Plan de mejoramiento para la disminución de glosas generadas en la E.S.E Hospital Francisco Canossa de Pelaya, Cesar, durante el año 2022

Abstract

The research was oriented towards the documentation of an improvement plan to reduce the generation of glosses generated in E.S.E. Francisco Canossa Hospital, located in the municipality of Pelaya (department of Cesar); the above, in response to the problem associated with the difficulty of the entity under study to solve its operation due to the non-conformities presented in matters of tax and financial management of administrative-care products and services offered. The above was developed in three phases: diagnostic stage, evaluation stage and purposeful construction stage. The methodological design used was descriptive with a qualitative approach, observational, transversal and retrospective. The findings were focused on the identification of six (6) processes affected by the incidence of glosses (user care, outpatient consultation, emergencyhospitalization, clinical laboratory, pharmacy and basic care transfer), which were characterized through a survey composed of 27 questions, which allowed us to recognize that 12% of the total aspects evaluated obtained a very high negative impact, while 16% showed a high trend, with general management being the department with the greatest negative impact at the process level; Causal aspects of glosses include low work skills on the part of workers linked to the entity, and inability to discern the degree of quality of an administrative-care process-service offered; The aspect with the highest incidence in terms of gloss generation is insufficient training with (90%). Therefore, it was possible to propose six improvement strategies consolidated into short, medium and long-term action plans, whose focus was associated with 44% technological, social (40%) and 16% (economic).