Table 3.

Strategies for improvement

Increase transparency and accountability	• Make the decision making process more transparent and accountable to internal and external stakeholders
Create explicit process	• Align process with organizational context and account for politics
	• Clearly communicate vision of the process to all stakeholders
	• Define goals, outcomes, and benchmarks for success incorporating the Strategic Plan
Initiate cultural change	• Create time-sensitive, evidence-driven process
	• Apply the process in a consistent manner
	• Provide education to create a culture of explicit priority setting
Increase stakeholder involvement	• Include public opinion at a general level and provide management training for physicians
Enhance fairness	• Create explicit appeals process for priority setting decisions