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Challenges with ROI for healthcare organization

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What challenges would a healthcare organization face when attempting to a calculate a true ROI, besides being understaffed?

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Brief but clear answers of 120 words plus a reference on the challenges with ROI for healthcare organization.

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Return on investment presumes that maximizing owners' return on investment is the central goal. And with for-profit businesses, profits for owners are the final measure of effectiveness. But, for healthcare, patient outcomes are often a competing measure of performance. ...

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