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Patient-Centered Redesign: More Collaborative Clinical Input Into Capital Budget Decisions

Published online by Cambridge University Press:  10 March 2009

Cheryl B. Stetler
Affiliation:
Hartford Hospital
John Fagan
Affiliation:
Hartford Hospital
Monica Hanson
Affiliation:
Hartford Hospital
John Biancamano
Affiliation:
Hartford Hospital
Stephen Curry
Affiliation:
Hartford Hospital

Abstract

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.

Type
Special Section: Assessing Nursing and Technology
Copyright
Copyright © Cambridge University Press 1994

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References

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