Hostname: page-component-76fb5796d-9pm4c Total loading time: 0 Render date: 2024-04-25T17:29:47.283Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  10 March 2009

Cheryl B. Stetler ,
John Fagan ,
Monica Hanson ,
John Biancamano  and
Stephen Curry
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
Get access Rights & Permissions [Opens in a new window]

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
Information
International Journal of Technology Assessment in Health Care , Volume 10 , Issue 2 , Spring 1994 , pp. 227 - 234
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Charns, M., & Tewksbury, L.Collaborative management in health care: Implementing the integrative organization. San Francisco, CA: Jossey-Bass Publishers, 1993.Google Scholar
2.National Program Office. Strengthening hospital nursing: A program to improve patient care. St. Petersburg, FL: National Program Office, 1992.Google Scholar
3.Reeder, S. Collegial staff relations and assertiveness in nurses: Do they make any difference in patient care? In Chaska, N. (ed.), The profession of nursing, a time to speak. New York, NY: McGraw Hill, 1983, 500–14.Google Scholar