Cripe and Caplan say it has been Tenet's practice over the years to deny knowledge by management of allegations of wrongdoing by hospital doctors and staff.

CNN: New Orleans hospital operator has checkered past

The need for more money should be preceded by understanding the need for better management and strategy, improved knowledge about customers and outcomes, and other aspects of the operations of an agency or a charity.

FORBES: Like Humans Need Oxygen, Bureaucrats Always Need More Money

This then leads to the need for better knowledge and knowledge lifecycle management, very often ignoring the situation as driven by the original creators.

FORBES: Shifting The Imperative From Knowledge Management To Expertise Management