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Infusing the capital review process with rigor and discipline
Abstract:
Intermountain Healthcare gleaned four key insights from inside and outside the industry when reviewing best practices in capital decision making: Evidence-based decision making and disciplined analysis are as critical in healthcare finance as in any other industry. Comparing various scenarios under value-based payment allows for better modeling than does performing traditional, volume-based pro formas. Reviewing large capital projects at a granular level helps identify opportunities to add or subtract services. A comprehensive look-back process identifies lessons learned from approved projects-and helps ensure that proposals are defensible.
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Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...

