Samenvatting

Crisis management requires health care managers to simultaneously innovate, i.e. to adjust – and to consolidate, i.e. to provide stability. COVID-19 was no exception in this respect. In this study, we ask to what extent multi-actor and multi-level health care networks stimulate or hinder balancing innovation and consolidation. We present the results of a qualitative case study, drawing upon 29 interviews with health care managers in one region in the Netherlands. Our analysis chronologically follows the crisis management response and differentiates between ‘the hammer’ phase (the ‘lockdown’) and the ‘dance’ phase (learning to live with the virus). We show that, especially in the hammer phase, formal networks can contribute to consolidation, yet innovation comes mostly from informal and personal networks. While the hammer phase should help organizations prepare to live and dance with the virus, we show that multi-actor and multi-level networks focus more on idiosyncratic organizational interests, although some of these are in fact productive. We conclude with recommendations for practice.