Including that these unnecessary expenditures need to be realized, Trustees should review management's capital budget process to ensure there should not be internal control review of each items; not simply from the internal department but at Enterprise level preferably by a clinical/technical individual or group to provide that check and balance.
To lessen the likelihood of these unnecessary expenditures, trustees should ask management to review its capital budget process to ensure there is an internal control review of each item — not simply from the internal department but also at the enterprise level — preferably by a clinical/technical individual or group to provide that check and balance.