Survey Results

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Generally speaking, how are resource allocation decisions that affect health care quality and safety made in your organization?
1. It depends on the resource. It may be either patient safety or clinician efficiency or cost. No one answer is correct.
2. safety and cost are equally considered
3. We have a balanced scorecard approach. Decisions must consider all three.
4. All of the above have at different times been the "primary" focus depending on the situation.
5. Prioritization and appropriate use of resources
6. Pretty good balance of the 3
7. critical safety issues first, minor quality balanced with cost
8. a combination of the above
9. with the three above consider3ed equally
10. all of the above, it is a balance
11. Profit as the primary focus
12. our 'Joint Resource Allocation Committee' has representatives that champion patient safety, physician needs, and finance
13. Determining what is the right thing to do in spite of competing interests
14. Core Measures
15. Good balance or the three.
16. see prior comment
17. national budget system of Dept of Veterans Affairs
18. Preservation of status quo
19. patient/guest visibility of the activity often determines status
20. do what is right
21. combo of above
22. priority is variable and involves all three without one being the driver
23. clinical quality outcomes
24. Some of each of the above
25. not sure
26. Both Clinical efficiency and patient safety - they cannot be seperated
27. All of the above
28. safety and quality and who it relates to accreditation
29. Our resource allocation decisions are driven by many factors.
30. combination of the above
31. Balance of cost and quality
32. Conbination of above foci, balancing patient safety with efficiency and cost
33. cost seems primary, but i haven't attended enough high level mtgs to be fully aware
34. Politics - I work for a State
35. a combination
36. By Gestault.
37. don't know
38. ALL ARE PART OF THE FORMULA
39. Multifactorial
40. all of the above
41. Very situational; case-ba-case.
42. A combination of all three.
43. No allocations affecting quality specifically
44. pateint care is the focus/ along with safe patient care
45. This too simple a question. all are issues in all orgs. the importance is keeping them in balance.
46. varying mix of above
47. Cost and pt safety are equal
48. Unknown
49. copying other children's hospital benchmarks seems to be a primary focus, whether or not the issue addressed is even a problem in our institution
50. funding methadology
51. All of the above are considerations
52. I'm no sure, just started in administrative rold
53. trying to balance all factors
54. A fair combination of all
55. Patient safety has a higher priority than in private healthcare organizations
56. Mixture of above
57. Quality is a primary focus
58. by adminstrative preference of CEO (despite clnical director's efforts)
59. Creative tension among all of the above.
60. I would the word effectivity as the primary focus .
61. patient quality care is primary
62. Cost and physician convenience
63. A combination of the above
64. Efficient allocation of resources to get the biggest saftey bang for the buck.
65. Clinician preference and convenience
66. By the CEO's whim
67. I think we are inconsistent and swing between all three.
68. usually a mixture
69. a blend of above
70. unknown
71. balance scorecard of quality, financial, and opatient, physician and employee satisfaction
72. Combination of the above
73. "cultural" factors are dominant
74. Safety, then quality allocations
75. Meeting Quality Measures as the Focus. Sometimes I think we treat quality standards--not patients.
76. Membership Growth
77. All three
78. none are considered
79. What is the best we can do with what we have
80. A balance.
81. Balance of above
82. I would say that all three are evaluated each time. The patient safety is the overarching dynamic and the effect on clinical efficiency and cost is evaluated
83. Squeaky Wheel
84. combination of above
85. combination
86. We say we focus on the patients but there is not budget or Quality Officer on staff
87. Mixture of 2 & 3
88. Combination of these and other variables.
89. not sure. Patient safety often mentionned but cost and hospital budgets appear to play a bigger role.
90. cannot really separate the three...they go hand in hand and one affects the other
91. safety, efficency+improved clinical outcomes+savings in the medicaid budget have to be balanced in our statewide program
92. a balance of the above
93. All three of the above, however patient safety is becoming the primary focus
94. mix of 1 and 3
95. PROFIT, not cost.
96. CFo desire to retain marigin for investiments, get left overs
97. with patient satisfaction as a primary focus
98. By who makes the loudest, most cogent argument for resource allocation
99. A balanced approch of above
100. Quality and safety are not optional
101. hospital risk management as the primary focus
102. no consistent primary focus
103. Seems to vary
104. combination aof above
105. quality
106. Value-based thinking
107. all of the above considered.
108. Balanced approach
109. I cannot say that any is the primary focus because all are considered.