Table 1

Context Hospital A

Hospital A
Context
  • Dutch top-clinical hospital

  • 500 beds, 6,300 staff members

  • CBUs incrementally implemented per medical condition or patient group over time, since 2019

Key features CBUs
  • Main responsibility: CBU is responsible for the delivery of care and the improvement of the quality and costs of the care (process) for a specific medical condition or patient group

  • Leadership: Led by a medical, nursing and operational leader

  • Team composition: All healthcare professionals involved in care for a specific medical condition, including physicians, nurses, allied health professionals, administrative staff; team size varies by condition

  • Support: Supported by data analysts, specialists in electronic health record systems and a VBHC advisor

Key features functional hospital structure
  • The hospital is organized into 13 centers (8 care delivery centers and 3 support centers), each structured around a specific function or medical domain. Centers are led by dual leadership: a medical manager and an operational manager, accountable to the Executive Board

  • Each center consists of multiple functional departments that provide care across various medical conditions. These departments are led by functional managers and are responsible for operations management, productivity and quality policy

  • CBUs are formally embedded within the care delivery centers and report to the dual management of these centers

Source(s): Authors’ own work

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