SOCIAL AND HEALTHCARE ORGANIZATION

Social and healthcare organization

Social and Healthcare Organization

Introduction

Social and Healthcare system quality has become a major concern of society, as noted in recent reports such as The State of Quality in Health Care (National Committee for Quality Assurance, 2006), To Err Is Human: Building a Health Insurance System. It is estimated that 81,000 deaths and up to $ 3.6 billion in unnecessary hospital costs could be avoided if the entire health system could do in the area of primary responsibility plans, social and health organizations have been seeking ways to improve the bottom line and quality of patient care.

In some other high-risk sectors such as manufacturing systems, quality or process improvement programs have been used successfully for over decades. Some typical quality programs are the International Organization for Standardization (ISO) 9000, the philosophy of total quality management, Toyota Production System (TPS), lean manufacturing, and recently, especially the Six Sigma program. These quality standards and programs can be conveniently borrowed to improve the performance of social and health systems. As a matter of fact, (Joint Commission on Accreditation of Social and Health Services, 2006) has defined a quality management program similar to ISO 9000. Recently, many health professionals have implemented Six Sigma methodology with a high return on investment. Beyond the advantage of reducing medical errors in the processes of health care, the implementation of six sigma a positive impact on other critical measures of quality: timeliness and speed, cost, quality of service / care, physician efficiency and patient satisfaction. These benefits of Six Sigma are achieved through the use of a systematic approach to define measure, analyze, improve and control processes (DMAIC). Six Sigma projects stay on track through the establishment of deliverables in each phase of the DMAIC process. One of the benefits of Six Sigma methodology in other process improvement programs is that the use of statistical tools in Six Sigma projects allows professionals to accurately identify problems that hinder the process and demonstrate the improvements based on objective data.

Literature review

A study on the basis of data from the Organization for European Economic Co-operation and Development (OECD) concluded that all types of health care finance "are consistent with" an efficient health system. The study also found no relationship between funding and cost control.

Health insurance long term is generally used to describe a form of insurance that pays medical expenses. It is sometimes used more broadly to include insurance covering disability or long-term nursing or custodial care needs. It may be through a social insurance program or private insurance companies. Can be obtained as a group (for example, by a company to cover its employees) or purchased by individual consumers. In each case the premiums or taxes to protect policyholders of high-care expenses or unexpected health. In estimating the total cost of the cost of health care, a routine finance structure (such as a monthly premium or annual tax) can be developed, ensuring that money is available to pay for medical care benefits specified ...