What helped them initially grow becomes locked-in by behavioral norms, structural decision-making processes and a cost structure that may be tweaked, but rarely changed.
Second, the essence of public health decision-making involves complex tradeoffs and cost-benefit calculations.
It would cost very little to introduce decision-making opportunities and empower residents to 'own' their home, but it requires a fundamental rethinking of how homes are managed and how staff discharge their duties, it says.
BBC: Charity calls for 'democratic revolution' in care homes
It was he who coined the procurement mantra FIST (Fast, Inexpensive, Simple and Tiny) to "describe a particular pattern of decision making in procurement that aims to support rapid, low cost innovation".
Defined contribution retirement plans, in addition to shifting responsibility for investment decision-making onto workers, almost always force workers into higher cost, poorer performing retail oriented investment options.
FORBES: A Nation on the Precipice: Our Failed Retirement System (October 12, 2007)
Leeds enjoyed twice as much possession as their visitors but their poor decision making in attack and consistent loss of possession to turn-overs cost them dearly.
We will make Pfizer more efficient and cost-effective, and reduce organizational layers to speed decision making.
Under cross examination by Paul Gilroy QC, representing claimants from the Police Superintendents' Association, he admitted cost was a "significant part" of the decision-making process.
It would cost that just to have the infrastructure capable of making the decision.
And the consequent decision-making flaws included inadequate contingency planning, insufficient information search and biased assessments of risk, cost-benefits and moral implications.
Cost cutting, shrinking profit margins and a slow economy have influenced a lot of bad decision making.
It distorts economic decision making: Hard assets, such as oil, gold and land, may look awfully good when the cost of living is rising more than 10% a year--which is what happened in the 1970s and early 1980s.
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