By NextBestFitPhase 5: Stabilize & govern · Step 5.5
Plan capacity regionally
Annual · Regional capital boardsDiscuss this step
How other countries handled this same piece of implementation, what happened, and what it means for this plan.
Side by side
| Country | Approach | Result | Lesson for this plan |
|---|---|---|---|
| This plan (U.S.) | Regional capital boards allocate the $168.2B-a-year capital budget toward the services with the longest waits, and publish 5-year capacity plans. | ||
| Germany | States (Länder) draw up hospital plans; capital funded by states, operations by sickness funds (dual financing). | States underfund capital; hospitals divert operating funds. | Capital budgets must be reliably funded. |
| Canada | Provinces approve and fund capital projects. | Fewer MRI and CT units per capita than the OECD average. | Central capital planning tends toward under-investment. |
Germany
- What they did
- States (Länder) draw up hospital plans; capital funded by states, operations by sickness funds (dual financing).
- What happened
- States underfund capital; hospitals divert operating funds.
- Lesson for this plan
- Capital budgets must be reliably funded.
Canada
- What they did
- Provinces approve and fund capital projects.
- What happened
- Fewer MRI and CT units per capita than the OECD average.
- Lesson for this plan
- Central capital planning tends toward under-investment.
More precedent
- Canadian provincial capital planning; German state (Länder) hospital plans.