RESUMO
Since 1988, the Sunnybrook Health Science Centre has been proactive in re-designing its system toward decentralized management, the purpose being to further enhance patient care. This process has involved numerous changes, among which were the establishment of three large clinical units. These clinical units are not defined following the historic medical model, but group patients with similar service and care needs. Subsequently, each of the clinical units defined Patient Service Units (PSUs). The hospital has chosen a co-leadership model for the lead management at each of the unit levels. This paper describes the model for clinical units.
Assuntos
Reestruturação Hospitalar/organização & administração , Equipes de Administração Institucional/organização & administração , Liderança , Assistência Centrada no Paciente/organização & administração , Centros Médicos Acadêmicos/organização & administração , Hospitais com mais de 500 Leitos , Modelos Organizacionais , Sistemas Multi-Institucionais/organização & administração , Ontário , Inovação Organizacional , Papel do MédicoRESUMO
An important step in re-engineering to achieve patient focused care is to define operational units of patients with like needs. This paper describes one process-oriented approach for this task. The approach allowed early and significant involvement of the staff in the re-engineering project.
Assuntos
Reestruturação Hospitalar/organização & administração , Unidades Hospitalares/organização & administração , Assistência Centrada no Paciente/organização & administração , Pacientes/classificação , Técnica Delphi , Hospitais com mais de 500 Leitos , Unidades Hospitalares/estatística & dados numéricos , Hospitais de Ensino , Humanos , Ontário , Técnicas de Planejamento , Psicologia IndustrialRESUMO
The demand for fiscal restraint and accountability has forced health care facilities to carefully evaluate the benefits of new programs. Some time ago, the Long Term Care Nursing Department of Sunnybrook Health Science Centre in Toronto, Ontario, collaborated with Centennial College to provide a Gerontology Certificate Program to registered nurses. While originally conceived as a retention and recruitment strategy, it became obvious that such a program could and should have additional benefits to staff and long term care residents alike. This article describes the changes as indicated by three scales, and the benefits described by the registered nurses. It also illustrates, rather humorously, that even the more educated and experienced among us can make mistakes and learn from them!
