ABSTRACT
Introduction: integrated information systems, new approach of service delivery and interactions with customers, all have a common managerial character, and owe their success to process approach. This study aimed to determine the impact of Business Process Management on discharge process in Qaem teaching hospital in Mashhad
Methods: this action research conducted in 2013, focused on inpatient discharge process. Data collection, in four phases of study, was based on a focus group for prioritizing processes, modeling, identifying problems and providing solutions. The instruments for data collection consisted of work flowchart, identification of improvement opportunities and problem identification table and some forms such as engineering analyzing
Results: after the implementation of Business Process Model, the saving time for patient discharge was 68 minutes
Conclusion: after modeling the process, identifying problems and non-value added activities, the researchers implemented team members' suggestions and showed changes in form of unit indexes
ABSTRACT
Introduction: While hospital care has always been one of the basic requirements, Payment Method of treatment is an important factor to create equity in utilization of care. On the other hand, length of stay is one of the key indicators in hospital performance showing the efficiency of hospital care in resource consumption. The purpose of this study was to survey the effect of Payment Method of Treatment cost on the patient length of stay in educational and health centers in Qazvin in 2014
Methods: In this cross-sectional descriptive-analytic study, 640 samples were randomly selected from among inpatients' documents at Qazvin's selected educational and health centers. Data entry form was used for data gathering and Kolmogorov-Smirnov, Mann Whitney and Kruskal- Wallis tests were used for data analysis
Results: The mean and standard deviation for inpatient length of stay were 5.454 and 6.143, respectively. Demographic factors such as age, occupation, marital status affected the length of stay [P <0.001]. The maximum length of stay was related to the patients with insurance from the Committee of Help [8.8days] and the minimum length of stay belonged to the patients without any type of health insurance [3days]. It was also found that basic and supplemental health insurance affected the patients length of stay
Conclusion: Concerning the limited resources of health system in hospital sector and the influence of Payment Method of treatment on patient length of stay, proper use of insurance for appropriate and adequate utilization of hospital care and reducing unnecessary accommodation are undoubtedly necessary