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Examinando por Autor "Paredes Gómez, Carlos"

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  • Publicación
    Restringido
    Análisis de factibilidad por medio de la implementación del modelo CANVAS, para la creación de la Unidad de Cuidados Intensivos de la E.S.E. Hospital Regional de San Gil
    (Bucaramanga : Universidad de Santander, 2019, 2019-11-05) Riaño Acosta, Edwin Isnardo; Paredes Gómez, Carlos
    La E.S.E. Hospital Regional de San Gil, es una Institución prestadora de Servicios de Salud, de carácter público localizada en el municipio de San Gil (Santander), la cual es sede principal de una red de servicios de salud integrada por 18 municipios de la Provincia de Guanentá, ubicados en el costado suroriental de la geografía del Departamento, esta red de servicios de salud actualmente no cuenta con Unidad de Cuidados Intensivos, causando pérdidas económicas para el sector salud y aumento del riesgo de pérdidas de vida por traslado de pacientes en estado crítico. Razón por la cual este proyecto propone la creación de un Servicio UCI adultos y neonatal en la E.S.E. Hospital Regional de San Gil, que opere bajo un sistema BPO, razón por la cual se plantea como objetivo general, determinar la factibilidad técnico financiera por medio de la implementación del modelo de negocio CANVAS, para la creación de la Unidad de Cuidados Intensivos (UCI) neonatal y adultos, la cual funcione por medio de un sistema Business Process Outsourcing (BPO), en el Hospital Regional de San Gil, localizado en el municipio de San Gil, departamento de Santander. En torno al desarrollo de este objetivo general, se logró establecer una propuesta de valor sólida, que beneficia directamente a los clientes del sector salud y los usuarios de esta red de prestadores de servicio, además fue posible obtener una segmentación de clientes en donde se visualiza rápidamente las EPS tanto del régimen contributivo, subsidiado y regímenes especiales como clientes. Por otra parte, se establecieron las características organizacionales de la UCI y finalmente se estableció la factibilidad financiera del negocio, determinando el valor presente neto, la tasa interna de retorno y el periodo de retorno de la inversión.
  • Publicación
    Acceso abierto
    Medición de satisfacción del usuario para cada uno de los servicios habilitados para la empresa IMHOTEP IPS S.A.S 2017
    (Bucaramanga : Universidad de Santander, 2017, 2017-12-04) Monares Riaño, Sandra V.; Ruiz Gómez, Margyhuri A.; Villate Lemos, Julio A.; Paredes Gómez, Carlos
    IMHOTEP IPS company was born to respond to the needs in health and chronic patients care in Colombian Northeast. This response is configured in a health service provider institution that is oriented towards humanized care, and respect for human dignity, where quality, opportunity and accessibility to services, as well as the safety of the user and their family are the fundamental pillars of the organization. IMHOTEP IPS is enabled since July 2017 therefore it has a recent attention model, so it requires continuous evaluation; they are willing to allow improvement proposals for their care model and strategic platform. During the diagnosis, actions that are directed towards institutional growth and improvement are evident, thus making inroads into areas such as primary health care. The humanized attention in health, chronic and palliative cares both in the clinical and home settings. Its main objective is to consolidate an institution providing health services, which is a leader and a regional reference, which pays attention from the areas of promotion and prevention to the diagnosis, treatment and rehabilitation of alterations in the health of users. The service provision model structures some normative guidelines which allow us to apply a tool to constantly evaluate user satisfaction and thus have a plan for continuous improvement of quality, based on evidence and evaluating the scope of the institutional processes, therefore, the instrument was applied to the users by authorized service and the global satisfaction was measured, giving us the status of the company IMHOTEP IPS through specific indicators, in order to carry out a plan for continuous improvement.
  • Publicación
    Acceso abierto
    Prueba piloto de detección de indicios de eventos adversos en seis meses y análisis de incidencia y costos de un mes con metodología ibeas adaptada en el servicio de hospitalización de una institución de salud
    (Bucaramanga : Universidad de Santander, 2013, 2013-10-03) Gutiérrez Zehr, Johana; Serpa Pérez, Piedad Cecilia; Paredes Gómez, Carlos
    Introduction. Patient safety is the set of structural elements, processes, tools and methodologies based on scientifically proven evidence that tends to minimize the risk of an adverse event during the health care process. An adverse event and its counterparts can be defined as any unintended injury caused by healthcare rather than the disease process that causes delay in discharge, extended stay, disability, additional costs associated with non quality and ultimately death the patient. Objectives. Pilot test to identify signs of adverse events that occurred in the hospital service and identification of non-quality costs in a month. Methodology. Retrospective observational study. The study subjects are patients with hospital stays longer than 24 hours. We used IBEAS project methodology adapted to a six-month follow-up implementation of screening and analysis of incidence and costs of one month pilot. The data were processed through INEVAS software designed specifically for this research and Excel PivotTables. Results : We found an incidence of 47.10% Preventable Adverse Event (EAE) in the month pilot study (February 2013), with the EA associated with care (65.24 %) the most frequent in large margin, in second place were administrative problems associated with 14.44% and third place associated with nosocomial infections (10.16 %) . In story to non-quality costs represent 10 % of the total cost of the amounts billed, with the costs for services therapeutic and diagnostic support (5.9 %) which mostly affect this percentage. Conclusions: adaptations to guide screening helped identify best evidence or EA alerts, both as administrative assistance.
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