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A small hospital in a well-managed healthcare system can consider three ways to obtain a CSS. It can "stand alone," hiring its own professionals. It can "outsource," buying service from a local provider that would otherwise be a competitor. It can "affiliate," arranging for training, procedures, and supervision through its system or one of its larger affiliates.
How should the HOC decide what to do?
Who should be involved in the decision and why?
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