Prospective observational study on clinician-led management reform in an acute care hospital: Construction and evaluation of a cross-functional governance model led by the Business Planning and Strategy Office

Prospective observational study on clinician-led management reform in an acute care hospital: Construction and evaluation of a cross-functional governance model led by the Business Planning and Strategy Office - Project R (Governance): Clinician-led cross-functional hospital management reform

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

JPRN

Registry ID

JPRN-UMIN000060726

Enrollment

Registered

2026-02-21

Start date

2026-02-19

Completion date

Unknown

Last updated

2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hospital management, Organizational governance, Acute care delivery system

Interventions

None listed

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Management projects deliberated or decided upon in the strategy meetings of the Business Planning and Strategy Office Budget and financial closing data of all departments and management statistical records Minutes of strategy meetings and records of associated decision-making processes

Exclusion criteria

Exclusion criteria: Daily routine administrative tasks not directly related to management reform Other records deemed inappropriate for this study by the principal investigator

Design outcomes

Primary

Measure	Time frame
Acceleration of the decision-making process (Changes in the duration from the start of deliberation to consensus building and commencement of implementation)	—

Secondary

Measure	Time frame
1. Implementation rate of key projects deliberated by the Business Planning and Strategy Office 2. Results of interventions in "sacred cow" areas (e.g., physician allocation, high-cost medical materials) and their economic impact 3. Qualitative evaluation of frontline consensus and acceptance (analysis of hearing records and interviews) 4. Trends in key performance indicators (e.g., bed occupancy rate, referral rate, and operating income)	—

Measure

Time frame

1. Implementation rate of key projects deliberated by the Business Planning and Strategy Office 2. Results of interventions in "sacred cow" areas (e.g., physician allocation, high-cost medical materials) and their economic impact 3. Qualitative evaluation of frontline consensus and acceptance (analysis of hearing records and interviews) 4. Trends in key performance indicators (e.g., bed occupancy rate, referral rate, and operating income)

—

Countries

Japan

Contacts

Public ContactTakehiro Izumo

Japanese Red Cross Medical Center Department of Respiratory Medicine and Business Planning and Strategy Office

izumo_takehiro@med.jrc.or.jp03-3400-1311

Outcome results