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DIPLOMADO EN GESTIÓN Y DIRECCIÓN DE SERVICIOS DE SALUD GESTIÓN DE SERVICIOS DE SALUD Administración de Procesos Productivos Sanitarios Lic. Cristina Fevola 2014

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Gestion en Salud

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DIPLOMADO EN GESTIN Y DIRECCIN DE SERVICIOS DE SALUD GESTIN DE SERVICIOS DE SALUD Administracin de Procesos Prodcti!os Sanitarios Lic" Cristina #e!o$a %&'( Pgina 2 de 66 Administracin de Procesos Productivos Sanitarios Lic. Cristina Fevola )NDICE UNIDAD 1 TEORA Y ESTRUCTURA DE LAS ORGANIZACIONES...................................4 1.1.ORGANIZACIN: VISIN SISTMICA ................................................................5 Qu e u!" #$%"!&'"(&)!* ...............................................................................5 Qu e u! &+e,"* .......................................................................................- 1...QU SIGNI/ICA GESTIONAR: MACRO0 MESO Y MACROGESTIN...........................- Ge+&)! "!&+"$&" e! u +$e !&1e2e: M"($#0 ,e# 3 ,&($#%e+&)! ........................- 1.4.5LANI/ICACIN ESTRATGICA .........................................................................6 1.4.CICLO 5DCA...................................................................................................6 1.5.EL 7OS5ITAL COMO ORGANIZACIN: M&&)!0 V&&)!0 V"2#$e0 5#28+&(" O$%"!&'"(!"2....................................................................................................................9 1.-.O:;ETIVOS < METAS .....................................................................................1= 1.6.DIAGNSTICO: AN>LISIS ORGANIZACIONAL ? MATRIZ /ODA ............................ 11 1.9.ESTRUCTURA ? ORGANIGRAMA < DE/INICION DE 5UESTOS............................... 14 [email protected] DE TRA:A;O0 EQUI5OS E/ICIENTES0 COMITS .................................... 15 G$uA# Be +$"C"D#: ......................................................................................... 15 EEu&A# Be +$"C"D#: ........................................................................................ 15 C#,&+:...................................................................................................... 1- 1.1=. LIDERAZGO ? ALINEAMIENTO ESTRATGICO.................................................... 16 1.11. CULTURA ORGANIZACIONAL .......................................................................... 19 1.1.. E2 F#A&+"2 (#,# e,A$e": A$#Bu((&)! Be e$1&( A$#Bu(+# F#A&+"2"$ ......... 1@ UNIDAD . EN/OQUE AL CLIENTE ......................................................................... .. ..1.QU ES UN CLIENTE* ................................................................................ .4 C2&e!+e eG+e$!# ............................................................................................. .4 C2&e!+e &!+e$!#.............................................................................................. .4 5"$+e &!+e$e"B" H+"IeF#2Be$J.........................................................................4 ....NECESIDADES Y EK5ECTATIVAS DE LOS CLIENTES ........................................ .4 ReEu&&+# .................................................................................................... .5 D&,e!!e Be 2" C"2&B"B.............................................................................. .- S"+&L"((&)! Be2 (2&e!+e................................................................................... .- ..4.GESTIN DE 5ACIENTES ............................................................................. .6 ..4.7ERRAMIENTAS 5ARA LA IDENTI/ICACIN DE LAS NECESIDADES Y EK5ECTATIVAS DE LOS USUARIOS.................................................................. .6 ..5.MEDIDA DE SATIS/ACCIN DEL CLIENTE...................................................... .@ I!+$u,e!+# ,M (#,u!e ........................................................................... .@ E!(ue+" Be "+&L"((&)!............................................................................... 4= UNIDAD 4 GESTIN 5OR 5ROCESOS.................................................................... 45 4.1.EL MODELO DE NGESTIN 5OR 5ROCESOSO................................................... 4- 5$#(e#4- A2%u!" B&Le$e!(&" e!+$e ,#Be2# Be %e+&)! A#$ A$#(e# 3 A#$ Lu!(!e.......... 46 C),# $e(#!#(e$ u! A$#(e# ........................................................................... 49 C),# e B#(u,e!+" u! A$#(e#...................................................................... 49 T&A# Be 5$#(e# ......................................................................................... 4@ O+$# (#!(eA+# CM&(#................................................................................. 4= 4...VENTA;AS DE LA GESTIN 5OR 5ROCESOS................................................... 41 4.4.RIESGOS Y DI/ICULTADES DE LA GESTIN 5OR 5ROCESOS............................ 4. Pgina 3 de 66 Administracin de Procesos Productivos Sanitarios Lic. Cristina Fevola 4.4.QU 5ROCESOS GESTIONAR CON ESTE MODELO ........................................... 4. 4.5.MA5A DE 5ROCESOS................................................................................... 44 4.-.MATRIZ DE INTERRELACIN O INTERACCIN DE 5ROCESOS ....................... 4- 4.6.5ROCEDIMIENTOS................................................................................... 46 D&"%$"," Be /2uD# ....................................................................................... 46 Re%2" A"$" 2" ($e"(&)! Be D&"%$"," Be /2uD#.................................................. 49 S&,C#2#%8" uu"2........................................................................................... 49 4.9.SEGUIMIENTO0 MEDICIN Y ME;ORA DE LOS 5ROCESOS................................ 51 I!B&("B#$e .................................................................................................. 51 T&A# Be &!B&("B#$e...................................................................................... 5. DeL&!&(&)! Be u! &!B&("B#$ .............................................................................. 5. UNIDAD 4 ME;ORA CONTINUA............................................................................. 54 4.1.EL 5RINCI5IO DE ME;ORA CONTINUA ........................................................... 54 4...IDENTI/ICACIN Y GESTIN DE DESVOS 5ARA LA ME;ORA CONTINUA ........... 55 /ue!+e Be Be+e((&)! Be !# (#!L#$,&B"Be....................................................... 55 N# (#!L#$,&B"Be ......................................................................................... 5- A((!e (#$$e(+&1" 3 A$e1e!+&1" .................................................................. 5- 4.4.TRAMIENTO DE DESVOS HNO CON/ORMIDADESJ .......................................... 5- A((!e (#$$e(+&1" ...................................................................................... 56 A((!e A$e1e!+&1" < A((!e Be ,eD#$" ...................................................... 59 4.4.7ERRAMIENTAS 5ARA LA IDENTI/ICACIN Y AN>LISIS DE CAUSAS DE NO CON/ORMIDADES .........................................................................................5@ L2u1&" Be IBe" H:$"&!+#$,&!%J ...................................................................... 5@ Mu2+&1#+"(&)!................................................................................................ -= C&!(# NA#$ EuO H/&1e PF3J..........................................................................-1 D&"%$"," Be C"u" < ELe(+# # D&"%$"," Be EA&!" Be 5e("B# HIF&I"P"J........... -1 D&"%$"," Be 5"$e+#....................................................................................... -4 7&+#%$","................................................................................................. -5 Pgina 4 de 66 Administracin de Procesos Productivos Sanitarios Lic. Cristina Fevola UNIDAD ' TEOR)A Y ESTRUCTURA DE LAS ORGANI*ACIONES Pgina 5 de 66 Administracin de Procesos Productivos Sanitarios Lic. Cristina Fevola 1.1. ORGANI*ACIN+ VISIN SIST,MICA -./ es na or0ani1acin2 NEu!""#(&"(&)!Be2&Ce$"B"BeAe$#!"A"$"(u,A2&$Be+e$,&!"B"L&!"2&B"B.O HR#CC&!0 S+eAFe!J L" #$%"!&'"(&)! e u! (#!Du!+# Be B# # ,M Ae$#!" Eue e $eQ!e! A"$" $e"2&'"$ e! (#2"C#$"(&)!0(##$B&!"B"3&+e,M+&(",e!+e02""((!e(#!&Be$"B"!e(e"$&"A"$" e2 2#%$# Be u! L&!. Se%Q!5"$#!:N5"$e(e"A$#A&"B#BeL&!&$u!"#$%"!&'"(&)!(#,#u!&+e,"?#C1&",e!+e #(&"2? 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4 A. E2&"e!0 3 ;"!0 T##&,"! H1@96J: M"!"%&!% 5uC2&( O$%"!&'"+!0 SAGE 5uC2&("+!0 L#!B$e Pgina ! de 66 Administracin de Procesos Productivos Sanitarios Lic. Cristina Fevola E+",e+#B#2#%8"(#!+"Be(u"+$#L"e0(u3"L&!"2&B"Be(#!e%u&$Eueu!" #$%"!&'"(&)!"A2&Eue2",eD#$"BeL#$,"(#!+&!u"0&!($e,e!+"B#2"("2&B"B32" A$#Bu(+&1&B"B. L" (u"+$# L"e #!: H52"!0 D#0 CFe(I0 A(+J HA2"!&L&("$0 F"(e$0 1e$&L&("$ 3 "(+u"$J 1.?PlanHA2"!&L&("$J.IBe!+&L&("$e!Eu&+u"(&)!!#e!(#!+$",#3"B)!BeeEu&e$e 22e%"$0A"$"e22#e$e(#,&e!B":"J2"&Be!+&L&("(&)!Be2#A#&C2e+e,"0e2e((!"$e2 +e," 3 BeL&!&$ 2# #CDe+&1#S CJ #Ce$1"$ 3 B#(u,e!+"$ 2" &+u"(&)! "(+u"2 (#! 2" $e(#%&B" Be B"+#S (J "!"2&'"$ 2" &+u"(&)! e! Eue !# e!(#!+$",# (#! e2 "!M2&& Be 2# B"+#0 3 BJ Be+e$,&!"$ 2" A#&C2e ("u"...? Do HF"(e$J. AA2&("$ e2 ,#Be2# +e)$&(#0 BeL&!&e!B# 2# ,eB Eue e F"! Be u+&2&'"$ 3 2" L#$," Be $e"2&'"(&)!0 A"$" 2# (u"2 e$M Lu!B",e!+"2 2" L#$,"(&)! Be2 Ae$#!"2 Eue 2# 1" " "A2&("$.4.? Chek H1e$&L&("$J. 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