Case Mix Management Education in a Canadian Hospital

Abstract

French

The Sunnybrook Health Science Centre's matrix organization model includes a traditional departmental structure, a strategic program-based structure and a case management-based structure — the Clinical Unit structure.

The Clinical Unit structure allows the centre to give responsibility for the management of case mix and volume to decentralized Clinical Unit teams, each of which manages its own budget.

To train physicians and nurses in their respective roles of Medical Unit directors and Nursing Unit directors, Sunnybrook designed unique short courses on financial management and budgeting, and case-costing and case mix management. This paper discusses how these courses were organized, details their contents and explains how they fit into Sunnybrook's program of decentralized management.

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References

Ellis

P.H.

and Gaskin

P.M.

Summer 1988. Sunnybrook's matrix organizational model — moving ahead. Health Care Management Forum 1(2): 12–15.

Ellis

P.H.

and Moffat

M.R.K.

April 1989. Clinical unit management: The role of the physician manager. Health Services Management 85(2): 82–84.

Proceedings of a Symposium on Organizational Models for Involving the Physician in Management, Sunnybrook Medical Centre, Toronto, Ontario, April 27–29, 1980, unpublished.

EKS Enterprises Inc. 1989. Sunnybrook Medical Centre: Financial Management and Budgeting.

Brockhaus

J.P.D.

Woods

, and Brockhaus

R.H.

Sr. October 1981. Structured experiential learning exercises: A facilitation to more effective learning in clinical settings. Journal of Psychosocial Nursing and Mental Health Services 19(10): 27–32.

Bailey

C.L.

July 20, 1983. Experiential learning and the curriculum. Nursing Times: 45–46.

Sunnybrook Health Science Centre. 1990. Case Costing and Case Mix Management: Education Session.