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Patient-centered redesign. More collaborative clinical input into capital budget decisions

C B Stetler, J Fagan, M Hanson

International Journal of Technology Assessment in Health Care

|January 1, 1994

Summary

A new collaborative clinical management approach called triads empowers healthcare teams. This structure shifts capital budgeting from centralized committees to decentralized, interdisciplinary, patient-focused decision-making.

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Area of Science:

Healthcare Management
Clinical Operations
Hospital Administration

Background:

Hospitals are implementing restructuring programs to improve efficiency.
Traditional capital budgeting processes often lack clinical input.
Centralized decision-making can limit responsiveness in healthcare settings.

Purpose of the Study:

To describe the impact of a new collaborative management structure (triads) on hospital capital budgeting.
To analyze the shift from a centralized, committee-based system to a decentralized, interdisciplinary model.
To evaluate how this new structure enhances cost-effectiveness and patient focus in clinical services.

Main Methods:

Implementation of a collaborative management model named triads.
Restructuring of the capital budgeting process within a large, acute care hospital.

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Empowerment of collaborative management team members for decision-making.

Main Results:

The capital budgeting process has become more decentralized.
Interdisciplinary teams are now integral to decision-making.
Clinical nursing input into capital budgeting has significantly increased.
The process is increasingly patient-focused.

Conclusions:

The triads model facilitates a more effective and responsive capital budgeting process.
Decentralization and interdisciplinary collaboration improve cost-effectiveness.
Empowering clinical teams enhances patient-centered care delivery.