Examinando por Autor "Rojas González, Eduin"
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Publicación Acceso abierto Actualización del proceso de ordenamiento de las historias clínicas de la clínica Central, Montería- Córdoba(2022-03-08) Pérez Arias, Jesica Paola; Rojas González, EduinLas entidades de salud en Colombia no solo se apegan a las normas decretadas por el gobierno nacional para la funcionalidad y posicionamiento en el mercado de la salud, sino que también plantean estrategias a nivel interno que buscan mejorar el funcionamiento y desarrollo de los procesos administrativos y de servicios. Es por ello que el objetivo de esta propuesta es la creación de una lista de chequeo para el ordenamiento adecuado de las historias clínicas en la Clínica Central de Montería, Córdoba, mediante un estudio descriptivo con enfoque analítico que permite interpretar las situaciones observadas en la clínica durante el desarrollo del proceso de práctica. Donde se obtiene como resultados del análisis de la muestra de 50 historias clínicas, que el 76% no cuenta con los soportes requeridos y solo el 24% de la muestra contenían todos los documentos que soportan la prestación del servicio. Por otra parte, se observa que el 54% contienen documentación errónea o de otros pacientes, mientras que el 46% de las historias clínicas presentan la documentación exacta con referencia a los datos del paciente y el servicio prestado. El último aspecto relevante encontrado en el análisis de las historias clínicas fue que el 80% contienen soportes completamente legibles y solo el 20% presenta soportes ilegibles. Concluyendo que existen falencias que se pueden corregir en el proceso de ordenamiento de la historia clínica en el área de admisiones, ya que la falta de soportes fundamentales que la admisionista debe recolectar para la prestación del servicio y el ordenamiento de las carpetas de los pacientes afectan la efectividad y eficiencia de otros procesos. Es por ello, que se logra determinar que la puesta en marcha de la lista de chequeo agilizará todos los procesos que dependen de la recolección de los soportes que dan veracidad no solo del servicio prestado sino también de la existencia del paciente. Es decir, que la creación e implementación de la lista de chequeo es una estrategia que mejorará la ejecución de los procesos de manera ágil y correcta, logrando una reducción en actividades que son repetitivas y desgastantes para los empleados de otras áreas como la de facturación, que al momento de radicar o facturar, se ven afectados por la faltas de soportes que sustentan los servicios prestados.Publicación Restringido Análisis de la facturación electrónica en el área de salud en Latinoamérica(2020-11-15) Fernández Vargas, Blanca Iris; Rojas González, EduinThe present research has the general objective of identifying what has been the scope of the implementation of electronic invoicing in some Latin American countries, considering that ICTs in health are part of the trend of cultural change and new forms of organization, novel modalities of learning and information and different social ties, which can provide solutions to certain populations. In order to control tax evasion and improve tax management, governments have implemented electronic invoicing as a fair and necessary measure. Hence, to comply with it, the information is accurate and the invoice corresponds exactly to what is going to be paid. In Latin American countries, especially in Colombia, this evasion phenomenon is very critical, which affects higher collection. The implementation and use of the electronic invoice implies an increase in efficiency, cost savings and faster payments. Electronic invoicing in health represents a transformation in the internal processes of companies, streamlining and optimizing their document management. In addition, it allows to supervise and verify that the administrative processes are fiscally coherent with the service (s) that health companies provide according to the country's regulations. This research seeks to characterize the current state of electronic invoicing in Colombia and Latin America and validate the aspects of information in the health sector from the interpretive paradigm, observation and analytical method. The implementation of a system of electronic invoicing in the area of health of a generalized nature has important advantages for taxpayers, both in terms of decreasing the cost of compliance, as well as the possibility of improving its efficiency by reducing operating costs and automation possibilities. The lower costs for taxpayers who are major invoice issuers are given by such things as paper savings, physical storage space for documents for the time required by the standard; and savings related to the physical sending of documents to customers. Based on a literature search on tax evasion in Latin America and the implementation of the ehealth billing model, a description of the aspects relevant to the implementation of the e-health billing model is prepared; which helped to conclude how the 10 implementation of the electronic invoicing model in Colombia is a fact, despite the fact that the regulations of the Ministry of Health and Social Protection (Minsalud) and the National Customs and Taxes Directorate (DIAN) are not yet harmonized. That is why it is important to define together an electronic billing model that really enables them to achieve their evasion control objectives. With the electronic invoice, the health service provider can identify errors and mitigate mishaps, making their process lighter, safer and more efficient; therefore it is necessary to identify the scope of the electronic invoicing process to companies in the health sector. Thus, a bibliographic search was conducted for electronic billing models in health that helped define the Colombian model, despite the lack of unification of regulations of the Ministry of Health and Social Protection (Minsalud) and the Directorate of National Taxes and Customs (DIAN). In this way, the present monograph will answer the question, what has been the scope of the implementation of the electronic invoice in some Latin American countries? On the other hand, in Latin America, Successful national implementations of electronic invoicing systems exist in countries such as Argentina, Chile, Mexico, Peru, Ecuador, Brazil and Uruguay. However, each tax administration implemented its electronic invoicing in a different way (with different characteristics, procedures and rules), adapting it to the particularities of its country. Hence, one of the most sensitive issues in the health sector is precisely the complexity of the billing system for the collection of services and technologies, where the actors have their own laws and additional decrees, the entities (EPS, IPS or health service providers) have internal protocols and the medical auditor also has his own perspective, resulting in an arduous process, generate an electronic billing system that unifies the requirements of each part that conforms it. It is therefore necessary to clarify that there are no studies in the literature that describe in a specific way how the impact of e-invoicing is on the health sector in Latin American countries and because of the differences between the structural countries related to their tax system, it is not possible to make a comparison of the effects of electronic invoicing between different countries, but rather at the level of entities in the same 11 country. However, the common point lies in the saving of 80% of expenses in the issuance and management of invoices. Depending on the type of care, you can make more or less bills and support care. So, the only way for the health sector to have the same impact on cost reduction as in other sectors in implementing the ebilling model, would be to manage the support of care within the health institutions and send them to the companies responsible for electronic payment, that is, the institutions must have an electronic medical history, standardized by Law 1438 (2011) and repealed by the Statutory Health Act 1751(2015). In other words, there are no legal incentives for hospitals to implement electronic medical records, so the expected savings from the electronic billing model would be scarce. Similarly, implementing the electronic invoice will benefit the main stakeholders involved, customer-supplier, as they will have a significant reduction in paper consumption reducing the environmental impact, will also reduce the costs of purchasing and maintaining printing equipment, inks and communication networks to achieve the production of these documents.Publicación Acceso abierto Análisis del clima organizacional en el área de gestión de cuentas y auditoría en la Clínica Zayma S.A.S. en el año 2022(2022-07-26) Castro Martínez, Camila; Rojas González, EduinThe Organizational Climate is fed by the contributions and research of organizational behavior. Therefore, this is an issue of great importance today for all organizations, which seek a continuous improvement of the environment of their organization, and thus achieve an increase in productivity, without losing sight of the human resource. The organizational climate of a company is supremely important since through it its performance, environment and productivity can be measured. The organizational climate does not depend on a single person as in this case, but on the set of people who make up the Account Management and Audit (GCA) area of the ZAYMA clinic in the city of Montería; it should be borne in mind that the attitude and good work not only depends on the money that each worker earns as many come to think, a good salary in an uncomfortable work environment will minimize the desire to work, which makes it become a negative condition for the overall performance of the company and this brings with it low productivity issues. The project aimed to identify the organizational climate of the GCA area, for this it required an analysis of the processes of the organization in relation to the management of the organizational climate in the area; with this, it was hoped to achieve results that contribute to improving the efficiency, effectiveness and effectiveness of the company, and that allows to respond to the objectives set out in this project. The information generated will be the product of integration criteria between administrative aspects, human talent, leadership among others; which will respond to the improvement of the organizational climate, according to the data provided by the DOFA analysis. The methodology that was used is the most assertive in this type of projects since through exploratory research, it was possible to identify different aspects at the organizational level that over time must be corrected and open spaces for discussion among the different officials in order to reach informative and educational consensus that allow the good development and maintenance of a work environment, maintaining productivity at optimal levels. The results obtained are thanks to a thorough analysis of the graphs, detailing the situation of the organizational climate through the DOFA matrix, evidencing different problems some with greater relevance than others; it was noted that a little more accompaniment is needed in favor of improvement, maintenance of human resources and management of the company, an optimal environment must 11 be patented in which the internal and external information channels of the company are not affected for any reason and at any time. The lack of incentives and the lack of spaces that stimulate good work and the fulfillment of goals set were evidenced, this must be corrected since over time it can affect the productivity of officials and bring negative figures in the production of the company, it is also important to highlight that the intrinsic and extrinsic factors of the company would improve. Another problem strongly established in the organizational environment of the company was the lack of assertive communication between the officials since repeatedly the information that is handled in that environment is not about labor issues and the officials lose the thread of the ideal training that must be handled, another situation that we must add to this problem is the appropriate tone of voice of the officials, since sometimes it is a bit high and disturbs the good environment, this problem must be solved as soon as possible through the use of pedagogy and the opening of recreation spaces between working hours in order to give a break from work information to officials and that in their other work they are not touching other issues concerning the companyPublicación Restringido Determinar el nivel de satisfacción de los usuarios que asisten al servicio de consulta externa, en la Clínica Integral de Fracturas Lomas Verdes SAS(2023-08-21) Ortiz Estrada, Moises Elias; Rojas González, EduinLos servicios de salud permiten identificar el origen y alcance de las fallas que pueden ocasionar insatisfacción en los usuarios, prevalencia de enfermedades, eventos adversos, el mal llamado paseo de la muerte donde fallecen pacientes por falta de atención y quejas de usuarios que, al no ser atendidos, acuden a los entes de control y jueces para defender sus derechos, generando traumatismos administrativos y de alto costo por indemnizaciones. La satisfacción de los usuarios es un resultado importante del trabajo realizado por los profesionales y un factor asociado a la conducta de los usuarios existen tres razones para considerar la satisfacción como una medida importante la existencia de trabajos que no te muestren el umplimiento y el tratamiento la satisfacción para evaluar no será un elemento útil para velar por la calidad del servicio y la opinión del paciente la podemos utilizar sistemáticamente para mejorar nuestros servicios la comunicación asertiva cordial y amable con los usuarios. Sin lugar a dudas se convierte la satisfacción del usuario en un elemento fundamental para analizar la calidad, pues de esta depende la conformidad de los usuarios siendo considerada como un factor importante para prestar un servicio de manera integral hacia los usuarios ya que son ellos quienes tienen relevancia y participación en la organización Ya que una baja calidad trae consigo grandes prejuicios tanto a sus usuarios como a la institución que debe invertir enormes recursos en remediar daños que puedan causarse por falta de asertividad en la atención Por lo cual, se realiza el análisis del tema determinar el nivel de satisfacción de los usuarios que asisten al servicio de consulta externa en la Clínica Integral de Fracturas Lomas Verdes SAS. Se utilizará una metodología de estudio descriptivo con enfoque cualitativo, para la recolección de información se aplicarán encuestas de satisfacción de los usuarios. La evaluación del cuidado y la atención brindada, debe ser un proceso continuo y flexible, basado en datos enfocados en el resultado del cuidado, y en la percepción de satisfacción del usuario; dado que el grado de satisfacción es el indicador fundamental de la calidad asistencial. Desde este enfoque la percepción que el paciente tenga sobre el cuidado que recibe, es importante para retroalimentar no solamente la profesión sino también el servicio que cada una de las instituciones de salud ofrece a las personas; y esta está relacionada con el grado de satisfacción que tenga. La satisfacción del usuario, refleja calidad, siendo ésta un elemento de vital importancia, que da confiabilidad, credibilidad y prestigio tanto a la institución de salud donde se brinda el cuidado, como al personal que brinda dicho cuidado.Publicación Acceso abierto Diagnóstico del trato humanizado interno y determinantes asociados a los trabajadores en la Clínica Central O.H.L Ltda. de la ciudad de Montería(2022-03-07) Aviléz Petro, Iván Arturo; Rojas González, EduinThe humanization in Health is of vital importance since it generates strategies that favor the dignified treatment of people in the field of health and its objective is to provide well-being and improvement of the quality of life of each person. That is why humanization is essential and must become a priority in all health-care institutions, all members working in the organization should seek to ensure and improve their lifestyle and that of those around them (users, workers, etc.). The conditions mentioned above make it necessary to carry out this work of degree entitled diagnosis of the internal humanized treatment and determinants associated with the workers at the Central Clinic O.H.L Ltda; of the city of Monteria, its objectives are: to improve the perception of the humanization policy through different tools, and in turn to enable the workers of the institution to be trained on the importance of the humanized treatment and the importance of it for better delivery of the health service to patients. In view of the above, a quantitative descriptive study carried out a survey of administrative and care personnel in the different areas of the O.H.L. Central Clinic Ltda; where weaknesses were evident with regard to the issue of humanization inPublicación Acceso abierto Diseño del proceso de selección del programa jóvenes pasantes de la Secretaria de Juventud de la Gobernación de Córdoba(GOBERNACION DE CORDOBA, 2022-07-26) Quintero Doria, Helen Carolina; Rojas González, EduinThe selection process is an important element for the success of the company. Thanks to the result that the DOFA matrix yielded, we observe that currently the Young Interns program does not have personnel selection procedures, which generates an index of inadequate profiles, non-conformity with the activities carried out by the intern, poor organizational climate, among others. others. For this reason, it is necessary to implement the process of the different phases already existing in the selection of the Young Intern, in order to properly meet the precise requirements of the different areas. In order for an organization to meet its objectives, it is essential to have personnel who can carry out the actions that lead to this end, which is why the pertinent choice of this personnel will allow it to succeed in its approaches and goals. Therefore, we can say that the selection of personnel is a process that aims to identify the best applicants for the job, in which the capacity, performance and other important points based on the vacant position will be evaluated. In effect, the design of the selection process for internships was carried out in the different areas of the Government of Córdoba, launching everything announced in the objectives or goals that were intended to be achieved in the stipulated time of the business practice.Publicación Acceso abierto Satisfacción del usuario en consulta externa de la Clínica Central de Montería en el cuarto trimestre del 2021(2022-03-11) Fernández Ruíz, Daniela Fernanda; Rojas González, EduinRodríguez et, al (2020) indicate that the analysis of health services allows identifying the origin and scope of failures that can cause dissatisfaction in users, prevalence of diseases, adverse events, the so-called walk of death, where they die patients due to lack of attention and complaints from users who, not being attended to, go to the control entities and judges to defend their rights, generating administrative trauma and high costs for compensation. Therefore, the analysis of the topic is carried out Determining the level of user satisfaction in the outpatient service of the Central Clinic of Montería. Using the descriptive study methodology, with a qualitative approach. Information was collected, for which the SERVQUAL model was applied, which evaluates user satisfaction and assesses five dimensions. Among the results obtained, there is evidence of 65% satisfaction, placing it at the medium level in relation to the service provided by the clinic's nurses; Similarly, 15% of the patients in the survey carried out show a high level of satisfaction in the attention of the administrative staff; the remaining 20% of the patients seen in the outpatient service show a low level of satisfaction. In the assessment for the development of daily activities according to quality, sense of belonging, love for their profession, empathy with the user or patient with 90% satisfaction.Publicación Restringido Seguridad y protección en la unidad de imagenología para usuarios y trabajadores de la Clínica Central. Montería- Córdoba(2022-03-07) Madera Mieles, María Marcela; Rojas González, EduinThis internship report was developed at the Central Clinic of the municipality of Monteria. The objective was to establish the elements of safety and protection in the imaging unit for patients and workers of the Central clinic. The methodology that was applied to said project was divided into four phases; the first was a diagnostic analysis, in phase 2 the information obtained in a 5W1H technique was systematized, in phase 3 the analysis of the documents that make up the radiological risk management manual was carried out in accordance with current regulations and they were socialized risks with internal and external stakeholders. In phase 4, an evaluation of the documents was made and a structure of the recommendations made was generated. From the results it was observed that the current regulations were not complied with and there was no relationship between what was planned and what was executed. Due to this, the risk manual was updated in its entirety and was entitled radiology protection manual. Divided into two parts: radiological surveillance and radiological protection. In conclusion, the risk manuals of the aforementioned clinic should be kept updated to improve the quality of the service offered.