title: Planning a large ambulatory care center at an academic medical center: economic, political, and cultural issues.
abstract: The Massachusetts General Hospital developed a series of space and utilization guidelines that assisted in the planning of a 450,000-ft ambulatory care facility. The guidelines attempted to balance and preserve the critical elements of the hospital's culture while, at the same time, create a highly efficient ambulatory care building. This article discusses the economic, political, and cultural implications of implementing specific project principles and guidelines known as the "9 Commandments."
authors.affiliation: Ambulatory Care Development, Massachusetts General Hospital, and Primary Care Practices, Massachusetts General Physician Organization, Boston, MA 02114, USA. gpauly@partners.org
authors.forename: Greg
authors.initials: G
authors.lastname: Pauly
authors.forename: Michael
authors.initials: M
authors.lastname: Jellinek
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D017598:Efficiency, Organizational; D017408:Guidelines as Topic; D006749:Hospital Design and Construction; D008404:Massachusetts; D015279:Organizational Culture; D010044:Outpatient Clinics, Hospital / Q000191:economics / Q000458:organization & administration*; D010934:Planning Techniques; D011057:Politics