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Table 9 Additional systematic methods to facilitate identification of disinvestment opportunities in a local health service

From: Sustainability in Health care by Allocating Resources Effectively (SHARE) 10: operationalising disinvestment in a conceptual framework for resource allocation

â–ª Discuss principles of disinvestment and examples of successful projects at department/unit meetings, educational events, etc.

â–ª Assign a group member to look for disinvestment opportunities in committee/working party decisions

▪ Add a disinvestment question to the ‘Leadership Walkround’ protocol

â–ª Identify clinical champions interested in disinvestment in each program/department/unit who would look out for opportunities

â–ª Support staff who have undertaken a disinvestment project to look for more opportunities

â–ª Have disinvestment as a high priority in medication safety reviews

â–ª Encourage or require projects that are introducing something new to have a component of disinvestment

â–ª Review projects that are being conducted for other reasons and identify and focus on any disinvestment elements