Costs, Organization and Management of Hospitals

• Druk: Kraków, 2010
• Redakcja naukowa: Jan Stępniewski, Marek Bugdol
• Wydawca: Wydawnictwo Uniwersytetu Jagiellońskiego

A successful health care unit means meeting patients’ expectations, taking advantage of the latest organizational and technological solutions and, at the same time, providing financial balance. To achieve such a success the units have to put stress on modern methods of management, taking into account the cost analysis, its structure, controlling and caring about income.

It is surprising why it has been so difficult for the hospitals to implement changes in their organization or management in favorable conditions for innovations. Is there any opposition to the innovations, successfully implemented in other companies and enterprises, which makes it impossible to introduce them in Polish hospitals?

Transposing organizational solutions from other fields of economy to medical units is the task not only for the scientists but also for the managers of health care who are responsible for hospitals’ existence and finding a common ground for cooperation with the representatives from the world of medicine. However, the latter must join and support the system of management as all its parts are equally important so, if one single element of the system, seemingly unimportant, is inefficient, the system collapses.

e-ISBN 978-83-233-8027-6

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• Redakcja: Jan Stępniewski, Marek Bugdol
• Język wydania: polski
• ISBN: 978-83-233-3008-0
• Liczba stron: 240

PREFACE	11
INTRODUCTION	13
PART I. Costs and finances in hospitals	17
	1.1. New changes in public hospital funding: The French DRGs (GHS) and their consequences on Low-income patients and social disabilities	17
	1.2. Cost accounting and its role in the management of a hospital	32
	1.3. The aspect of resources in activity based costing for hospital management purposes	40
	1.4. The use of cost accounting systems in health care units in the Lublin area	47
	1.5. The role of internal audit in hospitals	52
	1.6. Construction of the soft budget restrictions and health unit debt	60
	Bibliography	67
PART II. Innovation, organization and management of hospitals	75
	2.1. Organizational innovations of hospitals	75
		2.1.1. Innovations in hospitals	75
		2.1.2. Innovation and organisation in the hospital: a French perspective	84
		2.1.3. Organizational innovations in production of hospital service	95
		2.1.4. Organisational standards of the endoscopic surgery ward	105
		2.1.5. Organisation of one day surgery clinic	110
		2.1.6. Information systems and risk management in health institutions. A practice-based approach	114
	2. 2. Management of hospitals	126
		2.2.1. The application of the process-oriented management concept in improving the productivity of hospital operation	126
		2.2.2. Functioning of hospitals after commercialization	133
	Bibliography	141
PART III. Human resource, patients’ rights and quality service of hospitals	151
	3.1. Human resource of hospitals	151
		3.1.1. Perspective of personnel function development in Polish hospitals	151
		3.1.2. Interpersonal and intergroup communication process in the hospitals	159
		3.1.3. Ethical aspects of competitions on managing position of hospitals	169
	3.2. Patients’ rights while quality of medical services	179
		3.2.1. Quality of medical services from a point of view of patients’rights	179
		3.2.2. Patients’ satisfaction in the medical services quality management – research problems	188
		3.2.3. Perspective of patient in managing quality of medical services	195
		3.2.4. Quality improvement in hospital using the QFD method	204
		3.2.5. Ethical programme of hospitals	218
	Bibliography	230
CONCLUSIONS	237
SUMMARY	239