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Development of the Neurological Institute: a strategic, improvement, and systems approach
  1. Nancy Tinsley,
  2. Leigh Ann McCartney,
  3. Alia Hdeib,
  4. Warren R Selman
  1. The Neurological Institute, University Hospitals Case Medical Center, Cleveland, Ohio, USA
  1. Correspondence to Nancy Tinsley, The Neurological Institute, University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, Ohio, 44106, USA; nancy.tinsley1{at}


The Neurological Institute at University Hospitals Case Medical Center is designed to be responsive to the ever-changing healthcare environment, aligning clinical services and goals in response to internal and external pressures for change. These goals are many, including the further development of system integration across disciplines and geographic locations, creation of a regional strategy, and research as well as education strategies that are aligned with clinical services, patient outcomes that demonstrate improved health status management, and improved financial strength. There are many details to the development of a strategic business unit such as the Neurological Institute, but this article focuses on the high-level strategies of developing the Neurological Institute and takes a closer look at the growth of one of its 16 centers of excellence.

  • Healthcare
  • strategic planning
  • interdisciplinary
  • best practices
  • leadership
  • standards

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  • Competing interests None.

  • Provenance and peer review Commissioned; internally peer reviewed.