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Mission-based budgeting for education: ready for prime time?
Michelle Sainté1, Steven L Kanter, David Muller
1Department of Medical Education, Mount Sinai School of Medicine, New York, NY, USA. michelle.sainte@mssm.edu
The Mount Sinai Journal of Medicine, New York
|July 31, 2009
Summary
Mission-based budgeting aligns costs with academic medical center activities like education. This article examines its educational impact, metrics, and institutional considerations.
Area of Science:
- Health Policy
- Medical Education Finance
- Academic Medical Center Administration
Background:
- Mission-based budgeting (MBB) is a financial framework for academic medical centers.
- It aims to align institutional costs with core activities: clinical care, administration, research, and teaching.
- Despite its conceptual advantages, MBB adoption remains limited in academic medical centers.
Purpose of the Study:
- To analyze the educational component of mission-based budgeting.
- To review the multifaceted aspects of MBB implementation and its implications.
- To provide a comparative perspective on MBB systems in academic medical centers.
Main Methods:
- Review of mission-based budgeting variables and institutional metric design.
- Analysis of the impact of MBB on faculty and departmental chairs.
- Examination of quality assurance processes for MBB systems.
- Comparative institutional perspective on MBB approaches.
Main Results:
- MBB requires careful consideration of numerous variables that differ across institutions.
- The design of MBB metrics reflects institutional philosophy and priorities.
- MBB implementation significantly impacts faculty and departmental leadership.
- Robust processes are essential for ensuring the quality, reliability, and validity of MBB systems.
Conclusions:
- Mission-based budgeting offers a structured approach to financial management in academic medical centers.
- Successful MBB implementation necessitates a thorough understanding of its variables, impact, and quality control.
- Further research and comparative analysis can refine MBB practices for educational missions.
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