Many health facilities managers would like to be more successful in obtaining depreciation dollars to fund maintenance and infrastructure capital renewal adequately. Gaining access to depreciation funding often involves being more successful at selling the maintenance mission and requires a multifaceted approach.

The rules of engagement include such disparate approaches as communicating with budget committees and chief financial officers (CFOs) while employing the terminology they use for other hospital initiatives, wise use of empirical information to communicate salient facts regarding the hospital infrastructure, making sure to shift the risk of non-funding to those who make funding decisions, and fitting budget requests into the strategic big picture.

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