Wyniki wyszukiwania - Biblioteka Nauki

1

Hospital Statistics as a Tool for Obtaining Data Necessary in the Healthcare Entity Management Process

100%

Sierocka A. , Woźniak B. , Iltchev P. , Marczak M.

Studies in Logic, Grammar and Rhetoric

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2013

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tom 35

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nr 1

169-177

EN

Statistical methods used by healthcare entities enable the collection of various information about the structure and characteristics of treated patients. They are an important source of knowledge, and form a database that plays an important role in entity management theory. In the presented study, we analysed the hospital stays of patients treated in all hospital wards of the 3rd City Hospital in Łodź during 2012. The following, in particular, were taken into account: admittance procedure, discharge procedure, age and sex of hospitalised persons. Patients in over 55% of cases were admitted using the sud- den admittance procedure. At the same time, over 3/4 of the stays ended with a referral for further treatment in ambulatory conditions, and death occurred in approx. 5% of hospitalisations. By comparing the discharge procedures, the percentage of deaths in the Anaesthesiology and Intensive Care Wards can be seen clearly (more than 70%). Internal wards are next in turn (10.6 and 16.6%). The biggest differences in the length of hospitalisation between the studied institution and the NFZ data (which are averaged values from all medical entities in Poland) concern the E77, A49, A48, A87, A33, D18, E16, E61 and G37 groups.

2

The Knowledge of Medical Professionals from Selected Hospitals in the Lubelskie Province about Diagnosis-Related Groups Systems

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Iltchev P. , Sierocka A. , Gierczyński S. , Marczak M.

Studies in Logic, Grammar and Rhetoric

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2013

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tom 35

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nr 1

191-201

EN

Health information technology (IT) in hospitals can be approached as a tool to reduce health care costs and improve hospital efficiency and profitability, increase the quality of healthcare services, and make the transition to patient-centered healthcare. A hospital’s efficiency and profitability depends on linking IT with the knowledge and motivation of medical personnel. It is important to design and execute a knowledge management strategy as a part of the implementation of IT in hospital management. A Diagnosis-Related Groups (DRG) system was introduced in Poland in 2008 as a basis for settlements between hospitals and the National Health Fund (NHF). The importance and role of a DRG system in management of healthcare entities was emphasized based on a survey of medical professionals from two hospitals in the Lubelskie province. The goal of a survey is to assess the knowledge of medical professionals about the DRG system and how the medical personnel uses the DRG system in order to achieve the strategic goals of the organization. A newly developed survey was used to assess the medical personnel’s knowledge of DRG, using 12 closed and 5 open questions. The survey was conducted on 160 medical employees from two hospitals in the Lubelskie province. In conclusion, medical personnel’s DRG knowledge unambiguously contributes to reducing hospital costs and increasing profitability. The DRG related knowledge enables personnel to obtain value from data by applying DRG data-driven decisions.

3

Ethical and legal aspects of scientific research on data collected in medical records

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Staszewska A. , Sierocka A. , Marczak M.

Advances in Rehabilitation

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2012

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tom 26

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nr 4

41-46

EN

Research on medical data is essential to the development of evidence based medicine. The use of medical data for scientific purposes must follow principles of good research practice and all relevant legal requirements. The aim of this article is to discuss ethical and legal aspects of processing, preparation and identification of medical data that were used by one of the authors for her doctoral research. The research deals with the black spots methods as a tool for minimizing risks of adverse events in medical setting. It must be stressed, that analyses presented in this article apply to research conducted by physicians as well as to research on medical data undertaken by representative of other medical professions, in particular physiotherapists.

4

The Financial Situation of the Hospital After the Introduction of the Law on the Hospital Network

100%

Sierocka A. , Kostrzewa D. , Leśniak T. , Marczak M.

Problemy Zarządzania

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2020

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nr 3/2020 (89)

67-83

PL

Cel: zmiany w systemie ochrony zdrowia wprowadzone w IV kwartale 2017 roku wraz z wejściem w życie tzw. sieci szpitali stanowiły ogromne wyzwanie dla menedżerów podmiotów leczniczych. Założeniem niniejszej pracy jest przedstawienie na przykładzie szpitala wojewódzkiego w Łodzi, jak istotnie wprowadzone na przestrzeni kilku ostatnich lat zmiany przepisów prawnych wpłynęły na stan finansowy placówki i jej organizację. Metodologia: przeanalizowano wyniki finansowe badanej jednostki od 2014 do 2019 roku. Przedstawiono najważniejsze zmiany prawne (przede wszystkim wdrożenie sieci szpitali), jak również ich wpływ na wielkość przychodów z NFZ. Oszacowano prawdopodobny (zakładany) wynik finansowy na rok 2019. Wyniki: od 2014 do 2016 roku widoczny był systematyczny wzrost przychodów z NFZ i dodatni wynik finansowy (ok.10 mln rocznie). Od 2017 roku wraz z ustawą o podstawowym zabezpieczeniu szpitalnym nastąpiło ograniczenie zysków. Strajki (roszczenia płacowe) personelu medycznego w II połowie 2018 roku dodatkowo przyczyniły się do obniżenia przychodów z NFZ. W konsekwencji konieczne było wdrożenie od 2019 roku szeregu działań naprawczych mających na celu redukcję ponoszonych kosztów i zwiększenie oszczędności (redukcja zatrudnienia, zmiany organizacyjne). Ograniczenia/implikacje badawcze: wdrożenie działań redukujących koszty. Oryginalność/wartość: praca oryginalna.

EN

Purpose: Changes in the health care system introduced in the fourth quarter of 2017 with the entry into force of the so-called “Hospital networks” constituted a huge challenge for managers of medical entities. The assumption of this work is to present, based on the example of the provincial hospital in Łódź, how the changes in legal regulations introduced over the last few years have influenced the financial condition of the institution and its organization. Design/methodology/approach: The financial results of the audited entity were analysed from 2014 to 2019. The most important legal changes (mainly the implementation of the hospital network) as well as their impact on the income from the National Health Fund (NFZ) are presented. The probable (expected) financial result for 2019 is estimated. Findings: From 2014 to 2016, there was a systematic increase in revenues from the NFZ and a positive financial result (about 10 million a year). From 2017, along with the Act on basic hospital security, there was a reduction in profits. Medical staff strikes (payroll claims) in the second half of 2018 additionally contributed to the reduction of revenues from the NFZ. As a consequence, it was necessary to implement, from 2019, a series of corrective actions aimed at reducing costs and increasing savings (employment reduction, organizational changes). Research limitations/implications: Implementation of cost-reducing measures. Originality/value: Original work.

5

Differences in Financing of Admission Rooms (ARs) and Hospital Emergency Rooms (ERs) Between the Years 2013 and 2014, Using an Example of a Lodz Municipal Hospital

100%

Woźniak B. , Sierocka A. , Iltchev P. , Marczak M.

Studies in Logic, Grammar and Rhetoric

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2014

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tom 39

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nr 1

167-177

EN

The goal of the article is to compare methods of financing ARs and ERs based on the data from the 1st half of 2013 and 1st half of 2014 from the K. Jonscher 3rd Municipal Hospital in Lodz. All the stays in the AR/ER in the 1st half of 2013 and the 1st half of 2014 were analysed. Based on the presented data, it can be clearly seen that the new method of financing AR/ER services proposed by the NFZ will beyond doubt have negative outcomes, and will certainly not improve the financial situation of hospitals.

6

Managing the Risk of Adverse Events Using the Example of a Hospital in Wroclaw

100%

Kaleta A. L. , Sierocka A. , Iltchev P. , Marczak M.

Studies in Logic, Grammar and Rhetoric

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2014

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tom 39

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nr 1

155-166

EN

Health Care Centres are institutions which, because of their specificity and character, are particularly exposed to various kinds of risk. One of the most important and most frequently used methods of risk management is the black spots method. The research material collected for the study comes from one of the hospitals in Wrocław. All hospital stays of the C22 (Face and Jaw Surgery Ward) and H05 (Injury and Orthopaedics Surgery Ward) settlement groups (DRG) were analysed - a total of 178 hospitalisations. The black spots method was used in the study, which consisted of risk identification, the ordering of threats and proposals for remedial actions. Using the black spots method, it was possible to identify adverse events that occurred during the hospitalisation of patients with H05 and C22 DRGs in the Injury and Orthopaedics Surgery Ward and Facial and Jaw Surgery Ward. In both cases, the treatment costs for patients with complications were higher than for the stays without complications.

7

The Financial Situation of the Hospital After the Introduction of the Law on the Hospital Network

100%

Sierocka A. , Kostrzewa D. , Leśniak T. , Marczak M.

Problemy Zarządzania

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2020

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nr 3/2020 (89)

67-83

PL

Cel: zmiany w systemie ochrony zdrowia wprowadzone w IV kwartale 2017 roku wraz z wejściem w życie tzw. sieci szpitali stanowiły ogromne wyzwanie dla menedżerów podmiotów leczniczych. Założeniem niniejszej pracy jest przedstawienie na przykładzie szpitala wojewódzkiego w Łodzi, jak istotnie wprowadzone na przestrzeni kilku ostatnich lat zmiany przepisów prawnych wpłynęły na stan finansowy placówki i jej organizację. Metodologia: przeanalizowano wyniki finansowe badanej jednostki od 2014 do 2019 roku. Przedstawiono najważniejsze zmiany prawne (przede wszystkim wdrożenie sieci szpitali), jak również ich wpływ na wielkość przychodów z NFZ. Oszacowano prawdopodobny (zakładany) wynik finansowy na rok 2019. Wyniki: od 2014 do 2016 roku widoczny był systematyczny wzrost przychodów z NFZ i dodatni wynik finansowy (ok.10 mln rocznie). Od 2017 roku wraz z ustawą o podstawowym zabezpieczeniu szpitalnym nastąpiło ograniczenie zysków. Strajki (roszczenia płacowe) personelu medycznego w II połowie 2018 roku dodatkowo przyczyniły się do obniżenia przychodów z NFZ. W konsekwencji konieczne było wdrożenie od 2019 roku szeregu działań naprawczych mających na celu redukcję ponoszonych kosztów i zwiększenie oszczędności (redukcja zatrudnienia, zmiany organizacyjne). Ograniczenia/implikacje badawcze: wdrożenie działań redukujących koszty. Oryginalność/wartość: praca oryginalna. JEL: D81 Acknowledgements This research received no funds. Suggested Citation: Sierocka, A., Kostrzewa, D., Leśniak, T. & Marczak, M. (2020). The Financial Situation of the Hospital After the Introduction of the Law on the Hospital Network. Problemy Zarządzania (Management Issues), 18(3), 67–83.

EN

Purpose: Changes in the health care system introduced in the fourth quarter of 2017 with the entry into force of the so-called “Hospital networks” constituted a huge challenge for managers of medical entities. The assumption of this work is to present, based on the example of the provincial hospital in Łódź, how the changes in legal regulations introduced over the last few years have influenced the financial condition of the institution and its organization. Design/methodology/approach: The financial results of the audited entity were analysed from 2014 to 2019. The most important legal changes (mainly the implementation of the hospital network) as well as their impact on the income from the National Health Fund (NFZ) are presented. The probable (expected) financial result for 2019 is estimated. Findings: From 2014 to 2016, there was a systematic increase in revenues from the NFZ and a positive financial result (about 10 million a year). From 2017, along with the Act on basic hospital security, there was a reduction in profits. Medical staff strikes (payroll claims) in the second half of 2018 additionally contributed to the reduction of revenues from the NFZ. As a consequence, it was necessary to implement, from 2019, a series of corrective actions aimed at reducing costs and increasing savings (employment reduction, organizational changes). Research limitations/implications: Implementation of cost-reducing measures. Originality/value: Original work. JEL: D81 Acknowledgements This research received no funds. Suggested Citation: Sierocka, A., Kostrzewa, D., Leśniak, T. & Marczak, M. (2020). The Financial Situation of the Hospital After the Introduction of the Law on the Hospital Network. Problemy Zarządzania (Management Issues), 18(3), 67–83.

8

Diagnosis-Related Groups (DRG) and Hospital Business Performance Management

88%

Szynkiewicz P. , Iltchev P. , Piechota A. , Sierocka A. , Marczak M.

Studies in Logic, Grammar and Rhetoric

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2014

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tom 39

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nr 1

143-153

EN

The goal of this article is to present the possibility of using Diagnosis- Related Groups (DRG) in the hospital management process and to analyse the need for business performance management on the part of hospital management staff. The following research methods were used: literature analysis, case studies, and poll analysis. It is not possible to increase the effectiveness of operation of healthcare entities without increasing the importance of IT systems and using DRG more effectively in the management process. Training users in IT and the use of DRGs is important to achieving hospital effectiveness. The increased importance of analyses and planning in a hospital should be reflected in the organisational structure of service providers. Hospital controllers should have a similar role to those present in most companies in other industries.