Term
Definition
Do Managers Matter?
Central question of whether individual managers meaningfully shape organizational performance.
New Public Management (NPM)
Reform movement that applied private-sector practices to public organizations.
Reform Logic of NPM
Give managers autonomy, accountability, and performance pay to drive efficiency.
Reform Hypothesis
If CEOs matter in private firms, public-sector managers should also matter.
NHS England Reform Test
Large-scale test of whether public hospital directors impact performance.
Director Effects
Statistical measure of how much managers affect organizational outcomes.
Key NHS Finding
Directors had minimal impact on hospital performance.
Non-Portable Performance
Good performance at one hospital did not transfer to another.
Pay-Performance Disconnect
Higher-paid directors did not perform better.
Organizational Complexity
Large size and professional autonomy weaken manager control.
Professional Autonomy
Doctors control clinical work, limiting managerial authority.
Short Tenure Problem
Average 3.7-year tenure limits managers’ ability to create change.
Selection vs. Causation
Good performance may result from good matching, not just leadership skill.
Limited Talent Pool
NHS promoted internally and lacked private-sector competition.
Public vs. Private Pay Gap
Public executives earn far less than private-sector executives.
Political Interference
Frequent political intervention distorts manager incentives.
Political Goal Chasing
Managers focus on avoiding political scandals instead of improving performance.
VA Scandal
Manipulation of wait-time data to meet unrealistic performance targets.
Perverse Incentives
Incentives that encourage harmful behavior like data manipulation.
Gaming the Metrics
Manipulating performance data to appear successful without real improvement.
Wrong Metrics Problem
Managers were judged on goals outside their control.
Broken Internal Controls
Lack of audits allowed data manipulation at the VA.
Broken Performance Management
Bonuses rewarded everyone regardless of actual performance.