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A Methodology for the Creation of Integrated Service Networks in Outpatient Internal Medicine

  • Miguel Angel Ortiz Barrios
  • Juan Escorcia Caballero
  • Fabián Sánchez Sánchez
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9456)

Abstract

Extended patient waiting times for medical care in outpatient internal medicine has a direct impact on patient dissatisfaction. This issue has become increasingly relevant in Colombia where patient waiting times tend to be longer. In this context, a methodology based on value stream mapping (VSM) and collaborative sceneries has been created to examine different improving alternatives focused on the design of integrated service networks in outpatient internal medicine with the participation of two hospitals with mixed-patient type environment. First, an individual diagnosis for each hospital is made through VSM to identify non-value activities in the value chain and design improvement strategies for each process. Second, a strategic platform of the network is set. Third, communication and service protocols of the network are defined. Then, a simulation model is designed and validated to conduct experiments on the structure of the network. Finally, payment and risk tables are determined and key performance indexes of the network are established. The results prove the validity of the proposed approach upon reducing 75 % of the lead time in this process creating a positive impact on population’s health under satisfactory and equitable financial benefits for the participant hospitals.

Keywords

Integrated service networks Value stream mapping Collaborative sceneries Outpatient internal medicine Healthcare 

References

  1. 1.
    Ortiz Barrios, M., Felizzola Jiménez, H., Nieto Isaza, S.: Comparative analysis between ANP and ANP- DEMATEL for six sigma project selection process in a healthcare provider. In: Pecchia, L., Chen, L.L., Nugent, C., Bravo, J. (eds.) IWAAL 2014. LNCS, vol. 8868, pp. 413–416. Springer, Heidelberg (2014)Google Scholar
  2. 2.
    Zimmerman, J., Dabelko, H.I.: Collaborative models of patient care: new opportunities for hospital social workers. Soc. Work Health Care 44(4), 33–47 (2007)CrossRefGoogle Scholar
  3. 3.
    Katon, W.J., Lin, E.H., Von Korff, M., Ciechanowski, P., Ludman, E.J., Young, B., McCulloch, D.: Collaborative care for patients with depression and chronic illnesses. New England J. Med. 363(27), 2611–2620 (2010)CrossRefGoogle Scholar
  4. 4.
    Thota, A.B., Sipe, T.A., Byard, G.J., Zometa, C.S., Hahn, R.A., McKnight-Eily, L.R., Community Preventive Services: Collaborative care to improve the management of depressive disorders: a community guide for systematic review and meta-analysis. Am. J. Prev. Med. 42(5), 525–538 (2012)Google Scholar
  5. 5.
    Avery, M.D., Montgomery, O., Brandl-Salutz, E.: Essential components of successful collaborative maternity care models: the ACOG-ACNM project. Obstet. Gynecol. Clin. N. Am. 39(3), 423–434 (2012)CrossRefGoogle Scholar
  6. 6.
    Casey, J.J.W.: A lean enterprise approach to process improvement in a health care organization (Doctoral dissertation, Massachusetts Institute of Technology) (2007)Google Scholar
  7. 7.
    Taddei, A., Gori, A., Rocca, E., Carducci, T., Piccini, G., Assanta, N., Ricci, G.: Tele-consulting for collaborative diagnosis and care of heart malformations. In: Computing in Cardiology, pp. 253–256. IEEE, September 2011Google Scholar
  8. 8.
    Grafton, J., Abernethy, M.A., Lillis, A.M.: Organisational design choices in response to public sector reforms: A case study of mandated hospital networks. Manage. Account. Res. 22(4), 242–268 (2011)CrossRefGoogle Scholar
  9. 9.
    Campbell, B., Fryers, M., Devitt, R., Vestal, K.: Towards a collaborative model of care. In: Healthcare Management Forum, vol. 22(3), pp. 27–31. Elsevier, November 2009Google Scholar
  10. 10.
    Gorbaneff, Y., Torres, S., Contreras, N.: Anatomía de la cadena de prestación de salud en Colombia en el régimen contributivo. Gerencia y Políticas de Salud 3(6), 88–106 (2004)Google Scholar
  11. 11.
    Varkey, P., Reller, M.K., Resar, R.K.: Basics of quality improvement in health care. In: Mayo Clinic Proceedings, vol. 82(6), pp. 735–739. Elsevier, June 2007Google Scholar
  12. 12.
    Leng, M., Parlar, M.: Allocation of cost savings in a three-level supply chain with demand information sharing: A cooperative-game approach. Oper. Res. 57(1), 200–213 (2009)CrossRefzbMATHGoogle Scholar
  13. 13.
    Musoles, M.B., Escortell, A.I.: Matemáticas de las operaciones financieras:(teoría y práctica) (1994)Google Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Miguel Angel Ortiz Barrios
    • 1
  • Juan Escorcia Caballero
    • 2
  • Fabián Sánchez Sánchez
    • 2
  1. 1.Department of Industrial EngineeringUniversidad de la Costa CUCBarranquillaColombia
  2. 2.Department of Industrial EngineeringUniversidad Autónoma del CaribeBarranquillaColombia

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