"Practice transformation" toward team care as a singular undertaking can be daunting. In this presentation, we describe the development of a mechanism for small, iterative and sustainable practice changes toward team care known as "Champion Teams." Champion Teams are based on the Institute of Medicine's "learning health care system" approach in which practitioners develop an internal mechanism for and culture around digesting and implementing new evidence based practices on an ongoing basis. In addition to presenting the Champion Team concept as a strategy for implementing new team care initiatives, interprofessional providers will present two case examples from each adult and pediatric primary care.At the conclusion of this presentation, participants will be able to: Define the term "learning healthcare system" and its application to Champion Teams. Describe the utility of and keys to implementing Champion Teams. Describe two examples of Champion Teams and the application of this mechanism to making data-informed changes toward team-based care in their own setting.

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Seismic Design Manual for Interlocking Compressed Earth Blocks Nicholas Edwards Kennedy This thesis presents a comprehensive seismic design manual to be used to design and construct simple Interlocking Compressed Earth Block (ICEB) structures in seismically active regions. ICEBs are earth blocks made primarily of soil and stabilized with cement. They have female and male stud mechanisms designed to interlock when stacked, eliminating the need for mortar. The blocks can accept reinforcement and grout after they are placed. While ICEB construction is similar to conventional masonry construction, current design code standards for masonry only partially capture the actual behavior of ICEB structures. This thesis seeks to supplement the existing masonry design procedures and tailor them for use with ICEBs. Additionally, this paper presents a preliminary design of ICEB shear walls for a disaster reconstruction project in the Philippines. While many structures in Southeast Asia and the Malay Archipelago are constructed from earthen blocks, very few are engineered. Of those that are, a lack of formal design guidance specific to ICEB construction leaves most engineers and designers with conventional concrete masonry design practices, some of which are not applicable for use with ICEBs.

Successful product design focuses on design principles that are relevant to a target market. Consequently, the better these principles are understood and used, the higher the likelihood that resulting products will be well-received in that market. This thesis presents a method for extracting market-specific design principles for any market. The method employs user/designer-described characteristics of products within a market to extract the design principles specific to that market. The method generalizes the product characteristics, seeks to discover design decisions that could have resulted in those characteristics, and then extracts the underlying design principles. To demonstrate the ability of the method to extract such principles, the method is applied to two disparate markets; (i) best-selling products in the US, and (ii) products created for the developing world. The two sets of resulting principles are compared and shown to be market-specific. The author conclude that the method indeed results in market-specific principles that can be used to guide design activities.

This paper explores the Renewable Energy in Bangladesh and identifies the current challenges for renewable energy entrepreneurs to develop sustainable and reliable energy generation prospects across the country. Theoretical frameworks are developed through the concepts of industry, society, and government and value creation. Purpose- The purpose of this study is to identify the existing challenges of renewable energy entrepreneurs in Bangladesh and realize how based on these challenges there can be value created across renewable energy industry. Literature review- The literature review includes different concepts that are crucial when determining the current challenges that entrepreneurs face in renewable energy industry. Those include local and community perspective, industry related aspects like technology, innovation, and governmental matters. Based on the literature review theoretical concepts were created. Methodology- Interpretivism and inductive approach was used in the form of qualitative research design. Two forms of empirical material are used- survey with local people from Kutubdia region and semi structured interviews with 3 entrepreneurs. Surveys were conducted through Google Forms and interviews through online face to face meetings. Thematic Analysis were used to identify the reoccurring patterns. Findings- Main challenges can be divided into community, industry challenges and institutional inefficiencies. Societal challenges are related to lack of education, knowledge, job creation and trust. Industry related challenges are in the form of weak infrastructure, lack of suitable workforce, slow innovation, and access to R&D. Governmental challenges are connected to lack of financing and investing possibilities, high corruption, lack of well- structured policies and tax initiatives. Based on identification of challenges it is possible to set up framework for value creation across the industry.

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There is a strong perception that large infrastructure projects (LIPs) implemented in developing economies fail to meet their original estimations and specifications more than those implemented in developed economies. This situation results in weak infrastructural development in developing economies, which, has been associated with the poor industrial development in these countries. A literature review confirms that LIPs implemented in Nigeria failed to meet their original estimations and specifications more frequently than LIP implemented in countries such as UK or USA. The root causes identified in the review were mostly related to lack of project governance. Thus, a study of six LIP cases implemented in Nigeria was carried out. Data was generated from 30 senior management staff; 5 from each LIP; using interviews and questionnaires and a weak positivist philosophy was used in analysing this data. The analysis focused on identifying three factors; the adherence level to PGPs; the adherence to Project Management (PM) common practices; and impact of external factors on LIPs. The analysis shows that in projects with strong governance there was a tendency to use more project management tools and techniques and they performed better in meeting the original estimations of time, cost and performance against specification. The analysis also indicates that political, economic, socio-cultural and technological (PEST) factors have adverse effect on adherence to PGPs in Nigeria. This indicates that adhering to PGPs can help in improving the outcome of LIPs implemented in Nigeria, if PEST factors are controlled.

This thesis comprises three empirical studies. The first study assesses the multidimensional concept of financial inclusion with an objective to segregate the key determinants, from a range of potential influencing factors. Using a large cross-country sample of developing countries, over a 14-year period from 2004 to 2017, findings suggest that physical access to banking services, advances in financial technology, government effectiveness and rural population are significantly associated with financial inclusion and should be the principal focus of policy initiatives. Sub-sample analysis shows considerable differences in the key determining factors of financial inclusion across six regions and three income groups. The second study empirically investigates the complex relationship between financial inclusion and financial stability for the period and sample considered in the first study, by employing Instrumental Variables Two Stage Least Squares (IV 2SLS) estimation and Difference-in-Differences (DID) methods. Results show that financial inclusion has a significant positive impact on financial stability. Also, countries that actively implement policies to promote financial inclusion experience an enhanced positive impact on stability, as compared to other countries. The third study constructs a Financial Inclusion Index (FII) for 23 Indian states over a 44-year period and then uses the composite measure to examine the impact of financial inclusion on economic growth. Unconditional Quantile Regression (UQR) estimates reveal a positive impact of inclusion on growth, with richer states in the west and the south benefitting more in terms of higher income caused by a higher level of financial inclusion than the poorer states in the north and the east, thus widening the income gap. While, liberalisation augments the financial inclusion induced income inequality, the proportion of the rural population reduces it. / Scholarship from the Faculty of Management, Law and Social Sciences

京都大学 / 新制・課程博士 / 博士(地球環境学) / 甲第24951号 / 地環博第242号 / 新制||地環||48(附属図書館) / 京都大学大学院地球環境学舎地球環境学専攻 / (主査)教授 星野 敏, 准教授 鬼塚 健一郎, 教授 西前 出 / 学位規則第4条第1項該当 / Doctor of Global Environmental Studies / Kyoto University / DFAM

yes / In recent years financial inclusion has become an important policy goal in the developing countries. The definition of financial inclusion is however, not clear and varies from ‘banking the unbanked’ to ‘branchless banking’. It is also increasingly viewed as a tool of poverty alleviation. Further, it enables the poor to be risk averse and allows investment in their health and education (Arora 2012). Financial inclusion has become all the more important as studies have shown that poor, despite their low incomes and small amount of funds available, actively manage and diversify their portfolios into different financial products even though outside the formal financial system (Collins et al. 2009).