A methodology for the creation of integrated service networks in outpatient internal medicine

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) an...

Full description

Autores:
Ortiz Barrios, Miguel Angel
Escorcia Caballero, Juan
Sánchez Sánchez, Fabián
Tipo de recurso:
Article of journal
Fecha de publicación:
2015
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
eng
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/3252
Acceso en línea:
https://hdl.handle.net/11323/3252
https://repositorio.cuc.edu.co/
Palabra clave:
Integrated service networks
Value stream mapping
Collaborative sceneries
Outpatient internal medicine
Healthcare
Redes integradas de servicios
Mapeo de flujo de valor
Escenarios colaborativos
Medicina interna ambulatoria
Cuidado de la salud
Rights
openAccess
License
http://creativecommons.org/licenses/by-nc-sa/4.0/
id RCUC2_d629a4b5724bd782cfc05033f5f5072b
oai_identifier_str oai:repositorio.cuc.edu.co:11323/3252
network_acronym_str RCUC2
network_name_str REDICUC - Repositorio CUC
repository_id_str
dc.title.spa.fl_str_mv A methodology for the creation of integrated service networks in outpatient internal medicine
dc.title.translated.spa.fl_str_mv Una metodología para la creación de redes integradas de servicios en medicina interna ambulatoria
title A methodology for the creation of integrated service networks in outpatient internal medicine
spellingShingle A methodology for the creation of integrated service networks in outpatient internal medicine
Integrated service networks
Value stream mapping
Collaborative sceneries
Outpatient internal medicine
Healthcare
Redes integradas de servicios
Mapeo de flujo de valor
Escenarios colaborativos
Medicina interna ambulatoria
Cuidado de la salud
title_short A methodology for the creation of integrated service networks in outpatient internal medicine
title_full A methodology for the creation of integrated service networks in outpatient internal medicine
title_fullStr A methodology for the creation of integrated service networks in outpatient internal medicine
title_full_unstemmed A methodology for the creation of integrated service networks in outpatient internal medicine
title_sort A methodology for the creation of integrated service networks in outpatient internal medicine
dc.creator.fl_str_mv Ortiz Barrios, Miguel Angel
Escorcia Caballero, Juan
Sánchez Sánchez, Fabián
dc.contributor.author.spa.fl_str_mv Ortiz Barrios, Miguel Angel
Escorcia Caballero, Juan
Sánchez Sánchez, Fabián
dc.subject.spa.fl_str_mv Integrated service networks
Value stream mapping
Collaborative sceneries
Outpatient internal medicine
Healthcare
Redes integradas de servicios
Mapeo de flujo de valor
Escenarios colaborativos
Medicina interna ambulatoria
Cuidado de la salud
topic Integrated service networks
Value stream mapping
Collaborative sceneries
Outpatient internal medicine
Healthcare
Redes integradas de servicios
Mapeo de flujo de valor
Escenarios colaborativos
Medicina interna ambulatoria
Cuidado de la salud
description 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.
publishDate 2015
dc.date.issued.none.fl_str_mv 2015-12-02
dc.date.accessioned.none.fl_str_mv 2019-05-08T15:04:30Z
dc.date.available.none.fl_str_mv 2019-05-08T15:04:30Z
dc.type.spa.fl_str_mv Artículo de revista
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.content.spa.fl_str_mv Text
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/article
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/ART
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
format http://purl.org/coar/resource_type/c_6501
status_str acceptedVersion
dc.identifier.issn.spa.fl_str_mv 0302-9743
dc.identifier.uri.spa.fl_str_mv https://hdl.handle.net/11323/3252
dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
dc.identifier.reponame.spa.fl_str_mv REDICUC - Repositorio CUC
dc.identifier.repourl.spa.fl_str_mv https://repositorio.cuc.edu.co/
identifier_str_mv 0302-9743
Corporación Universidad de la Costa
REDICUC - Repositorio CUC
url https://hdl.handle.net/11323/3252
https://repositorio.cuc.edu.co/
dc.language.iso.none.fl_str_mv eng
language eng
dc.rights.uri.spa.fl_str_mv http://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-sa/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.publisher.spa.fl_str_mv Universidad de la Costa
institution Corporación Universidad de la Costa
bitstream.url.fl_str_mv https://repositorio.cuc.edu.co/bitstreams/69f65f15-fdd1-4166-913b-de7c1b04e67d/download
https://repositorio.cuc.edu.co/bitstreams/33772f0a-34ee-4173-a235-57b36050ec3d/download
https://repositorio.cuc.edu.co/bitstreams/fc683674-5489-4fe4-87a3-1722b773aaf0/download
https://repositorio.cuc.edu.co/bitstreams/496e8c90-0b72-4a0e-94a9-367021289567/download
https://repositorio.cuc.edu.co/bitstreams/a3584ac0-1855-4a4e-b691-a87694ce92b5/download
bitstream.checksum.fl_str_mv 6ca55fbfa5e40759c4cdcacd8596d30d
934f4ca17e109e0a05eaeaba504d7ce4
8a4605be74aa9ea9d79846c1fba20a33
adcb5fbfc42d5367ba14e9686415704c
152b76d7cec70580fc0425f93d0d01f7
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositorio de la Universidad de la Costa CUC
repository.mail.fl_str_mv repdigital@cuc.edu.co
_version_ 1828166810856325120
spelling Ortiz Barrios, Miguel AngelEscorcia Caballero, JuanSánchez Sánchez, Fabián2019-05-08T15:04:30Z2019-05-08T15:04:30Z2015-12-020302-9743https://hdl.handle.net/11323/3252Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/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.Los tiempos extendidos de espera de los pacientes para recibir atención médica en medicina interna ambulatoria tienen un impacto directo en la insatisfacción del paciente. Este problema se ha vuelto cada vez más relevante en Colombia, donde los tiempos de espera de los pacientes tienden a ser más largos. En este contexto, se ha creado una metodología basada en el mapeo de la cadena de valor (VSM) y los escenarios de colaboración para examinar diferentes alternativas de mejora centradas en el diseño de redes de servicios integrados en medicina interna ambulatoria con la participación de dos hospitales con un entorno de tipo mixto de pacientes. Primero, se realiza un diagnóstico individual para cada hospital a través de VSM para identificar actividades sin valor en la cadena de valor y diseñar estrategias de mejora para cada proceso. En segundo lugar, se establece una plataforma estratégica de la red. En tercer lugar, se definen los protocolos de comunicación y servicio de la red. Luego, se diseña y valida un modelo de simulación para realizar experimentos en la estructura de la red. Finalmente, se determinan las tablas de pago y riesgo y se establecen los índices de rendimiento clave de la red. Los resultados demuestran la validez del enfoque propuesto al reducir el 75% del tiempo de espera en este proceso, lo que genera un impacto positivo en la salud de la población con beneficios financieros satisfactorios y equitativos para los hospitales participantes.Ortiz Barrios, Miguel Angel-0000-0001-6890-7547-600Escorcia Caballero, Juan-2df6848d-1583-460f-abf8-d1373ee0a00e-0Sánchez Sánchez, Fabián-3764d043-52d9-4112-9978-b033954340a9-0engUniversidad de la Costahttp://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Integrated service networksValue stream mappingCollaborative sceneriesOutpatient internal medicineHealthcareRedes integradas de serviciosMapeo de flujo de valorEscenarios colaborativosMedicina interna ambulatoriaCuidado de la saludA methodology for the creation of integrated service networks in outpatient internal medicineUna metodología para la creación de redes integradas de servicios en medicina interna ambulatoriaArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/acceptedVersionPublicationORIGINALA Methodology for the Creation of Integrated Service Networks in Outpatient Internal Medicine.pdfA Methodology for the Creation of Integrated Service Networks in Outpatient Internal Medicine.pdfapplication/pdf181007https://repositorio.cuc.edu.co/bitstreams/69f65f15-fdd1-4166-913b-de7c1b04e67d/download6ca55fbfa5e40759c4cdcacd8596d30dMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-81031https://repositorio.cuc.edu.co/bitstreams/33772f0a-34ee-4173-a235-57b36050ec3d/download934f4ca17e109e0a05eaeaba504d7ce4MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://repositorio.cuc.edu.co/bitstreams/fc683674-5489-4fe4-87a3-1722b773aaf0/download8a4605be74aa9ea9d79846c1fba20a33MD53THUMBNAILA Methodology for the Creation of Integrated Service Networks in Outpatient Internal Medicine.pdf.jpgA Methodology for the Creation of Integrated Service Networks in Outpatient Internal Medicine.pdf.jpgimage/jpeg42476https://repositorio.cuc.edu.co/bitstreams/496e8c90-0b72-4a0e-94a9-367021289567/downloadadcb5fbfc42d5367ba14e9686415704cMD55TEXTA Methodology for the Creation of Integrated Service Networks in Outpatient Internal Medicine.pdf.txtA Methodology for the Creation of Integrated Service Networks in Outpatient Internal Medicine.pdf.txttext/plain1637https://repositorio.cuc.edu.co/bitstreams/a3584ac0-1855-4a4e-b691-a87694ce92b5/download152b76d7cec70580fc0425f93d0d01f7MD5611323/3252oai:repositorio.cuc.edu.co:11323/32522024-09-17 14:12:38.425http://creativecommons.org/licenses/by-nc-sa/4.0/open.accesshttps://repositorio.cuc.edu.coRepositorio de la Universidad de la Costa CUCrepdigital@cuc.edu.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