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Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department

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Reynaldo Joson

Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department UP CPH HA202 August 15, 2020

Healthcare
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Systems Thinking in Healthcare Facilities HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg August 15, 2020
Learning Objectives / Contents: As a hospital director or as a hospital director-to-be, 1) how to manage a hospital effective and efficiently - systematically and using systems approach or perspective and systems thinking; 2) importance of the ROJoson's Department Design and Development Framework; HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Learning Objectives / Contents: As a hospital director or as a hospital director-to-be, 3) how to use the ROJoson's Department Design and Development Framework; 4) principles and processes (basic requirements) in each of the elements (or boxes) in the ROJoson's Department Design and Development Framework; HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Learning Objectives / Contents: As a hospital director or as a hospital director-to-be, 5) importance of alignment and integration of all the boxes in the ROJoson's Department Design and Development Framework; and 6) common challenges encountered in the governance of departments together with their suggested strategic solutions. HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
TITLES Systematic Approach to Hospital Operations Systems Approach to Hospital Operations Systems Thinking Framework on Overall Hospital Management HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Systems Thinking Framework on Overall Hospital Management HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
HOSPITAL • Is made up of many different departments and services. • As hospital managers, we must know how to manage it • effectively and efficiently. • Systematically. • As a system using systems-approach and system- thinking.
HOSPITAL • Is made up of many different departments and services. • As hospital managers, we must know how to manage it • effectively and efficiently. • Systematically. Systematic = having a methodical (structured, organized) plan or procedure
HOSPITAL • Is made up of many different departments and services. • As hospital managers, we must know how to manage it • effectively and efficiently. • As a system using systems approach and systems thinking. (Look at the hospital as a system.)
HOSPITAL as a SYSTEM System A system is a set of interrelated but separate parts working towards a common purpose. The arrangement must be orderly and there must be proper communication facilitating interaction between the elements and finally this interaction should lead to achieve a common goal.
HOSPITAL as a SYSTEM Systems Approach Systems approach to management views the organization as a unified, purposeful system composed of interrelated parts. This approach also gives the manager to see the organization as a whole and as a part of the larger external environment.
HOSPITAL as a SYSTEM Systems Thinking • Systems thinking is a holistic approach to analysis that focuses on the way that a system's constituent parts interrelate and how systems work over time and within the context of larger systems.
HOSPITAL as a SYSTEM Systems Thinking • Systems thinking is an approach to integration that is based on the belief that the component parts of a system will act differently when isolated from the system's environment or other parts of the system.
HOSPITAL as a SYSTEM Systems Thinking • Basically, systems thinking is a way of helping a person to view systems from a broad perspective that includes seeing overall structures, patterns and cycles in systems, rather than seeing only specific events in the system. This broad view can help you to quickly identify the real causes of issues in organizations and know just where to work to address them.
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Systems Thinking Framework on Overall Hospital Management HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department A MEANING: Systematic = having a methodical (structured, organized) plan or procedure Systematic – Using a framework applicable to every department of a hospital --->>> Systematic Framework – a set of rules, ideas, and principles that form the structure of a plan or procedures --->>> Systematic
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department ANOTHER MEANING: Systematic = having, showing, or involving a system System – a set of interconnected or interdependent parts or entities that act together for a common purpose and produce results impossible by action of one alone.
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Critical in the success of operations of a Hospital are alignment and integration of all its departments. Department are alignment and integration of all its parts or components.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
Systems Thinking Framework on Overall Hospital Management Whole – part Part – whole Systems thinking - management discipline that concerns an understanding of a system by examining the linkages and interactions between the components that comprise the entirety of that defined system.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department System Approach to Hospital Operations: The Unique Framework Applicable To Every Department Systems - Thinking Framework on Overall Hospital Management HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department All hospitals are made up of so many different departments and services. • The number varies from one hospital to another. • The minimum number will be the one imposed by the DOH licensing body – Level 1, 2, and 3 hospitals. • Level 1 – Basic departments and services • Level 2 – With medical specialties but without training departments; with more departments and services • Level 3 – With medical specialties and with training departments; with more departments and services
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Examples of hospital departments and services • Medical Services Departments • Emergency Room or Department of Emergency Medicine • Outpatient Department • Inpatient Department • Diagnostic Departments • Laboratory Medicine • Radiology • Nuclear Medicine
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Examples of hospital departments and services • Treatment Departments • Operating Room Complex • OB-GYN Complex • Rehabilitation Medicine Department • Medical Specialty Departments • Internal Medicine • Pediatrics • Surgery • OB-GYN • ENT • Ophtha • Orthopedic • Anesthesiology • Nursing Services • Dietary Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Examples of hospital departments and services • Medical Support Departments • Facility Management Department • Housekeeping Department • Security Services • Billing and Cashier Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Examples of hospital departments and services • Administrative Support Departments • Quality and Patient Safety Department • Materials Management Department • Human Resource Development Department • Business Development Department • Finance and Accounting Department Others: Created on the basis of needs as deemed by the Hospital Administration. Roughly – minimum of 25 departments and services Could be more – up to 50 departments and services
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department As the Hospital Director / Chief of Hospital (to-be), what is the best management strategy to adopt in the light of 25 -50 departments and services to manage? Best management strategy So as to be efficient – effective yet with least resources (effort and time)? So as not to be burnt-out because of the continuous heavy load of 25 or more departments to manage 24/7? Premise: You should always be on top of the situation / whole hospital operations even if you have 25 or more department heads to help you!
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department As the Hospital Director / Chief of Hospital (to-be), what is the best management strategy to adopt in the light of 25 -50 departments and services to manage? Premise: You should always be on top of the situation / whole hospital operations even if you have 25 or more department heads to help you! You should ensure that - • Each department is performing excellently. • All the departments are aligned to the vision and mission of the hospital. • All the departments are collaborating with each other and integrated to efficiently achieve the vision and mission of the hospital.
A hospital is made up of different departments. The number can be as many as 50. If you are the Hospital Director / Chief of Hospital, what strategy will you use to facilitate governance of the operations of the many different departments in your hospital? Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Assuming there are 50 departments. What strategy will you use to facilitate governance of the operations of the 50 departments in your hospital? Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Option 1: Master the procedures and work instructions of all or each of the 50 departments and govern accordingly. Option 2: Master the principles and processes of all or each of the 50 departments and govern accordingly. Option 3: Look for commonality in procedures and work instructions across the 50 departments, master this commonality, and govern accordingly. Option 4: Look for commonality in principles and processes across the 50 departments, master this commonality, and govern accordingly. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Assuming there are 50 departments. What strategy will you use to facilitate governance of the operations of the 50 departments in your hospital? Option 4: Look for commonality in principles and processes across the 50 departments, master this commonality, and govern accordingly. A Systems Approach to Hospital Operations: A Unique Framework Applicable to All Departments Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Objectives of Learning Session: • Provide the class with a system approach in managing department operations. • Give and explain the unique diagram I created in 2010 to achieve the goals of learning, planning, and administration. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department ROJoson’s Department Design and Development Framework / Administrative Design and Development Program Officially developed in 2010 Facilitate Learning, Planning, and Administration!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Emergency Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services 21 elements Essential Interdependent Interfacing 21 elements – must be Aligned Integrated
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Applicable to any department, clinical and non-clinical! Surgery OR-RR ER Others
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Whatever be the department, there must be a competent HEAD! Competencies expected of a head: Unit Technical Requirements / Competency (The Specialty) Hospital Teamship (CAI) Managership (PIE) Leadership (People)
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Whatever be the department, in its administrative design and development program, the managers should consider, be aligned, respect, coordinate, collaborate and integrate with the whole hospital ‘s…………… and interfacing units’ ………….! Must have a SYSTEMS PERSPECTIVE or SYSTEMS THINKING!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services • Serve as compass or guide; • Describe roles and responsibilities of unit in context of whole hospital; • Give unit authority to do what it should be doing;
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services • Serve as guide in determining what are needed in unit to function properly and adequately such as in terms of structure, staffing, policies and procedures, programs, and resources;
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services • Serve as guide in determining what programs, projects, tasks, and activities the head and staff can do to accomplish their unit’s functions, both on long term and short term basis;
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services • Serve as basis for evaluating unit’s performance at the very least, whether it is accomplishing its expected functions on a daily basis and annually; and • Serve as basis for the name of the unit.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services There must be a document stating authorized functions of unit. It must be complete and clear with general and specific functions and it must be authorized by a higher office.
Examples of Authorized Functions
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: General Function: To provide medical services to all patients with surgical diseases who seek consultation and treatment in the hospital.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Anesthesia Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: General Function: To provide anesthesiology services to all patients needed such services in the hospital.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of OR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: General Function: To provide operating room services to all patients needed such services in the hospital.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of RR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: General Function: To provide recovery room services to all patients needed such services in the hospital.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of ER Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: General Function: To provide emergency room services to all patients needed such services in the hospital.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Specific Functions: 1. To examine all patients with a possible surgical diseases and afterwhich, to make a rational and accurate diagnosis. 2. To provide treatment to all patients with surgical diseases. 3. To provide training in surgery. 4 To promote research in surgery.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Specific Functions: 1. To provide quality health promotion and disease prevention program in the field of surgery to clients in need of such service. 2. To provide quality and safe diagnostic and therapeutic procedures to all patients with surgical problems. 3. To provide quality and safe pre-operative, intra-operative, and post-operative surgical care to all patients in need of such health care service. 4. To provide quality rehabilitative health programs in the field of surgery to all clients in need of such service.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of OR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Specific Functions: • To provide quality operating room services to medical staff needing such services for their patients. • To provide quality operating room and perioperative nursing services to patients with potential and evident surgical disorders.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of RR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Specific Functions: • To provide quality post-anesthesia recovery room services to medical staff needing such services for their patients. • To provide quality nursing services to patients admitted in the post- anesthesia recovery room.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of ER Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Specific Functions: • To provide immediate resuscitative measures to patients with life-threatening conditions who are brought to the ER. • To examine all patients who seek help in the ER and to make a rational and accurate diagnosis of their medical problems. • To provide all immediate treatment that can possibly be rendered within the limits of the ER set-up and facilities. • To refer patients to appropriate physicians for follow-up or definitive management after being served at the ER.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Formulated “functions” determine the “services” to be offered to clients – physicians and patients. “Services” offered and “functions” authorized must be congruent with each other.
Examples of Services
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Based on authorized functions - Services to offer: • Health promotion and disease prevention program • Diagnostic program • Therapeutic program • Pre-operative, intra-operative, and post-operative surgical care program • Rehabilitative health program
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of OR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Based on authorized functions - Services to offer: • Operating room services • Perioperative nursing care services
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of RR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Based on authorized functions - Services to offer: • Recovery room services • Perioperative nursing care services
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of ER Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Based on authorized functions - Services to offer: • Emergency room services • Emergency room nursing care services
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services External determinants of functions and services: • Statutory and regulatory requirements (Laws, DOH, local gov’t, PRC, PMA, Specialty Societies and Boards, etc.) • Quality and performance standards (such as PhilHealth Benchbook, Joint Commission International, Accreditation Canada International, IiP, PQA, ISO, etc.) • Community expectations
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Internal determinants of functions and services: • Top management desires and decision (such as vision-mission and taking resources into consideration) • Coordination and integration system with other units in the hospital
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Ultimate goals: Value created and appreciated by patient- and physician-clients for services rendered Good health care delivery outcomes (good results) Quality and safe services Reasonable costs and expenses Financial viability and sustainability!
Examples of Specific Goals
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Ultimate goals: Value created and appreciated by patient- and physician-clients for services rendered Good health care delivery outcomes (good results) – Optimal surgical mortality and morbidity rates; success treatment rates Quality and safe services Reasonable costs and expenses Financial viability and sustainability!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of OB-GYN Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Ultimate goals: Value created for and appreciated by patients served and for services rendered Good health care delivery outcomes (good results) – Optimal OB-GYN mortality and morbidity rates; success treatment rates; CS rates Quality and safe services Reasonable costs and expenses Financial viability and sustainability!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services DOH Licensing Requirements DOH Guidelines in the Planning and Design of a Hospital And Other Health Facilities Safe Hospital Initiative – structural, non-structural, and functional indicators Building Code Fire Code Local government requirements Others FOR THE DEPARTMENT AND RELEVANT SERVICE AREAS OF THE DEPARTMENT!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Physical structure of a unit refers to a geographical space or area in the hospital, constructed to receive patient- and physician-clients requesting for services and to house the staff who will perform the functions of the unit.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Determinants: Statutory and regulatory requirements DOH Licensing Requirements DOH Guidelines in the Planning and Design of a Hospital And Other Health Facilities Safe Hospital Initiative – structural, non-structural, and functional indicators / Building Code / Fire Code Local government requirements / SPECIALTY requirements Business development program Quality Standards Community expectations Efficiency Case load Owners’ wants
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Indicators: • Compliant with DOH and other requirements– particularly on location and size • Accessibility – with clear signage • Adequate size (not cramped for staff and client movement) • Adequate lighting • Adequate ventilation • Aesthetics – attractive, with a welcoming, friendly and therapeutic environment • Provision for privacy as needed • Comfortable waiting areas
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services People Experienced in Hospitals Needed! MHA / MHSA /MHSM (not just MDs) Architects Engineers
Examples – Physical Structural Requirements
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Structural or physical requirements based on service functions 1. Operating rooms 1.1 For ambulatory surgeries 1.2 For inpatient surgeries 2. Surgical patient beds, wards, and rooms 3. Consultation rooms in 3.1 Outpatient department 3.2 Emergency room
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Structural or physical requirements based on governance, training, ande research functions Chairman’s office Conference room Library Computer system, IT, with Internet access
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of OR-RR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services In consideration of the key functions and services of the unit, statutory and regulatory requirements, and other objectives like business development, risk management, and IT-enabled system , identify equipment and materials needed to facilitate an effective and efficient functioning of the unit.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Equipment should have preventive maintenance and calibration at planned intervals to ensure accuracy and safety in their use and longer life span.
Examples of Equipments and Supplies
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department OR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operative Surgical supplies – gauze, drains, plasters, etc. Surgical instruments – knives, clamps, needles holders, etc. Surgical equipment – suction machines, lights, electrocautery machines, etc.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of OR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Non-operative supplies, instruments, equipment, drugs, intravenous fluids, thermometers, nebulizers, etc.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of ER Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Based on objectives, minimum general essential equipment and material include the following: -for cardiopulmonary resuscitation - those needed to resuscitate and stabilize patients with life- threatening conditions before a more definitive treatment within the hospital proper can be done.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Adequate in number and in competency!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Number of staff needed dependent on : • Department of Health hospital licensure requirements; • workload / caseload; • Department of Labor and Employment requirements;
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Number of staff needed dependent on : • wishes of the owners for cost-efficiency at the same time promoting customer delight. • others
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Recommended processes for computation: •Always have key determinants of number of staff needed in mind. •Aim for cost-efficiency at the same time promoting customer delight.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Recommended processes for computation: •Contingency plans for surge of clients •Time for business and staff development and engagement activities
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Recommended processes for computation: •Have the rationalized proposal for number of staff of unit approved by Top Management through Human Resource Unit.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Recommended processes for computation: •Have continual review (at least once a year) of approved plantilla and make necessary adjustments (which must be approved again by Top Management through Human Resource Unit).
Examples on Human Resource
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Staff requirements Surgical specialists Anesthesiologists (needed for a painless operation) Nurses and nursing attendants adequate in number and in competency!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Staff requirements • Surgeons • Anesthesiologists • Nurses • Nursing Aides adequate in number and in competency!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Staff requirements • ER Physicians • Nurses • Nursing Aides adequate in number and in competency!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Focus on excellent accomplishment of the authorized functions and services! With alignment and integration of all the elements in the DDD framework or program!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operations Manual (PP) to provide order; to promote standardization; to facilitate communication;
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operations Manual (PP) to promote effectiveness and efficiency; and to provide a guide to present and future staff, among other things!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operations Manual (PP) must be aligned with those (PP) of the hospital! should be reviewed and revised periodically!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operations Manual (PP) A requirement for licensing by DOH, accreditation by PhilHealth and other accrediting bodies like ISO and JCI /ACI.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operations Manual Policies and procedures in these elemental areas: Governance Service (Patient - / MD- Client Management) • Clinical practice guidelines • Clinical pathways
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operations Manual Policies and procedures in these elemental areas: Training Research
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Clinical practice guidelines Clinical pathways In patient management, clinical practice guidelines and clinical pathways are useful in standardization of procedures as well as in the promotion of efficiency.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Clinical practice guidelines – systematically developed statements, built on synthesis of evidence, which provide formal recommendations about appropriate and necessary care, intended to assist practitioner and patient to make decisions about appropriate health care for specific clinical circumstances.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Clinical pathway – an interdisciplinary plan of care that outlines the optimal sequencing and timing of interventions and expected outcomes for patients with a particular diagnosis, procedure or symptom.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Useful references in making policies and procedures: • PhilHealth Benchbook, Joint Commission International, ACI, and Investors in People Standards • Established clinical practice guidelines of the recognized societies in the Philippines
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services In consideration of the key functions and services of the unit, statutory and regulatory requirements, and other objectives like business development, risk management, and IT-enabled system , identify the data, documents, and records needed to facilitate an effective and efficient functioning of the unit.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Presence of a structured and comprehensive program that will develop the business of unit to make it viable and sustainable!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services The objective of program is to attract new patient-clients and maintaining previous patient- client base. Another objective of program is to attract new physician-clients and maintaining previous physician-client base.
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Strategies: Marketing Public Relations Reputation Enhancement Attractive to patient-clients and physician-clients to utilize services of unit!
Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Risk management program is a planned and systematic process / program to reduce and/or eliminate the probability of a “risk” that usually results in injuries, losses, and legal suits. (may also include risk with potential positive effect – improving business and client engagement.)
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
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ROJoson PEP Talk: Can one skip CHEMOTHERAPY in BREAST CANCER TREATMENT?
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Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department

  • 1. Systems Thinking in Healthcare Facilities HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg August 15, 2020
  • 2. Learning Objectives / Contents: As a hospital director or as a hospital director-to-be, 1) how to manage a hospital effective and efficiently - systematically and using systems approach or perspective and systems thinking; 2) importance of the ROJoson's Department Design and Development Framework; HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
  • 3. Learning Objectives / Contents: As a hospital director or as a hospital director-to-be, 3) how to use the ROJoson's Department Design and Development Framework; 4) principles and processes (basic requirements) in each of the elements (or boxes) in the ROJoson's Department Design and Development Framework; HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
  • 4. Learning Objectives / Contents: As a hospital director or as a hospital director-to-be, 5) importance of alignment and integration of all the boxes in the ROJoson's Department Design and Development Framework; and 6) common challenges encountered in the governance of departments together with their suggested strategic solutions. HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
  • 5. TITLES Systematic Approach to Hospital Operations Systems Approach to Hospital Operations Systems Thinking Framework on Overall Hospital Management HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
  • 6. Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Systems Thinking Framework on Overall Hospital Management HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
  • 7. HOSPITAL • Is made up of many different departments and services. • As hospital managers, we must know how to manage it • effectively and efficiently. • Systematically. • As a system using systems-approach and system- thinking.
  • 8.
  • 9. HOSPITAL • Is made up of many different departments and services. • As hospital managers, we must know how to manage it • effectively and efficiently. • Systematically. Systematic = having a methodical (structured, organized) plan or procedure
  • 10. HOSPITAL • Is made up of many different departments and services. • As hospital managers, we must know how to manage it • effectively and efficiently. • As a system using systems approach and systems thinking. (Look at the hospital as a system.)
  • 11. HOSPITAL as a SYSTEM System A system is a set of interrelated but separate parts working towards a common purpose. The arrangement must be orderly and there must be proper communication facilitating interaction between the elements and finally this interaction should lead to achieve a common goal.
  • 12. HOSPITAL as a SYSTEM Systems Approach Systems approach to management views the organization as a unified, purposeful system composed of interrelated parts. This approach also gives the manager to see the organization as a whole and as a part of the larger external environment.
  • 13. HOSPITAL as a SYSTEM Systems Thinking • Systems thinking is a holistic approach to analysis that focuses on the way that a system's constituent parts interrelate and how systems work over time and within the context of larger systems.
  • 14. HOSPITAL as a SYSTEM Systems Thinking • Systems thinking is an approach to integration that is based on the belief that the component parts of a system will act differently when isolated from the system's environment or other parts of the system.
  • 15. HOSPITAL as a SYSTEM Systems Thinking • Basically, systems thinking is a way of helping a person to view systems from a broad perspective that includes seeing overall structures, patterns and cycles in systems, rather than seeing only specific events in the system. This broad view can help you to quickly identify the real causes of issues in organizations and know just where to work to address them.
  • 16.
  • 17. Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Systems Thinking Framework on Overall Hospital Management HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
  • 18. Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
  • 19. Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department A MEANING: Systematic = having a methodical (structured, organized) plan or procedure Systematic – Using a framework applicable to every department of a hospital --->>> Systematic Framework – a set of rules, ideas, and principles that form the structure of a plan or procedures --->>> Systematic
  • 20. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
  • 21. Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department ANOTHER MEANING: Systematic = having, showing, or involving a system System – a set of interconnected or interdependent parts or entities that act together for a common purpose and produce results impossible by action of one alone.
  • 22. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Critical in the success of operations of a Hospital are alignment and integration of all its departments. Department are alignment and integration of all its parts or components.
  • 23. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
  • 24. Systems Thinking Framework on Overall Hospital Management Whole – part Part – whole Systems thinking - management discipline that concerns an understanding of a system by examining the linkages and interactions between the components that comprise the entirety of that defined system.
  • 25. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
  • 26. Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department System Approach to Hospital Operations: The Unique Framework Applicable To Every Department Systems - Thinking Framework on Overall Hospital Management HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
  • 27. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
  • 28. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department All hospitals are made up of so many different departments and services. • The number varies from one hospital to another. • The minimum number will be the one imposed by the DOH licensing body – Level 1, 2, and 3 hospitals. • Level 1 – Basic departments and services • Level 2 – With medical specialties but without training departments; with more departments and services • Level 3 – With medical specialties and with training departments; with more departments and services
  • 29. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Examples of hospital departments and services • Medical Services Departments • Emergency Room or Department of Emergency Medicine • Outpatient Department • Inpatient Department • Diagnostic Departments • Laboratory Medicine • Radiology • Nuclear Medicine
  • 30. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Examples of hospital departments and services • Treatment Departments • Operating Room Complex • OB-GYN Complex • Rehabilitation Medicine Department • Medical Specialty Departments • Internal Medicine • Pediatrics • Surgery • OB-GYN • ENT • Ophtha • Orthopedic • Anesthesiology • Nursing Services • Dietary Department
  • 31. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Examples of hospital departments and services • Medical Support Departments • Facility Management Department • Housekeeping Department • Security Services • Billing and Cashier Department
  • 32. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department Examples of hospital departments and services • Administrative Support Departments • Quality and Patient Safety Department • Materials Management Department • Human Resource Development Department • Business Development Department • Finance and Accounting Department Others: Created on the basis of needs as deemed by the Hospital Administration. Roughly – minimum of 25 departments and services Could be more – up to 50 departments and services
  • 33. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department As the Hospital Director / Chief of Hospital (to-be), what is the best management strategy to adopt in the light of 25 -50 departments and services to manage? Best management strategy So as to be efficient – effective yet with least resources (effort and time)? So as not to be burnt-out because of the continuous heavy load of 25 or more departments to manage 24/7? Premise: You should always be on top of the situation / whole hospital operations even if you have 25 or more department heads to help you!
  • 34. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department As the Hospital Director / Chief of Hospital (to-be), what is the best management strategy to adopt in the light of 25 -50 departments and services to manage? Premise: You should always be on top of the situation / whole hospital operations even if you have 25 or more department heads to help you! You should ensure that - • Each department is performing excellently. • All the departments are aligned to the vision and mission of the hospital. • All the departments are collaborating with each other and integrated to efficiently achieve the vision and mission of the hospital.
  • 35. A hospital is made up of different departments. The number can be as many as 50. If you are the Hospital Director / Chief of Hospital, what strategy will you use to facilitate governance of the operations of the many different departments in your hospital? Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
  • 36. Assuming there are 50 departments. What strategy will you use to facilitate governance of the operations of the 50 departments in your hospital? Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
  • 37. Option 1: Master the procedures and work instructions of all or each of the 50 departments and govern accordingly. Option 2: Master the principles and processes of all or each of the 50 departments and govern accordingly. Option 3: Look for commonality in procedures and work instructions across the 50 departments, master this commonality, and govern accordingly. Option 4: Look for commonality in principles and processes across the 50 departments, master this commonality, and govern accordingly. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
  • 38. Assuming there are 50 departments. What strategy will you use to facilitate governance of the operations of the 50 departments in your hospital? Option 4: Look for commonality in principles and processes across the 50 departments, master this commonality, and govern accordingly. A Systems Approach to Hospital Operations: A Unique Framework Applicable to All Departments Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
  • 39. Objectives of Learning Session: • Provide the class with a system approach in managing department operations. • Give and explain the unique diagram I created in 2010 to achieve the goals of learning, planning, and administration. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department
  • 40. Systems Approach to Hospital Operations: The Unique Framework Applicable To Every Department ROJoson’s Department Design and Development Framework / Administrative Design and Development Program Officially developed in 2010 Facilitate Learning, Planning, and Administration!
  • 41. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
  • 42. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Emergency Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
  • 43. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
  • 44. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services 21 elements Essential Interdependent Interfacing 21 elements – must be Aligned Integrated
  • 45. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
  • 46.
  • 47. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
  • 48.
  • 49. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Applicable to any department, clinical and non-clinical! Surgery OR-RR ER Others
  • 50. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Whatever be the department, there must be a competent HEAD! Competencies expected of a head: Unit Technical Requirements / Competency (The Specialty) Hospital Teamship (CAI) Managership (PIE) Leadership (People)
  • 51. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Whatever be the department, in its administrative design and development program, the managers should consider, be aligned, respect, coordinate, collaborate and integrate with the whole hospital ‘s…………… and interfacing units’ ………….! Must have a SYSTEMS PERSPECTIVE or SYSTEMS THINKING!
  • 52. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services • Serve as compass or guide; • Describe roles and responsibilities of unit in context of whole hospital; • Give unit authority to do what it should be doing;
  • 53. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services • Serve as guide in determining what are needed in unit to function properly and adequately such as in terms of structure, staffing, policies and procedures, programs, and resources;
  • 54. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services • Serve as guide in determining what programs, projects, tasks, and activities the head and staff can do to accomplish their unit’s functions, both on long term and short term basis;
  • 55. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services • Serve as basis for evaluating unit’s performance at the very least, whether it is accomplishing its expected functions on a daily basis and annually; and • Serve as basis for the name of the unit.
  • 56. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services There must be a document stating authorized functions of unit. It must be complete and clear with general and specific functions and it must be authorized by a higher office.
  • 58. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: General Function: To provide medical services to all patients with surgical diseases who seek consultation and treatment in the hospital.
  • 59. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Anesthesia Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: General Function: To provide anesthesiology services to all patients needed such services in the hospital.
  • 60. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of OR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: General Function: To provide operating room services to all patients needed such services in the hospital.
  • 61. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of RR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: General Function: To provide recovery room services to all patients needed such services in the hospital.
  • 62. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of ER Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: General Function: To provide emergency room services to all patients needed such services in the hospital.
  • 63.
  • 64. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Specific Functions: 1. To examine all patients with a possible surgical diseases and afterwhich, to make a rational and accurate diagnosis. 2. To provide treatment to all patients with surgical diseases. 3. To provide training in surgery. 4 To promote research in surgery.
  • 65. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Specific Functions: 1. To provide quality health promotion and disease prevention program in the field of surgery to clients in need of such service. 2. To provide quality and safe diagnostic and therapeutic procedures to all patients with surgical problems. 3. To provide quality and safe pre-operative, intra-operative, and post-operative surgical care to all patients in need of such health care service. 4. To provide quality rehabilitative health programs in the field of surgery to all clients in need of such service.
  • 66. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of OR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Specific Functions: • To provide quality operating room services to medical staff needing such services for their patients. • To provide quality operating room and perioperative nursing services to patients with potential and evident surgical disorders.
  • 67. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of RR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Specific Functions: • To provide quality post-anesthesia recovery room services to medical staff needing such services for their patients. • To provide quality nursing services to patients admitted in the post- anesthesia recovery room.
  • 68. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of ER Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Specific Functions: • To provide immediate resuscitative measures to patients with life-threatening conditions who are brought to the ER. • To examine all patients who seek help in the ER and to make a rational and accurate diagnosis of their medical problems. • To provide all immediate treatment that can possibly be rendered within the limits of the ER set-up and facilities. • To refer patients to appropriate physicians for follow-up or definitive management after being served at the ER.
  • 69.
  • 70. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Formulated “functions” determine the “services” to be offered to clients – physicians and patients. “Services” offered and “functions” authorized must be congruent with each other.
  • 72. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Based on authorized functions - Services to offer: • Health promotion and disease prevention program • Diagnostic program • Therapeutic program • Pre-operative, intra-operative, and post-operative surgical care program • Rehabilitative health program
  • 73. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of OR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Based on authorized functions - Services to offer: • Operating room services • Perioperative nursing care services
  • 74. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of RR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Based on authorized functions - Services to offer: • Recovery room services • Perioperative nursing care services
  • 75. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of ER Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Example: Based on authorized functions - Services to offer: • Emergency room services • Emergency room nursing care services
  • 76.
  • 77. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services External determinants of functions and services: • Statutory and regulatory requirements (Laws, DOH, local gov’t, PRC, PMA, Specialty Societies and Boards, etc.) • Quality and performance standards (such as PhilHealth Benchbook, Joint Commission International, Accreditation Canada International, IiP, PQA, ISO, etc.) • Community expectations
  • 78. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Internal determinants of functions and services: • Top management desires and decision (such as vision-mission and taking resources into consideration) • Coordination and integration system with other units in the hospital
  • 79.
  • 80. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Ultimate goals: Value created and appreciated by patient- and physician-clients for services rendered Good health care delivery outcomes (good results) Quality and safe services Reasonable costs and expenses Financial viability and sustainability!
  • 82. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Ultimate goals: Value created and appreciated by patient- and physician-clients for services rendered Good health care delivery outcomes (good results) – Optimal surgical mortality and morbidity rates; success treatment rates Quality and safe services Reasonable costs and expenses Financial viability and sustainability!
  • 83. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of OB-GYN Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Ultimate goals: Value created for and appreciated by patients served and for services rendered Good health care delivery outcomes (good results) – Optimal OB-GYN mortality and morbidity rates; success treatment rates; CS rates Quality and safe services Reasonable costs and expenses Financial viability and sustainability!
  • 84.
  • 85. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services DOH Licensing Requirements DOH Guidelines in the Planning and Design of a Hospital And Other Health Facilities Safe Hospital Initiative – structural, non-structural, and functional indicators Building Code Fire Code Local government requirements Others FOR THE DEPARTMENT AND RELEVANT SERVICE AREAS OF THE DEPARTMENT!
  • 86. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Physical structure of a unit refers to a geographical space or area in the hospital, constructed to receive patient- and physician-clients requesting for services and to house the staff who will perform the functions of the unit.
  • 87. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Determinants: Statutory and regulatory requirements DOH Licensing Requirements DOH Guidelines in the Planning and Design of a Hospital And Other Health Facilities Safe Hospital Initiative – structural, non-structural, and functional indicators / Building Code / Fire Code Local government requirements / SPECIALTY requirements Business development program Quality Standards Community expectations Efficiency Case load Owners’ wants
  • 88. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Indicators: • Compliant with DOH and other requirements– particularly on location and size • Accessibility – with clear signage • Adequate size (not cramped for staff and client movement) • Adequate lighting • Adequate ventilation • Aesthetics – attractive, with a welcoming, friendly and therapeutic environment • Provision for privacy as needed • Comfortable waiting areas
  • 89. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services People Experienced in Hospitals Needed! MHA / MHSA /MHSM (not just MDs) Architects Engineers
  • 90. Examples – Physical Structural Requirements
  • 91. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Structural or physical requirements based on service functions 1. Operating rooms 1.1 For ambulatory surgeries 1.2 For inpatient surgeries 2. Surgical patient beds, wards, and rooms 3. Consultation rooms in 3.1 Outpatient department 3.2 Emergency room
  • 92. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of Surgery Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Structural or physical requirements based on governance, training, ande research functions Chairman’s office Conference room Library Computer system, IT, with Internet access
  • 93. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of OR-RR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
  • 94. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services
  • 95.
  • 96. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services In consideration of the key functions and services of the unit, statutory and regulatory requirements, and other objectives like business development, risk management, and IT-enabled system , identify equipment and materials needed to facilitate an effective and efficient functioning of the unit.
  • 97. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Equipment should have preventive maintenance and calibration at planned intervals to ensure accuracy and safety in their use and longer life span.
  • 98. Examples of Equipments and Supplies
  • 99. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department OR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operative Surgical supplies – gauze, drains, plasters, etc. Surgical instruments – knives, clamps, needles holders, etc. Surgical equipment – suction machines, lights, electrocautery machines, etc.
  • 100. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of OR Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Non-operative supplies, instruments, equipment, drugs, intravenous fluids, thermometers, nebulizers, etc.
  • 101. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures Department of ER Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Based on objectives, minimum general essential equipment and material include the following: -for cardiopulmonary resuscitation - those needed to resuscitate and stabilize patients with life- threatening conditions before a more definitive treatment within the hospital proper can be done.
  • 102.
  • 103. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Adequate in number and in competency!
  • 104. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Number of staff needed dependent on : • Department of Health hospital licensure requirements; • workload / caseload; • Department of Labor and Employment requirements;
  • 105. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Number of staff needed dependent on : • wishes of the owners for cost-efficiency at the same time promoting customer delight. • others
  • 106. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Recommended processes for computation: •Always have key determinants of number of staff needed in mind. •Aim for cost-efficiency at the same time promoting customer delight.
  • 107. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Recommended processes for computation: •Contingency plans for surge of clients •Time for business and staff development and engagement activities
  • 108. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Recommended processes for computation: •Have the rationalized proposal for number of staff of unit approved by Top Management through Human Resource Unit.
  • 109. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Recommended processes for computation: •Have continual review (at least once a year) of approved plantilla and make necessary adjustments (which must be approved again by Top Management through Human Resource Unit).
  • 110. Examples on Human Resource
  • 111. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Staff requirements Surgical specialists Anesthesiologists (needed for a painless operation) Nurses and nursing attendants adequate in number and in competency!
  • 112. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Staff requirements • Surgeons • Anesthesiologists • Nurses • Nursing Aides adequate in number and in competency!
  • 113. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Staff requirements • ER Physicians • Nurses • Nursing Aides adequate in number and in competency!
  • 114.
  • 115. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Focus on excellent accomplishment of the authorized functions and services! With alignment and integration of all the elements in the DDD framework or program!
  • 116. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operations Manual (PP) to provide order; to promote standardization; to facilitate communication;
  • 117. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operations Manual (PP) to promote effectiveness and efficiency; and to provide a guide to present and future staff, among other things!
  • 118. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operations Manual (PP) must be aligned with those (PP) of the hospital! should be reviewed and revised periodically!
  • 119. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operations Manual (PP) A requirement for licensing by DOH, accreditation by PhilHealth and other accrediting bodies like ISO and JCI /ACI.
  • 120. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operations Manual Policies and procedures in these elemental areas: Governance Service (Patient - / MD- Client Management) • Clinical practice guidelines • Clinical pathways
  • 121. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Operations Manual Policies and procedures in these elemental areas: Training Research
  • 122. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Clinical practice guidelines Clinical pathways In patient management, clinical practice guidelines and clinical pathways are useful in standardization of procedures as well as in the promotion of efficiency.
  • 123. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Clinical practice guidelines – systematically developed statements, built on synthesis of evidence, which provide formal recommendations about appropriate and necessary care, intended to assist practitioner and patient to make decisions about appropriate health care for specific clinical circumstances.
  • 124. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Clinical pathway – an interdisciplinary plan of care that outlines the optimal sequencing and timing of interventions and expected outcomes for patients with a particular diagnosis, procedure or symptom.
  • 125. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Useful references in making policies and procedures: • PhilHealth Benchbook, Joint Commission International, ACI, and Investors in People Standards • Established clinical practice guidelines of the recognized societies in the Philippines
  • 126.
  • 127. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services In consideration of the key functions and services of the unit, statutory and regulatory requirements, and other objectives like business development, risk management, and IT-enabled system , identify the data, documents, and records needed to facilitate an effective and efficient functioning of the unit.
  • 128.
  • 129. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Presence of a structured and comprehensive program that will develop the business of unit to make it viable and sustainable!
  • 130. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services The objective of program is to attract new patient-clients and maintaining previous patient- client base. Another objective of program is to attract new physician-clients and maintaining previous physician-client base.
  • 131. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Strategies: Marketing Public Relations Reputation Enhancement Attractive to patient-clients and physician-clients to utilize services of unit!
  • 132. Whole Hospital Concepts and Design Whole Hospital Governance Policies Procedures Whole Hospital Operations Policies Procedures Interfacing Units Operations Policies Procedures A Department Design and Development Framework Regular Performance Evaluation and Continual Improvement Program Administrative Design and Development Program Architectural Design / Engineering / Construction Functions (authorized) Services (authorized) Leadership IT-enabled System DOH Licensing & Structural Requirements Policies & Procedures / Clinical Practice Guidelines/ Clinical Pathways Risk Management Program Physical Structure (Location, space) Human Resource Program Equipment / Material Program Data / Documents Records Program Business Development Program Budget Program Goals Client Engagement Performance Excellence Quality and Safe Health Care Services Cost-efficient / Value-based Services Maximal Utilization of Services Risk management program is a planned and systematic process / program to reduce and/or eliminate the probability of a “risk” that usually results in injuries, losses, and legal suits. (may also include risk with potential positive effect – improving business and client engagement.)