Biomaterial Database

Patient-centered redesign. More collaborative clinical input into capital budget decisions. 1994

C B Stetler, and J Fagan, and M Hanson, and J Biancamano, and S Curry

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.

UI	MeSH Term	Description	Entries
D007324	Institutional Management Teams	Administrator-selected management groups who are responsible for making decisions pertaining to the provision of integrated direction for various institutional functions.	Management Teams, Institutional,Institutional Management Team,Management Team, Institutional,Team, Institutional Management,Teams, Institutional Management
D009738	Nursing Service, Hospital	The hospital department which is responsible for the organization and administration of nursing activities.	Hospital Nursing Service,Service, Hospital Nursing,Hospital Nursing Services,Nursing Services, Hospital,Services, Hospital Nursing
D009775	Obstetrics and Gynecology Department, Hospital	Hospital department responsible for the administration and management of services provided for obstetric and gynecologic patients.	Hospital Obstetrics and Gynecology Department,Obstetrics Department,Obstetrics Department Hospital,Obstetrics, Gynecology Department, Hospital,Department, Obstetrics,Departments, Obstetrics,Obstetrics Departments
D010344	Patient Advocacy	Promotion and protection of the rights of patients, frequently through a legal process.	Patient Ombudsmen,Patient Representatives,Clinical Ombudsman,Patient Ombudsman,Advocacy, Patient,Ombudsman, Clinical,Ombudsman, Patient,Ombudsmen, Patient,Patient Representative,Representative, Patient,Representatives, Patient
D010865	Pilot Projects	Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.	Pilot Studies,Pilot Study,Pilot Project,Project, Pilot,Projects, Pilot,Studies, Pilot,Study, Pilot
D002017	Budgets	Detailed financial plans for carrying out specific activities for a certain period of time. They include proposed income and expenditures.	Budgetary Control,Budget,Budgetary Controls,Control, Budgetary,Controls, Budgetary
D002202	Capital Financing	Institutional funding for facilities and for equipment which becomes a part of the assets of the institution.	Financing, Capital,Funding, Capital,Capital Financings,Capital Funding,Capital Fundings
D003237	Connecticut	State bounded on the north by Massachusetts, on the east by Rhode Island, on the south by Long Island Sound, and on the west by New York.
D003659	Decision Making, Organizational	The process by which decisions are made in an institution or other organization.	Organizational Decision Making
D006754	Hospital Restructuring	Reorganization of the hospital corporate structure.	Hospital Diversification,Hospital Reorganization,Diversification, Hospital,Reorganization, Hospital,Restructuring, Hospital,Hospital Reorganizations,Hospital Restructurings,Reorganizations, Hospital,Restructurings, Hospital