In the Health Services Sector we find businesses and Hospital type organizations, either as suppliers or service providers; Veterinarian Clinics; Clinics (general or specialty), etc.
- Existence of large clinics which focus on general basic discomforts, but few specialty centers at the regional level…most of these resulting from private sector initiatives.
- Long waiting times to receive care/service and inefficiency in the assigned specialty staff as well as in support for various areas.
- Multiple suppliers, centralized and local, overlapping in service offerings and supplies to medical facilities, which differ in price, quality and service.
- Ever increasing regulation/ compliance requirements with multiple auditors / regulators and the general public demanding greater transparency.
KEY BUSINESS PROCESSES
- Planning, allocation and budgetary control.
- Comprehensive supplier management and cost control.
- Service time and cost control by treatment/suffering type.
- Quality Management Model aligned with internal and external requirements.
CHALLENGES AND OPPORTUNITIES
- Lack of standardization in service delivery and internal operating model in various government medical centers throughout the country.
- Lack of efficiency and effectiveness indicators between the different medical service operators that enable the comparison by the society between price, quality and historical results.
- Standardization and configuration of information systems that facilitate traceability in internal processes, fulfill the regulations and measure the effectiveness and efficiency in service benefits.
- Lack of a unique identification for patients that identifies insurance status, facilitates entry and the ability to view their medical history and special treatments/ailments to consider.
- Automation / systematization of patient flow and cost control by service area according to objectives, generating process alerts and timely decision making;
- To integrate an evaluation and supplier management model according to objectives agreed upon and price competitiveness (SLA´s);
- Implement a management model to evaluate, in real time, the effectiveness of services and cost efficiency;
- Conduct an investment plan to improve medical service coverage at the local and state level according to demographic statistics;
- Coordinate and perform agreements between the government and the private sector to develop specialty centers in regions where the government is not capable; among others…