The general director of the Fundación IDIS, Marta Villanueva, has announced this Tuesday the conclusions of her 'Process Efficiency Project', an initiative through which a unified catalog proposal of the main care-related acts and their content has been developed, along with 10 procedures, a presentation that coincided with the awarding of her 'XIII QH (Quality Healthcare) Recognitions' to different hospitals.
"The common catalog responds to one of the main difficulties identified in the relationship between hospitals and insurers: the existence of different names, definitions and billing criteria for equivalent services," she explained about this project, coordinated by TIREA, which has made it possible to contrast its application in real cases and verify compliance with the set objectives. To this end, the validation phase of a common catalog has been completed through a pilot test between DKV and Vithas.
As Villanueva pointed out during the event held in Madrid under the title 'Quality and efficiency at the service of the patient', "the idea is to reduce administrative complexity and discrepancies in the interpretation of concepts", for which the involvement of 12 organizations from the private healthcare sector was counted on: Quirónsalud, Vithas, HM Hospitales, Clínica Universidad de Navarra, IMED Hospitales, SegurCaixa Adeslas, Sanitas, ASISA, DKV, MAPFRE, Caser and AXA. As a result of this work, a common language has been established, concepts have been simplified and homogeneous criteria have been agreed in order to reduce discrepancies in administrative procedures.
"Talking about quality of care is also talking about how we organize ourselves to provide better care to all patients, which implies making proper use of all the resources of the system, facing the major challenges of the healthcare sector," he stated, for his part, the general secretary of the Fundación IDIS, Adolfo Fernández-Valmayor, who recalled that the entity has always defended "that most of these problems have to be solved with joint responses". He also highlighted the weight of Private Healthcare, with 12.8 million policyholders, more than 40 percent of surgical interventions and more than 30 percent of emergencies.
Within the framework of this project, the participating entities have advanced in the standardization of services linked to operating rooms, stays and wards, reducing the number of concepts and avoiding overlaps. Likewise, shared-use rules and an attribute structure have been agreed, making it easier to identify with greater precision the content of each product, supported by standardized reference catalogs.
The work has also included the standardization of specific procedures. For this purpose, 10 procedures were selected based on their frequency of use and the volume of incidents detected. Discrepancies associated with the interpretation of the included services, the consideration of inherent or additional acts, and the different techniques that can be used to carry out the same procedure were brought to light. Based on this analysis, a reference model has been configured that conceives each procedure as a normalized product, with a name and a common attribute structure.
Palmarès of the QH Awards
In parallel, the event has served for the delivery of the 'Reconocimientos QH', for which 213 applications were submitted, of which 49 were new requests, 37 category-improvement requests and 127 renewals. The delivery was carried out by Fernández-Valmayor; the chair of the Asociación Española para la Calidad (AEC), Beatriz López; the Incidencia Política y Defensa de Derechos technician of the Platform of Patient Organizations (POP), Paula Echeverría; the president of the Sociedad Española de Directivos de la Salud (SEDISA), Pepe Soto; and the deputy general director of Quality of Care and Patient Safety of the Ministry of Health of the Government of Madrid, Alberto Pardo.
The organizations that obtained this seal for the first time were the Diálisis Diaverum Llíria centers, Diálisis Diaverum Paterna, Diálisis Diaverum Ponferrada, Diálisis Diaverum Torrent, Diálisis Diaverum Valencia and Diálisis Diaverum Xirivella, as well as Médico Bilbao, Médico Pirámides, Médico Provenza, De Bienestar Pozuelo, De Rehabilitación Avanzada Valdebebas and the hospital foundations Barcelona Nord and Madrid.
For the first time, the dialysis centers Diaverum Alicante, Elche, Gandía, Madrid, Orihuela, Sagunto and San Vicente, the Complex Hospitalario Universitario Nuestra Señora De Candelaria, HCB Benidorm, IMO Madrid Grupo Miranza, the Universitario Río Hortega and San Juan De Dios Palma-Inca hospitals, and San Juan De Dios Gipuzkoa have been recognized with one star; while with two stars the De Día HM Nuevo Norte and Universitario La Luz hospitals have been distinguished.
As for the organizations that have improved their category in this edition, with one star appear the dialysis centers Diaverum Badalona, Llobregat, Burjassot, Caravaca, Castellón, Gamapal, IHB, Inca, Maresme, Mataró, Nefroclub, Nephros, Oropesa, Palau, Palma, Pontevedra, Requena, Rotellar, Santa Catalina, Santiago, Villagarcía, Vinaroz and Virgen De Montserrat, in addition to the Clínica Suárez Leoz; and with two stars the Clínico Universitario De Valladolid, Universitario Príncipe De Asturias and Viamed San José hospitals, Mutua Montañesa, HLA Hospital Mediterráneo and Hospital Recoletas Salud El Carmen.
Finally, with three stars the Asociado Universitario Guadarrama, HM Niños, Quirónsalud Barcelona, Quirónsalud Córdoba, Quirónsalud Málaga, Universitario HM Rivas, Universitario Sanitas Cima, Universitario Sanitas La Moraleja, Universitario Sanitas La Zarzuela and Universitario Sanitas Virgen Del Mar hospitals have been distinguished.