Table 2

Context Hospital B

Hospital B
Context
  • Dutch University Medical Center

  • 1065 beds, 12,700 staff members

  • CBUs incrementally implemented per medical condition or patient group over time, since 2022

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 either by a medical or a nurse leader alone, or in collaboration with a medical and a nurse leader

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

  • Support: Supported by a decentralized development team, including specialists in electronic health record systems and project support staff

Key features functional hospital structure
  • The hospital has 41 medical departments, each led by a functional manager and accountable to the Executive Board. These departments focus on care quality and professional development. During the study period, they were also responsible for care delivery and budgeting

  • There are 11 centers organized around medical domains (e.g. oncology, pelvic care, trauma). These centers house the CBUs and are designed to bring together all professionals involved in the care for a specific medical condition (medical specialists, nurses and support staff) to promote integrated, collaborative care. Each center is led by a medical, nursing and operational leader

Source(s): Authors’ own work

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