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Dr. A. Hany Hassanain

1 healthcare system and control

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Dr. A. Hany Hassanain

Part I

What is the system?

Inputs Outputs

Operation

Control

Why are the Outputs are drawn larger than Inputs

???????

Good added value

Bad added Value

Can we better define the system?

The system is the grouping of the Inputs, Operations that add value to produce the

Output

Any system is a subsystem of a larger system

The output of one system may be an input of another system.

No closed system

Change of a system affects other systems

What is the Healthcare System ????

Operations

5Ms ================== 4 Ps Control

Quality Assurance + Control

Inputs

5 Ms

Service Production

Outputs

4 Ps

Control

Assurance

Material

Machine

Manpower Money

Method

Product (Health Services)

Promotion Price

Place

4Ps Customer Satisfaction of patients

Work Environment Satisfaction of workers

Can we better define the healthcare system ?????????????????????????????

Can we define channels of control?

Can we integrate the channels of control in the system ???????????

It is the system that uses the available and suitable material, machines and methods by the skillful

workers under quality assurance supervision in the proper environment and place to produce the best

available health services and minimizing the risk to satisfy of the patients at plausible price that is

reflected on the health institution and the workers’ reputation.

Suggest 3 to 4 methods or actions to control each of the 5Ms, the 4Ps and the

assurance of the production

• Material Quality

• Machine Quality

• Method Quality

• Manpower Quality

• Money Quality

• Quality Assurance

• Proper mixture of the 5 Ms

• Reducing the risk

• The Service Quality

• The Product Quality

• The Promotion Quality

• The Price

• What is the Quality Profit ?????

• How can we know about patients’ satisfaction?

• How can we know about workers’ satisfaction?

• What are the control channels in the healthcare system?

Part 2

• Assurance Method + Safety

• Control Adjust resources + Satisfaction

Quality Management

(Assurance + Control)

The trainee who is asked just mention one idea in action to assure material quality

(10 trainees will be asked )

• Proper Material for the use specification

• Price

• Storing

• Suppliers

• Time of dispatches

• Dispensing

• Handlers of materials & recording

• Safety for the patient and workers

• The supply chain profit

The trainee who is asked just mention one idea in action to assure material quality

(10 trainees will be asked)

• Proper Machines Specifications

• Maintenance schedules & recording

• Proper material for the machine

• Time table for operating the machine

• Profitability of the machine

• Return of the investment on the machine

• Proper place for the machine

• Safety for patients and workers

• Training Program for new users

The trainee who is asked just mention one idea in action to assure material quality

(10 trainees will be asked)

• References

• Recommendations of international associations

• Protocols

• Researches

• Evidence Based Medicine

• Policies to apply & control over application success

• Policies to train & control over training success

• Safety for patients and workers

• Log Books

The trainee who is asked just mention one idea in action to assure material quality

(10 trainees will be asked)

• Qualified & Trained

• Soft Skills & Communications

• Teamwork

• Updating

• Satisfied

• Stress & Crises & Time Managements

• Medical Records

• TOT for doctors

• Policies for Qualification & Training

The trainee who is asked just mention one idea in action to assure material quality

(10 trainees will be asked)

• Cost of Quality Programs

• Revenues after Quality programs

• Profitability of Quality Program

• Reputation as an asset and how to measure it

• Cost Reduction

• Reducing investment risks

• Accounting programs Computerized

• Doctors think cost-benefit & cost-effective

The trainee who is asked just mention one idea in action to assure material quality

(10 trainees will be asked)

• Method Easy Steps

• Policies for methods

• Resources should be enough to start a method

• Trained doctors and nurses for the method

• Assessment of the outcome of the method

• Analysis of steps to further improving

• Continuous education and training

• Performance and Appraisal management

The trainee who is asked just mention one idea in action to assure material quality

(10 trainees will be asked)

• Patients’ satisfaction

• Community Satisfaction

• Assessment of reputation

• Comparative Statistical studies

• Improving the service

• New Services

The trainee who is asked just mention one idea in action to assure material quality

(10 trainees will be asked)

• Suitability of the place

• Building safety

• Fire plans and training programs

• Sanitation

• Maintenance of the building & budget

• Developing the building & budget

• Waste Removal plans

• Cleaning programs and materials

The trainee who is asked just mention one idea in action to assure material quality

(10 trainees will be asked)

• Fair

• Profitability ????

• Moving price policies

• Type of pricing

• Mass sales & price reduction

• Pricing the new services

The trainee who is asked just mention one idea in action to assure material quality

(10 trainees will be asked)

• Marketing policies achieving sales target or not

• Effective or not

• Ads

• The word of mouth

• Social Media

• The effect of promotion over reputation

• Communication methods

• PR

What is the Quality Profit ????????????

How can we know about patients’ satisfaction?

How can we know about workers’ satisfaction?

What are the control channels in the healthcare system?

What was best in the lecture and what was worst:

A. The teaching part – rank from 1 (worst), 2, 3, 4(best)

B. The Discussion – 1 (worst), 2, 3, 4 (Best)

C. The workshop – 1 (worst), 2, 3, 4 (Best)

D. The Exercise – 1 (worst), 2, 3, 4 (Best)

E. Did you feel bored during the lecture – Yes or No

F. Do you have better understanding of the healthcare business and how it was developed and how will it be developed in the future? Yes or No

Thank

You