Organizational Differences in Hazard Mitigation Investment Decision Making: Outside the Organization

  • Daniel J. AleschEmail author
  • Lucy A. Arendt
  • William J. Petak
Part of the Environmental Hazards book series (ENHA)


In this chapter, we present two additional categories of factors that we believe influence whether, why, and how individual hospital organizations make extreme hazard mitigation investment decisions. Both categories reflect the impact of the external environment on the organization’s internal workings and decision-making process. The categories are: (1) institutional predictors, including both external and internal pressures, and (2) the regulatory relationship. As with the last chapter, we describe each category from a theoretical perspective, drawing on relevant academic literature. For example, the institutional predictors are based on DiMaggio and Powell’s (1983)description of normative, mimetic, and coercive isomorphic forces. Then, we augment our description of each category with examples drawn from our qualitative research. The extent to which any given hospital relies on these factors to make hazard mitigation decisions is variable and contextual.


Acute Care Hospital Hazard Mitigation Hospital Administrator Base Isolation Hospital Organization 
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Copyright information

© Springer Netherlands 2012

Authors and Affiliations

  • Daniel J. Alesch
    • 1
    Email author
  • Lucy A. Arendt
    • 1
  • William J. Petak
    • 2
  1. 1.University of Wisconsin-Green BayGreen BayUSA
  2. 2.University of Southern CaliforniaLos AngelesUSA

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