Neriz, L. (Liliana)

Filtering

2018 - 20202

Settings

Author search.filters.isAuthorOfPublication.fef0035d-0c93-4036-aa2b-8130e74bc6a8

Search Results

Now showing 1 - 2 of 2
  • Thumbnail Image
    Emergency departments key performance indicators: A unified framework and its practice
    (2018) Núñez-Mondaca, A. (Alicia); Mateo, R. (Ricardo); Ramaprasad, A. (Arkalgud); Ramis, F. (Francisco); Neriz, L. (Liliana)
    Context: An emergency department (ED) in a hospital provides 24-hour care for the injured/severely ill patients. EDs are essential in any health care system. However, they face many challenges to provide timely treatment such as shortage of specialists, inadequate infrastructure, and unavailability of hospital beds, among others. These challenges are worldwide and undermine the effectiveness of operations and quality of services throughout the hospital. Methods: This study aims to improve the performance of EDs using key performance indicators (KPIs). The KPIs will help decision makers to monitor and manage the performance of EDs systematically. Based on an in-depth field study, expert opinions, and literature review, we propose 5 categories of KPIs regarding Capacity for, Temporality of, Quality of, Outcomes of, and Economics of emergency care. The KPIs are applicable to the basic stages of emergency care. The achievement of the KPIs in each stage will be a function of (1) how the KPIs are used, (2) resources for achieving the KPIs, and (3) management of the resources. The unified systemic framework to manage EDs is presented as an ontology that articulates the very large number of potential ways of ED performance management. Results: Seventy-five KPIs were defined for monitoring purposes. The KPIs and the proposed framework were validated and applied in 2 EDs at a public children's hospital and a medium size clinic in Chile. Conclusions: Based on the study, we propose to standardize the essential information necessary to assess the performance of EDs in Chile using KPIs for their continuous improvement.
  • Thumbnail Image
    Cost objects: How is your ED performing?
    (2020) Núñez-Mondaca, A. (Alicia); Mateo, R. (Ricardo); Fuentes-Cáceres, V. (Verónica); Neriz, L. (Liliana)
    Background: The aim of this study is to a propose a standardized methodology to identify a list of cost objects that can be used by any ED to compute costs considering that the resulting data must facilitate unit management by improving the information available for decision-making. Methods: This study considers two stages, first, we analyzed the case-mix of two hospitals collecting their data to define and diagram their processes, activities and to obtain their cost objects, second, we used four additional hospitals to validate our initial findings. Results: We recognized 59 cost objects. Hospitals may have all these cost objects or just a subset of them depending on the services they provide. Conclusions: Among the main benefits of our cost objects definition are: the possibility of tracing the processes generated by the services delivered by EDs, the economic sense in its grouping, the chance of using any costing methodology, the flexibility with other classification systems such as DRGs and ICDs, and the opportunity of costing for both diseases and treatments. Furthermore, cost comparison among hospitals using our final 59 cost objects list is more accurate and based on comparable units. In different EDs, each cost object will be the result of a similar combination of activities performed. We also present the results of applying this cost objects list to a particular ED. A total of 53 out of 59 cost objects were identified for that particular unit within a calendar year.