Table 1

Measures undertaken to implement the organisational strategy

Measure	Content
New organisational and leadership structure	Fewer and larger units Grouping of departments in divisions Merger of departments and bed wards Conversion of bed wards to day units Strengthen the role of line leaders Recruit clinical staff as heads of divisions Multidisciplinary leadership teams Clarify the service role of economy and human resources staff Leadership across geographical locations Improve involvement of patient–organisations and unions
New business management system	Formal performance agreement contracts with leaders on all organisational levels Establishment of key performance indicators Electronic leadership information system
Improve clinical quality and make better prioritisations	Focus on patients’ outcomes Establish clinical quality registries Strengthen clinical research Establish new staff unit for research support
Patient pathways and integrated care	Lean work process redesign programme Strengthen collaboration with municipal primary care