Patient-centered redesign. More collaborative clinical input into capital budget decisions.
As part of a restructuring program at a large, acute care hospital, a new, collaborative form of clinical management called triads has been initiated. Members of these collaborative management teams are being collectively empowered to better enable them to establish a continuously improving, cost-effective clinical service. This article describes the impact of this new structure on the capital budgeting process in changing a centralized, committee-based system of decision making with limited clinical nursing input to one that is increasingly decentralized, interdisciplinary, and focused on patients.
Stetler
C B
CB
Fagan
J
J
Hanson
M
M
Biancamano
J
J
Curry
S
S
D002017:Budgets / Q000458:organization & administration*; D002202:Capital Financing / Q000458:organization & administration; D003237:Connecticut; D003659:Decision Making, Organizational; D006754:Hospital Restructuring / Q000458:organization & administration; D015285:Hospital-Patient Relations; D006801:Humans; D007324:Institutional Management Teams; D009738:Nursing Service, Hospital / Q000191:economics / Q000458:organization & administration*; D009775:Obstetrics and Gynecology Department, Hospital / Q000191:economics / Q000458:organization & administration; D010344:Patient Advocacy / Q000191:economics; D010865:Pilot Projects