small HCO 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. It can “affiliate,” arranging for training, procedures, and supervision through its system.
What’s the best solution?
How should the HCO decide what to do?
Who should be involved in the decision?
What should the system senior management do to support the best solutions for all the system HCOs?