Table 1 Structure and practice elements of components of organisational decision-making for resource allocation
COMPONENTS | STRUCTURE (Who, What) | PRACTICE (How) |
|---|---|---|
1. Governance | â–ª Overseers â–ª Policies for decision-making â–ª Transparency and accountability in all structures â–ª Requirements for addressing conflict of interesta â–ª Requirements for monitoring, evaluation and improvement of systems and processes b â–ª Requirements for reporting | â–ª Oversight â–ª Procedures, guidelines, protocols for decision-making â–ª Transparency and accountability in all practices â–ª Methods of addressing conflict of interest â–ª Methods of monitoring, evaluation and improvement of systems and processes â–ª Methods of reporting |
2. Administration | â–ª Administrators â–ª Requirements for administration â–ª Relationships and coordination â–ª Communication | â–ª Methods of administration, coordination, communication and collaboration |
3. Stakeholder engagement | â–ª Clinicians, Managers, Consumers, Technical experts, Funders, other relevant parties â–ª Requirements for stakeholder engagement | â–ª Methods of identification, recruitment and engagement |
4. Resources | â–ª Funding sources â–ª Allocation of staff â–ª Access to experts or ways to gain expertise â–ª Information sources â–ª Requirements for resources | â–ª Provision of appropriate and adequate funding, time, skills/training, information â–ª Utilisation of resources |
5. Decision-making | ▪ Decision-makers  − Clinicians  − Authorised individuals  − Authorised groups ▪ Scope of decisions ▪ Type of decisions ▪ Requirements for decision-making | ▪ Methods of decision-making  − Identification of need/application  − Decision criteria  − Ascertainment and use of evidence  − Reminders and prompts to consider disinvestment  − Deliberative process  − Documentation and dissemination |
6. Implementation | â–ª Purchasers â–ª Requirements for purchasing | â–ª Methods of purchasing |
â–ª Policy and guidance developers â–ª Requirements for policies and guidance documents | â–ª Methods of policy and guidance development | |
â–ª Implementers â–ª Requirements for implementation | â–ª Methods of project management â–ª Methods of change management | |
7. Evaluation | â–ª Evaluators â–ª Requirements for evaluation â–ª Type and source of data collected | â–ª Methods of evaluation |
8. (Reinvestment) | â–ª Requirements for reinvestment/reallocation | â–ª Methods of reinvestment/reallocation |