Reestruturação de processos operacionais como fator de redução de custos e otimização de resultados financeiros: estudo de caso no complexo de laboratórios do HUPE/UERJ

• Autor(a) principal: Pontes, Fábio Jorge da Silva
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/14991
• topic: Process management; Health cost management; Public management; Laboratory management; Management in university hospitals; Economics; Gestão de processos; Gestão de custos em saúde; Gestão pública; Gestão de laboratórios; Gestão em hospitais universitários; Economicidade; Laboratórios Gestão; Hospitais universitários; Hospital Universitário Pedro Ernesto (HUPE) 4. Gestão em saúde . 5. Controle de processos .; Gestão em saúde; Controle de processos; CNPQ::CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO::ADMINISTRACAO PUBLICA

Clinical analysis laboratories have complex characteristics in their operation. Several factors influence decision making among them; the people, the equipment, the costs, the types of examinations, the doctors and the patients. Due to this complexity, the manager must ensure that there are no flaws in the process, since the error can lead to financial losses, equipment idleness, and, mainly, to sequelae in the patient's treatment and health. The public manager must act with efficiency to execute the activities with credibility with its stakeholders, maintaining an economic-financial condition that justifies the maintenance of the services to which it is proposed. In the laboratory of clinical analysis, the stages of the operational process are dynamic and use both human resources and high technology. Given this, the control of inputs and cost information are essential to evaluate the economic and financial results of service delivery, aiming at transparency and smoothness in public activity. The objective of this work is to analyze the critical points of the laboratories management and, later, to propose improvements in the management of internal resources to increase production capacity and billing at the HUPE / UERJ Laboratory Complex. In the data analysis, a Pareto diagram was used to verify the most requested exams and the costs associated with their purchase. This information will provide a basis for decision-making between increasing or decreasing demand and whether there will be a need to outsource some exams. Data were collected from the BIOSLAB and SIHUPE management systems, from bibliographic research in scientific journals, books, theses and dissertations, semi-structured interviews and on-site scenario evaluation. The result of the work demonstrated flaws in the internal processes, in the purchasing process, in the management of people and, also, presented the great idleness of the equipment available. Subsequently, new organizational models were suggested for the mentioned items. With the application of the suggestions it is expected to standardize the requests for orders, increase the control of the processes, engage the work team and optimize the resources available in the HUPE Laboratory Complex. The study made it possible to identify a great opportunity to reduce the amount of equipment and supplies purchased annually and also suggested the optimization of existing equipment in the laboratory to increase HUPE financial results by more than 600%.