Quality certification model for care management in Chilean hospitals

Abstract

Resumen Resumo R E S E A R C H P A P E R ( O R I G I N A L ) Quality certification model for care management in Chilean hospitalsModelo de certificación de calidad para la gestión del cuidado en hospitales chilenos Modelo da certificação da qualidade da gestão do cuidado em hospitais chilenos Maria Cristina Torres Andrade*; Javier Alarcón**; Angela Berthet***; Viviana Cantero****; Daniela Llanquipichún*****; Daniela Sáez******; Ignacio Yáñez******* Background: In Chile, care management is a Nursing responsibility, being mandatory in Chilean complex hospital settings. However, there are no instruments to certify its quality and allow for its integration within the strategic organization of the Sub-Directorates for Care Management.Objectives: To identify, on a consensual basis, the concept and dimensions associated with care management, as well as the processes, outcomes and indicators of each dimension. Methodology: The Delphi methodology was used to identify the concepts, dimensions, processes and outcomes in consultation with experts. The research team analyzed and reached a consensus on the answers. These answers were consecutively validated using focus groups with health professionals from public and private hospitals in order to develop the model. Results:The following dimensions were obtained: i) Relevance and Cost-Effectiveness of Nursing Actions; ii) Power and Relationship with Others; and iii) Nursing Research and Training. Each dimension was composed of the respective clinical processes, outcomes and indicators. Conclusion:The matrix is a flexible and appropriate model to assess the needs of the institutions, providing visibility to the clinical processes associated with care management and the certification of its quality.

Aportes metodológicos de una experiencia de construcción de indicadores de desarrollo mediático

“…Propuesta metodológica: categorías, perspectivas y niveles de análisis Docasal, 2013;Trapote, 2015), la toma de decisiones y el de orientar decisiones en el futuro (Aceituno, 2013;Torres et al, 2016).…”