de leucemia aguda na dinâmica familiar: um estudo de casos múltiplos

This study aims at understanding the effects of the treatment for acute leukemia in the family configuration and dynamics, from the Systemic Theory, specifically the Theory of Family Life Cycle. A descriptive, cross-sectional study, was conducted with a qualitative approach in the format of multiple cases study. In a public hospital in the south of Brazil, the cases of three male patients, aged 39, 22 and 19, who were, respectively, 3, 6 and 9 months in treatment for acute leukemia were selected. A semi-structured interview was conducted with the integrated construction of the family genogram. The analysis was made through an analytical strategy based on theoretical propositions, descriptive analytic strategy, and cross-case synthesis. The genogram data underwent qualitative analysis. In each case, the different moments in the individual and family life cycle were discussed. In the three cases, the family dynamics underwent changes in several areas: routine, reorganization, exchange of functions and responsibilities among members, particularly concerning household chores, child caring, leadership, decision-making and emotional support. The family configuration presented changes only in the family financial sustenance. In addition, the three participants perceived a significant increase in the proximity of the family relationship among each other and there was still a mobilization of new figures of the family support network. The adaptability of families is configured in all three cases as an important psychological and social factor of protection and health promotion.Keywords: acute leukemia, onco-hematology treatment, family dynamics.

Complementary and Alternative Treatment of Multiple Sclerosis - A Study of Three Cases

Background: People suffering from Multiple Sclerosis (MS) commonly use Complementary and Alternative Medicine (CAM) due to the partial efficacy of conventional treatment, the chronic aspect of MS, the impact of pain and the side effects of medication. An exploratory descriptive case study consisting of three cases was performed to document and analyse patient experience of Applied Kinesiological (AK) treatment of patients suffering from MS. Methods: Qualitative interviews were conducted with three patients who had been diagnosed with MS at a neurology department and who had simultaneously sought CAM-treatment from a kinesiologist. The interviews were open-ended and semi-structured. A second interview was conducted for validation. The interviews produced texts that were analysed through phenomenological-hermeneutic text analysis. The three case studies amounted in a cross-case synthesis. Results: Themes that emerged from the interviews where: having hope, trusting the kinesiologist, diet changes essential, losing trust in the health care system, feeling confused and getting better. The experience of AK treatment gave the informants a sense of hope, trust and increased health. During comprehensive understanding it was found that the patients experienced being able to make changes for life, getting past their diagnosis of MS and being able to experience increased health through AK treatment. Conclusion: The interviews comprise phenomenological-hermeneutic narratives of health, and of the becoming of one-self in the body. The AK treatments assisted the patients into a home-likeness of being-in-the-world, an experience of becoming whole, repaired rather than damaged. Parallel to this the patients experienced their MRIs stabilising during the AK treatment period. They experienced transcending their MS diagnose.

Procedural corruption in the North American hotel industry

Procedural corruption is the intentional use of legal-rational authority based on formal rules for personal gain instead of organizational goals. The present study builds on the Opportunity-Motivation-Justification framework to examine the outcomes of procedural corruption in service organizations using the example of the hotel industry. Specifically, it uses a multiple case study strategy to investigate journalistic accounts and employee narratives on critical incidents of managerial authority abuse in four North American hotel properties. This study draws upon the cross-case synthesis technique to find subtle, collective, repeat, and multiple procedural offenses in the North American hotel industry. The investigation results lead to further proposition that effect, frequency, participation, and variety are the four dimensions of procedural service outcomes. These findings imply that service technology could represent an antecedent of procedural corruption.

A qualitative study of clinical champions in context: Clinical champions across three levels of acute care.

Objectives:To compare activities and field descriptions of clinical champions across three levels of stroke centers.Methods:A cross-sectional qualitative study using quota sampling was conducted. The setting for this study was 38 acute stroke centers based in US Veterans Affairs Medical Centers with 8 designated as Primary, 24 as Limited Hours, and 6 as Stroke Support Centers. Key informants involved in stroke care were interviewed using a semi-structured approach. A cross-case synthesis approach was used to conduct a qualitative analysis of clinical champions’ behaviors and characteristics. Clinical champion behaviors were described and categorized across three dimensions: enthusiasm, persistence, and involving the right people.Results:Clinical champions at Primary Stroke Centers represented diverse medical disciplines and departments (education, quality management); directed implementation of acute stroke care processes; coordinated processes across service lines; and benefited from supportive contexts for implementation. Clinical champions at Limited Hours Stroke Centers varied in steering implementation efforts, building collaboration across disciplines, and engaging in other clinical champion activities. Clinical champions at Stroke Support Centers were implementing limited changes to stroke care and exhibited few behaviors fitting the three clinical champion dimensions. Other clinical champion behaviors included educating colleagues, problem-solving, implementing new care pathways, monitoring progress, and standardizing processes.Conclusion:These data demonstrate clinical champion behaviors for implementing changes to complex care processes such as acute stroke care. Changes to complex care processes involved coordination among clinicians from multiple services lines, persistence facing obstacles to change, and enthusiasm for targeted practice changes.

Underuse of social-ecological systems: A research agenda for addressing challenges to biocultural diversity

Conservation is often operationalized as a minimization of human intervention in nature. However, many social-ecological systems depend on human interventions to maintain characteristics of biological diversity. Therefore, reduced use or full abandonment of such systems can diminish rather than enhance biological diversity and its related cultural diversity (biocultural diversity). We link the definition of “underuse” with the extinction rate used in the planetary boundaries framework to support a more objective use of the term. We execute a structured cross-continental review of underuse in social-ecological systems of regions that contain more affluent countries to frame a global research agenda on underuse. Our working approach delineates causes, consequences, and strategies concerning underuse. Based on this comparative review, we identify causes of underuse that are similar in different continents, including globalization, and demographic or structural change in Europe, Japan and Oceania. Conservation paradigms emphasizing wilderness ideals in policies are characteristic of underuse in North America, whereas post-socialist transformation processes characterize underuse in Eastern Europe. Land abandonment and de-intensification of use are a common result, particularly in marginal and protected areas. Consequences of the loss of biocultural diversity include the loss of ecosystem services, traditional knowledge, or landscape amenities. We identified a pervasive gap in transcontinental comparative research that stymies the development of effective strategies to reduce underuse of biological diversity and thereby maintain related cultural diversity. We advocate for a global research agenda on governance approaches that address the challenges of underuse. Within this agenda, we emphasize the need for an international cross-case synthesis and a trans-continental mapping of state and civil society-based interventions and co-management approaches to re-establish humans as parts of ecological systems. Such comparative work on best practice cases in a real-world context should enhance adaptive management of biocultural diversity and prevent extinction caused by underuse. Thus, this innovative connection between underuse and the planetary boundary extinction rate, along with our new global research agenda on underuse, should initiate much needed support for policy makers and natural resource managers who must decide on appropriate types and levels of human intervention to implement, both inside and outside of protected areas.

Social Commerce Design: A Framework and Application

Social commerce is a new business model of e-commerce, which utilizes of Web 2.0 technologies and social media to support social-related exchange activities. While its popularity, being a subset of e-commerce, has been increasing tremendously since its introduction in 2005, there exists a general paucity of research on its framework and its applications’ effectiveness, especially in areas beyond the common social commerce practices. This study develops a comprehensive social commerce framework that has four key components: customer, merchant, platform and context. Then the study applies the cross-case synthesis technique to analyze the usability and generalizability of the framework by applying it to social commerce of two (one small and the other global) successful companies. We use the negative case analysis approach to assess the importance of the new component context by comparing a social commerce failure case with the two successful companies. Finally, we introduce a set of metrics for social commerce design. The proposed framework and its metrics are used to guide the design and evaluation of social commerce. This study makes a contribution to the social commerce literature in proposing a new design framework and to practice in providing insights for effective strategies of the online social business.

Deciding on breast cancer risk reduction: The role of counseling in individual decision-making – A qualitative study

ObjectivesThe presentation of risks and benefits in clinical practice is common particularly in situations in which treatment recommendations involve trade-offs. The treatment of breast cancer risk with selective estrogen receptor modulators (SERMs) is such a decision. We investigated the influence of health care provider (HCP) counseling on women’s decision-making. MethodsThirty breast cancer risk counseling sessions were recorded from April 2012–August 2013 at a comprehensive cancer center and at a safety-net, community hospital in the US. Participating women and HCPs were interviewed. A cross-case synthesis was used for analysis. ResultsOf 30 participants 21 received a SERM-recommendation, 11 decided to take SERMs. Counseling impacted decision-making, but did not determine it. Three categories emerged: 1.) ability to change the decision anytime, 2.) perceptions on medications, and 3.) proximity of cancer. ConclusionDecision-making under conditions of a risk diagnosis such as increased breast cancer risk is a continuous process in which risk information is transformed into practical and experiential considerations. Practice implicationsIndividuals’ health care decision-making is only marginally dependent on the interactions in the clinic. Accepting patients’ experiences and beliefs in their own right and letting them guide the discussion may be important for a satisfying decision-making process.

Development of the GREEN (Garden Resources, Education, and Environment Nexus) Tool: An Evidence-Based Model for School Garden Integration

BackgroundResearchers have established the benefits of school gardens on students’ academic achievement, dietary outcomes, physical activity, and psychosocial skills, yet limited research has been conducted about how school gardens become institutionalized and sustained. ObjectiveOur aim was to develop a tool that captures how gardens are effectively established, integrated, and sustained in schools. DesignWe conducted a sequential, exploratory, mixed-methods study. Participants were identified with the help of Grow To Learn, the organization coordinating the New York City school garden initiative, and recruited via e-mail. Participants/settingA stratified, purposeful sample of 21 New York City elementary and middle schools participated in this study throughout the 2013/2014 school year. The sample was stratified in their garden budgets and purposeful in that each of the schools’ gardens were determined to be well integrated and sustained. Main outcome measuresThe processes and strategies used by school gardeners to establish well-integrated school gardens were assessed via data collected from surveys, interviews, observations, and concept mapping. Statistical analyses performedDescriptive statistics as well as multidimensional scaling and hierarchical cluster analysis were used to examine the survey and concept mapping data. Qualitative data analysis consisted of thematic coding, pattern matching, explanation building and cross-case synthesis. ResultsNineteen components within four domains of school garden integration were found through the mixed-methods concept mapping analysis. When the analyses of other data were combined, relationships between domains and components emerged. These data resulted in the development of the GREEN (Garden Resources, Education, and Environment Nexus) Tool. ConclusionsWhen schools with integrated and sustained gardens were studied, patterns emerged about how gardeners achieve institutionalization through different combinations of critical components. These patterns are best described by the GREEN Tool, the first framework to identify how to operationalize school gardening components and describe an evidence-based strategy of successful school garden integration.

An analysis of data sharing platforms in multidisciplinary education

ABSTRACTThe use of Common Data Environment (CDE) collaboration platforms, although a requirement of the government BIM (Building Information Modelling) mandate within the UK, is an area that has been under-reported in research publications, especially in relation to the education sector for the management of undergraduate multidisciplinary student BIM projects. Up to this point, academics have focused on the use of BIM authoring and analysis tools and collaborative and multidisciplinary working methods, but not necessarily on how information is managed and the platforms that can be used in this regard. This paper presents the findings of a three-year longitudinal study undertaken at Ulster University experimenting with three different platforms for the delivery of an undergraduate multidisciplinary collaborative student BIM project. A case study methodology is employed to provide a description of experiences over the three-year period, with an ethnographic approach to data collection in the form of direct observations in the field. Thematic analysis is used to identify key trends followed by a cross-case synthesis. The results of the study identify advantages for all of the differing platforms utilised depending on the functionality and learning outcomes required, whilst highlighting challenges in terms of familiarity and assessment integration. The paper concludes by presenting potential CDE methods of integration at undergraduate Levels 4, 5 and 6 (Years 1, 2 and 3).

Collaborative leadership and the implementation of community-based fall prevention initiatives: a multiple case study of public health practice within community groups

BackgroundFalls among community-dwelling older adults are a serious public health concern. While evidence-based fall prevention strategies are available, their effective implementation requires broad cross-sector coordination that is beyond the capacity of any single institution or organization. Community groups comprised of diverse stakeholders that include public health, care providers from the public and private sectors and citizen volunteers are working to deliver locally-based fall prevention. These groups are examples of collective impact and are important venues for public health professionals (PHPs) to deliver their mandate to work collaboratively towards achieving improved health outcomes. This study explores the process of community-based group work directed towards fall prevention, and it focuses particular attention on the collaborative leadership practices of PHPs, in order to advance understanding of the competencies required for collective impact.MethodsFour community groups, located in Ontario, Canada, were studied using an exploratory, retrospective, multiple case study design. The criteria for inclusion were presence of a PHP, a diverse membership and the completion of an initiative that fit within the scope of the World Health Organization Fall Prevention Model. Data were collected using interviews (n = 26), focus groups (n = 4), and documents. Cross-case synthesis was conducted by a collaborative team of researchers.ResultsThe community groups differed by membership, the role of the PHP and the type of fall prevention initiatives. Seven practice themes emerged: (1) tailoring to address context; (2) making connections; (3) enabling communication; (4) shaping a vision; (5) skill-building to mobilize and take action; (6) orchestrating people and projects; and (7) contributing information and experience. The value of recognized leadership competencies was underscored and the vital role of institutional supports was highlighted.ConclusionTo align stakeholders working towards fall prevention for community-dwelling older adults and establish a foundation for collective impact, public health professionals employed practices that reflected a collaborative leadership style. Looking ahead, public health professionals will want to shift their focus to evaluating the effectiveness of their group work within communities. They will also need to assess outcomes and evaluate whether the anticipated reductions in fall rates among community-dwelling older adults is being achieved.