ABSTRACT
Mapear, descrever e validar o processo de auditoria e faturamento de contas e recursos de glosas em um hospital geral, de grande porte, privado, foi o objetivo deste estudo. Pesquisa exploratória, descritiva, do tipo estudo de caso. Foram realizados momentos de observação não participante nos Setores de Auditoria Interna e de Recurso de Glosas do hospital visando o mapeamento dos processos objeto de estudo. Os dados obtidos foram validados por especialistas da área de auditoria de contas hospitalares, internos e externos ao hospital. Os processos, descritos e ilustrados na forma de três Fluxogramas, favorecem aos profissionais racionalizar as atividades e o tempo despendido no faturamento hospitalar evitando/minimizando a ocorrência de falhas e gerando resultados financeiros mais eficazes. O mapeamento, a descrição e a validação dos processos de auditoria e faturamento e recurso de glosas propiciaram maior visibilidade e legitimidade às ações desenvolvidas pelos enfermeiros auditores.
Our study aimed to map, describe and, validate the audit, account billing and billing reports processes in a large, private general hospital. An exploratory, descriptive, case report study. We conducted non-participatory observation moments in Internal Audit Sectors and Billing Reports from the hospital, aiming to map the processes which were the study objects. The data obtained was validated by internal and external audit specialists in hospital bills. The described and illustrated processes in three flow-charts favor professionals to rationalize their activities and the time spent in hospital billing, avoiding or minimizing the occurrence of flaws and, generating more effective financial results. The mapping, the description and the audit validation process and billing and, the billing reports propitiated more visibility and legitimacy to actions developed by auditor nurses.
Subject(s)
Income/policies , Financial Management, Hospital/economics , Nursing Audit/economics , DocumentationABSTRACT
With the development of new technologies and drugs, health care is becoming increasingly complex and expensive. Governments and health care providers around the world devote a large proportion of their budgets to maintaining quality of care. During 2007, Critical Care published several papers that highlight important aspects of critical care management, which can be subdivided into structure, processes and outcomes, including costs. Great emphasis was given to quality of life after intensive care unit stay, especially the impact of post-traumatic stress disorder. Significant attention was also given to staffing level, optimization of intensive care unit capacity, and drug cost-effectiveness, particularly that of recombinant human activated protein C. Managing costs and providing high-quality care simultaneously are emerging challenges that we must understand and meet.
Subject(s)
Critical Care/organization & administration , Intensive Care Units/organization & administration , Cost Control/economics , Cost Control/methods , Cost Control/organization & administration , Critical Care/economics , Critical Care/methods , Financial Management, Hospital/economics , Financial Management, Hospital/methods , Financial Management, Hospital/organization & administration , Humans , Intensive Care Units/economicsABSTRACT
Contribui na resoluçäo do problema das despesas e da gestäo dos custos em saúde. Oferece elementos ainda näo existentes em manuais sobre o assunto. Explica a teoria e oferece exemplos práticos para que se alcance um modelo gerencial sob a ótica do equilíbrio e da saúde financeira das instituiçöes. Traz exercícios e "cases" práticos para a consolidaçäo dos conhecimentos.
Subject(s)
Financial Management, Hospital/economics , Health Care Economics and Organizations , Hospital Costs , Accounting , Costs and Cost Analysis , Drug Price , Economic Indexes , Economics , Economics, Hospital , Fees and Charges , Health Services/economicsABSTRACT
La existencia de sistemas de informacion integrales para los hospitales es una preocupacion constante para quienes deben tomar deciciones en forma oportuna. Este trabajo traduce la necesidad de desarrollar un sistema de informacion que cubra todos los elementos y actividades de un hospital como herramienta básica para una mejora continua de la calidad de la atención médica y como medio de contencion de costos.(au)
Subject(s)
Financial Management, Hospital/economics , Financial Management, Hospital/statistics & numerical data , Financial Management, Hospital/methods , Financial Management, Hospital/standards , Patient Care Planning/standards , Hospital Information Systems/standards , Hospital Information Systems/organization & administration , Information Systems/instrumentation , Information Systems/standardsABSTRACT
When the board of a California community hospital found that it had drastically miscalculated its earnings for 1998 and was actually in the red, trustees knew they had to act fast. Resisting the "cut and slash" advice of a turnaround specialist, the board chose to "reinvent" its management structure. That's how it could maintain its community health mission and still end up in the black.
Subject(s)
Financial Management, Hospital/economics , Governing Board , Hospital Restructuring/economics , Hospitals, Community/economics , Hospitals, Community/organization & administration , California , Chief Executive Officers, Hospital , Community-Institutional Relations , Decision Making, Organizational , Hospital Bed Capacity, 100 to 299 , Humans , Institutional Management Teams , Leadership , Organizational InnovationABSTRACT
This paper discusses some of the concepts and methodologies frequently used in sensitivity analyses in the evaluation of investment programs. In addition, a concrete example is presented: a hospital investment in which four indicators were used to design different scenarios and their impact on investment costs. This paper emphasizes the importance of this type of analysis in the field of management of health services, and more specifically in the formulation of investment programs.
Subject(s)
Health Resources/economics , Investments/economics , Cost-Benefit Analysis , Decision Support Techniques , Financial Management, Hospital/economics , Hospital Bed Capacity/economics , Hospital Planning/economics , Risk Assessment , Sensitivity and SpecificityABSTRACT
Clausulas contractuales. Incumplimiento del vendedor. Alternativas de financiación: compras al contado, leasings, alquileres. Tasa de interes. Análisis de valor para maximizar la efectividad, eficiencia y eficacia del equipo analizado
Subject(s)
Cost-Benefit Analysis/methods , Technology Assessment, Biomedical/methods , Costs and Cost Analysis/methods , Equipment and Supplies , Equipment and Supplies, Hospital/supply & distribution , Material Resources in Health , Technology, High-Cost , Decision Making, Organizational , Financial Management, Hospital/economics , Financial Management, Hospital/methods , Financial Management, Hospital/standards , Technology Assessment, Biomedical/economics , Effectiveness , Equipment and Supplies, Hospital/economics , Equipment and Supplies, Hospital/standards , Form/standards , Biomedical Technology/economics , Technology, High-Cost/economicsABSTRACT
Clausulas contractuales. Incumplimiento del vendedor. Alternativas de financiación: compras al contado, leasings, alquileres. Tasa de interes. Análisis de valor para maximizar la efectividad, eficiencia y eficacia del equipo analizado