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Hospital Management Policy And The Quality Of Healthcare

Hospital Management Policy And The Quality Of Healthcare. Its Evolution and Its Intimate Relationship. Introdução à Medicina 2008/2009. Authors. Ana Cristina Pereira Ana Rita Oliveira André Vinha Eduardo Freitas João Rebelo Mariana Oliveira Nuno Ribeiro Marli Cruz Vitoriano Costa.

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Hospital Management Policy And The Quality Of Healthcare

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  1. Hospital Management Policy And The Quality Of Healthcare Its Evolution and Its Intimate Relationship Introdução à Medicina 2008/2009 Authors Ana Cristina Pereira Ana Rita Oliveira André Vinha Eduardo Freitas João Rebelo Mariana Oliveira Nuno Ribeiro Marli Cruz Vitoriano Costa

  2. Quality Of Healthcare Performance measuring Indicators The indicators are the source of information to evaluate the performance of a hospital. • Examples • Mortality • Number of misdiagnosis • Surgical complications • Postponed surgeries

  3. Use Of Indicators Management policy Indicators Quality of healthcare Introdução à Medicina - Turma 10

  4. Research Questions Variations of the values of the indicators Contemporary management decisions Contemporary outcomes What is the relationship between management decisions and quality of healthcare? How can we use it to improve the performance of the providers? In what way do the indicators serve as links between these two concepts? Introdução à Medicina - Turma 10

  5. General Objectives • Subject of study: Hospital de S. João • Period of time: 17 years (since 1990) By studying the variations of the indicators, we will be able to predict the outcomes of the decisions. Managing costs and decisions. Introdução à Medicina - Turma 10

  6. Specific Objectives • Study the evolution of some indicators; • Establish relationships between the variations eventually found in some indicators; • Try to find justification for some of the non-expected values • Try to conclude about the evolution of indicators in the near future; • Reflect about the contribution of each indicator to the heathcare improvement; Introdução à Medicina - Turma 10

  7. How can we study all the data? • Advantages: • Rationalize money; • Uniform groups; • Integration of “exceptional” patients. • The DRG’s are a patient’s classification system based on their similar characteristics. Introdução à Medicina - Turma 10

  8. How can we study all the data? • Disadvantages: • There isn´t a methodical/systematic information about patients; • unfair hospital financing; • number of hospitals doesn’t have analytic accounting; • Many times it doesn’t reflect the hospitals’ reality. Introdução à Medicina - Turma 10

  9. References • Bentes, Margarida; Berardo, Ana; Matias, Alberto: “XVII Congresso da União Europeia de Gestores Hospitalares”, 1999 • Nawal LutfiyyaM, Bhat DK, Gandi SR, Nguyen C, Weidenbachen.Hoper VL, Lipsky MS; “A comparison of quality of care indicators in urban acute care hospitals and rural critical access hospitals in the United States”, 2007 • Nuno Ribeiro, “Indicadores de Gestão para Administração Pública”, 2000 • Carlos Dias, Mário Freitas, Teodoro Briz, “Indicadores de Saúde: uma visão de saúde pública, com interesse em Medicina Geral e Particular”, 2007 • Freeman T., “Using performance indicators to improve health care quality in the public sector”, 2002 Introdução à Medicina - Turma 10

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