Case Mix Management Education in a Canadian Hospital

Abstract

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.

Re-Engineering of Health Care: Opportunity or Threat for Occupational Therapists?

“…However, he states that it soon became apparent that you still needed the neurosurgeon who was an expert at tying the right knot if you wanted to succeed in the field of neurosurgery. For instance, the Sunnybrook Hospital in Toronto, Ontario has combined facets of different models in an attempt to maximize the benefits of each (Moffat & Prociw, 1992). There is no distinct department for each discipline (Van Pelt, 1985;Baker, 1993).…”