scholarly journals ISSUES ON THE APPLICATION OF A QUALITY-RISK MANAGEMENT SYSTEM IN A HEALTHCARE SERVICES PROVIDER UNIT

2015 ◽  
Vol 21 (3) ◽  
pp. 43-50
Author(s):  
CONSTANTIN MILITARU ◽  
LEONARDO VOINESCU

A medical service, as a public service, is composed of a provider represented by the medical staff and a framework that carries out their work. Therefore, a qualitative management of services must be taken into account, on the one hand by the quality of care itself, and on the other hand by how the resource material is managed throughout the services provided. Fortunately, quality and risk management systems concepts are becoming more widely used in their speech, by the responsible with those services at European and national level. A quality medical service can be attained through a rigorous and effective management of the quality of medical care itself, and through increased quality of human resources and materials involved and ensuring health and reduce the risks of treatment/ care patients. The authors present in brief a model of risk assessments and risk classification in a medical unit.

2016 ◽  
Vol 21 (3) ◽  
Author(s):  
MILITARU CONSTANTIN ◽  
VOINESCU LEONARDO

A medical service, as a public service, is composed of a provider represented by the medical staff and a framework that carries out their work. Therefore, a qualitative management of services must be taken into account, on the one hand by the quality of care itself, and on the other hand by how the resource material is managed throughout the services provided.<strong> </strong>Fortunately, quality and risk management systems concepts are becoming <a title="" href="file:///I:/revista/JESR%2021-3-2015/408%20Militaru%20Constantin%20_R4%20vf.doc#_ftn1">[1]</a>more widely used in their speech, by the responsible with those services at European and national level. A quality medical service can be attained through a rigorous and effective management of the quality of medical care itself, and through increased quality of human resources and materials involved and ensuring health and reduce the risks of treatment/ care patients. The authors present in brief a model of risk assessments and risk classification in a medical unit.<div><br clear="all" /><hr align="left" size="1" width="33%" /><div><p> </p></div></div>


2020 ◽  
Vol 26 (11) ◽  
pp. 2567-2593
Author(s):  
M.V. Pomazanov

Subject. The study addresses the improvement of risk management efficiency and the quality of lending decisions made by banks. Objectives. The aim is to present the bank management with a fair algorithm for risk management motivation on the one hand, and the credit management (business) on the other hand. Within the framework of the common goal to maximize risk-adjusted income from loans, this algorithm will provide guidelines for ‘risk management’ and ‘business’ functions on how to improve individual and overall efficiency. Methods. The study employs the discriminant analysis, type I and II errors, Lorentz curve modeling, statistical analysis, economic modeling. Results. The paper offers a mechanism for assessing the quality of risk management decisions as opposed to (or in support of) decisions of the lending business when approving transactions. The mechanism rests on the approach of stating type I and II errors and the corresponding classical metric of the Gini coefficient. On the ‘business’ side, the mechanism monitors the improvement or deterioration of the indicator of changes in losses in comparison with the market average. Conclusions. The study substantiates the stimulating ‘rules of the game’ between the ‘business’ and ‘risk management’ to improve the efficiency of the entire business, to optimize interactions within the framework of internal competition. It presents mathematical tools to calculate corresponding indicators of the efficiency of internally competing entities.


Author(s):  
Raffaele La Russa ◽  
Stefano Ferracuti

Clinical Risk Management aims to improve the performance quality of healthcare services through procedures that identify and prevent circumstances that could expose both the patient and the healthcare personnel to risk of an adverse event [...]


Author(s):  
Harius Eko saputra

Almost every day, in various mass media, especially in newspapers, it is found that there are so many complaints and unsatisfactory opinions from the community, as the customer, towards the current implementation of public service. These complaints and unsatisfactory opinions can describe how bad the quality of the current public service is, which is benefited by the community. It may be the right time for the community to be treated as citizens, who will have rights and give priority to their rights for being served afterwards. They are not anymore being considered as clients who previously have no any choice in choosing and in determining what kind of service that they really want to. There are so many results from research, seminar and writings that are conducted by experts in which their works talk about the implementation of a good and qualified public service. Currently, however, the qualified public service has not yet implemented as should have been. The implementation of public service still acts as however it please to be and only emphasize on its own interest without considering the consumer’s importance as the party that should really be served as well as possible. For this reason, a research, which is done in Service Integrated Unit of the Jember Regency, tries to find out any factors affecting quality of the public services. The main core of the public service implementation is the quality of norm of the service executor. The matter that should be realized is that the executor is the person who should serve for the community, and the community is the one who should be served as well as possible.Keywords: Implementation of public service, legislatif


2021 ◽  
pp. 233-250
Author(s):  
Milan Palević ◽  

The work and work of public administration should strive to continuously improve the quality of its services, as well as to improve the overall quality of public administration as an organization. It is necessary to constantly set new goals and gradually, over time, get closer to those goals. In this way, the effectiveness and efficiency of the organization, that is, the entire system, would be improved. The new concept of management in public administration should improve the functioning of the public sector, which means that administrative bodies operate in accordance with the legitimate expectations of the users of their services. This paper presents a review of the current state of eGovernment and eServices that local governments in Serbia provide to citizens and the economy, from the aspect of service providers on the one hand and service users on the other. The author intends to point out the areas in which there is room for improvement, but also the challenges that local governments face every day in their work. The contribution of the paper is in the theoretical presentation of the importance of the implementation of quality management systems in public service management systems in order to improve them.


Author(s):  
Jared Abbott ◽  
Benjamin Goldfrank

The three books reviewed here represent a new generation of rigorous scholarship on participatory institutions (PIs). They demonstrate that &#x2013; under certain conditions &#x2013; it is possible to build large-scale PIs that strengthen democratic governance and improve citizens&#x2019; lives. Nonetheless, significant challenges remain. Due in part to the absence of either high-quality national-level comparative data or fine-grained subnational data, and in part to research design choices of existing studies, the literature remains limited in its capacity to make general claims about the causes and effects of large-scale PIs. Ultimately, the key question collectively addressed, but not fully answered, by the works reviewed is whether governments can build PIs that deliver on their promise to improve the quality of democracy and enhance public service provision on a large scale in diverse contexts beyond Brazil.


2013 ◽  
Vol 3 (2) ◽  
pp. 66
Author(s):  
Rohana Thahier

The high level of public complaints against bureaucracy shows that on the one hand the quality of bureaucratic service has, in public opinion, been found wanting. At the same time, public awareness has continued to grow, with consumers demanding they have rights to receive high quality service (Dwiyanto, 2002). The quality of public service is lacking. Often bribes are required, services are not guaranteed, and procedures are over-complicated. The perceptions of the public human resource sector are various: Professionalism is lacking, corruption, collusion and nepotism run rampant, wages are insufficient, service to the public is over-complicated, relationships are based on a patrion-client system, there is lack of creativity and innovation, not to mention other potential negative perceptions which essentially show that this system is still weak in Indonesia.  All this motivates us to reform the public human resources sector of Mamuju Regency, West Sulawesi (Reformation of Bureaucracy).


Author(s):  
Олег Алексеевич Свидерский

В статье поднимаются отдельные вопросы правового характера оказания медицинской помощи сотрудникам УИС в лечебно-профилактических учреждениях ФСИН России, МВД России, Минобороны России, а также в учреждениях государственной или муниципальной систем здравоохранения. Проведен анализ нормативных баз Минздрава России и Минюста России, в которых осуществляется регламентирование вопросов оказания медицинской помощи. Показано, что в федеральных и ведомственных нормативно-правовых актах Минюста России законодательно не закреплен порядок оказания высокотехнологичной медицинской помощи по перечню видов, которые не включены в базовую программу ОМС. В целях устранения пробела в законодательстве предлагается медицинской службе ФСИН России разработать соответствующий регламент, в котором прописать перечень необходимых документов и порядок направления на лечение нуждающихся сотрудников. Проведенный опрос сотрудников УИС показал, что более 2/3 респондентов недовольны не только условиями, в которых оказываются медицинские услуги, но и качеством оказанной им медицинской помощи. Рассмотрены права и возможности сотрудников УИС по предъявлению претензий к лечебному учреждению в случае неудовлетворенности качеством оказанной медицинской услуги (помощи). Анализируются проблемы правового регулирования и практического решения вопроса, оценки качества оказанной медицинской услуги (помощи). Предлагается сформировать в системе ФСИН России институт экспертов по оценке качества медицинской помощи. The article raises certain issues of the legal nature of the provision of medical assistance to the penal correction system in medical institutions of the Federal Penitentiary Service of Russia, the Ministry of Internal Affairs of the Russian Federation, the Ministry of Defense of the Russian Federation, as well as institutions of the state or municipal health systems. The analysis of the regulatory framework of the Ministry of Health and the Ministry of Justice, which regulates the provision of medical care. It is shown that the federal and departmental regulatory legal acts of the Ministry of Justice do not legislatively regulate the procedure for providing high-tech medical care according to the list of species that are not included in the basic program of compulsory medical insurance. In order to fill the gap in the legislation, it is proposed that the medical service of the Federal Penitentiary Service of Russia develop an appropriate regulation in which a list of necessary documents and the procedure for referring treatment to needy employees are prescribed. A survey of employees of the penal correction system showed that more than 2/3 of respondents are dissatisfied not only with the conditions in which medical services are provided, but also with the quality of medical care provided to them. The rights and possibilities of the penitentiary system staff to make claims to a medical institution in case of dissatisfaction with the quality of the medical service (assistance) provided are examined. The problems of legal regulation and practical solution of the issue, assessing the quality of the medical service (assistance) provided are analyzed. It is proposed to form an institute of experts in the FSIN system for assessing the quality of medical care.


2011 ◽  
pp. 1777-1794 ◽  
Author(s):  
Anastasia N. Kastania ◽  
Stelios Zimeras

In this chapter the authors investigate telehealth quality and reliability assurance. Various models and standards can be applied to assess software quality and reliability in telehealth platforms and there are also general principles for total quality management which can be adopted. There are also models to assess the quality of the system and the quality of care which are also presented. The approach based on user satisfaction, considers the expectation measurement as information which is not inextricably linked to quality. A different approach is the one based on expectations as well as on disconfirmation of user expectations. The underlying structural model is based on a modified SERVQUAL approach that consists of five dimensions (Tangibles, Reliability, Responsiveness, Assurance and Empathy) which have been consistently ranked by customers to be most important for service quality across all industries. The model can thus be used for evaluation of healthcare services and for planning improvements on services. All these aspects for telehealth systems design are discussed to formulate epistemic criteria for evaluation purposes.


Author(s):  
S. V. Mironov

Risk management in healthcare is studied insufficiently. Risk management will provide more accurate forecasting and planning, it will improve quality of management decisions and increase the efficiency of medical organizations. The necessity of developing health systems has become relevant both in Russia and abroad in the context of the coronavirus pandemic 2020-2021. There is an increased interest in reviving and improving of corporate health management systems of large enterprises. The author was consistently engaged in the organization of health care in 3 large federal companies in Russia, as well as in Germany during the pandemic. The specific tasks of corporate health care in the context of a pandemic, the criteria of management errors and typical management errors were identified and classified, their primary causes were established. General recommendations were given based on the analysis, directions for the development for the further study were formulated.


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