Articulación del Sistema de Gestión de Calidad, Sistema de Gestión Ambiental y el Sistema Único de Habilitación en Salud en el Instituto de Estudios Científicos en Odontología

Abstract

The main objective of this thesis is the articulation of Quality Management Systems (ISO 9001:2015), Environmental Management (ISO 14001:2015), and the Single Health Accreditation System (SUH) in the Institute of Scientific Studies in Dentistry (IECO), a medium-complexity private institution that offers dental and oral radiology services.

The research is based on the need to optimize internal processes, resources, and operational efficiency, addressing the current challenges faced by the institution in efficient and effective management, such as the lack of a comprehensive framework that unifies its operations and the absence of a solid organizational structure, essential for the sustainability and competitiveness of the health sector.

The consultancy was developed in four phases: The first focuses on the formulation of a diagnostic instrument through a qualitative approach, which includes document review and interviews with key IECO stakeholders. The second phase involves creating a requirement identification matrix, using a quantitative approach to collect data related to ISO 9001:2015, ISO 14001:2015, and SUH standards. The third stage focuses on structuring the articulation of the Integrated Management Systems (IMS) in evaluation and compliance with SUH and improving operational efficiency and service quality, and the final stage centers on validation by experts to review the proposal's content, assess its form, and ensure it is correctly structured.

The results obtained through the application of the diagnostic instrument showed 37% compliance in the QMS, 36% in the EMS, and 94% in the SUH, which allowed us to identify strengths and weaknesses in meeting the requirements of the standards under study and guide improvement actions to address those shortcomings through a unified implementation plan in line with the identification of common and non-common requirements of the three systems.

The validation of the proposal by experts was analyzed using Cronbach's Alpha Coefficient, a quantitative method used to measure the internal consistency reliability of a scale, obtaining a result of 0.85, which indicates good validity and agreement, suggesting that the articulation of the management systems is not only necessary but also represents an opportunity to align with best practices in the sector and comply with regulatory standards.

In conclusion, the articulation of Quality, Environmental, and Health Accreditation Management Systems in IECO will not only improve operational efficiency, resource optimization, customer satisfaction, and regulatory compliance but also foster a culture of continuous improvement, contribute to strengthening organizational knowledge, and enhance the sustainability and competitiveness of the institution. These results not only benefit IECO but also provide a replicable model for other health sector institutions wishing to implement an effective Integrated Management System.