Modelo de Salud Promedan S.A | Inducción Corporativa

Model of Health Care Attention

Strategic Planning Overview

• The health care model is based on a strategic plan spanning from 2017 to 2025, focusing on key aspects for effective implementation.

• This strategic direction includes the organization's mission and vision, which are essential for guiding all collaborators towards common goals.

Organizational Structure and Objectives

• The strategic map outlines ten objectives centered around sustainability, participation, organizational learning, social responsibility, and institutional values. These elements are crucial for achieving the mission and vision by 2025.

• A significant emphasis is placed on humanizing services through campaigns that reinforce teamwork, respect, warmth, and compliance within the organization.

Service Delivery Model

• The "Rommedahl" service delivery model focuses on users and families while managing health risks effectively. It aims to organize conceptual guidelines, processes, norms, and principles for health service implementation.

• The ultimate goal of this model is to maintain the well-being of individuals under care by adhering to a comprehensive understanding of health as defined by the World Health Organization (WHO). This definition encompasses physical, mental, and social well-being rather than merely the absence of disease.

Understanding Health Determinants

• Health determinants include personal factors as well as social, economic, and environmental influences that affect individual or population health status. Recognizing these determinants is vital for formulating effective health strategies.

• A notable statistic indicates that only 11% of disease origins are attributed to healthcare services; however, community perception often assigns about 90% responsibility to these services due to lifestyle choices and environmental factors impacting health outcomes.

Integrated Health Care Pathways

• Integral pathways in healthcare define necessary conditions for comprehensive attention involving all system agents: territorial authorities, insurers, and providers must coordinate their activities effectively across communities.

• Individualized actions should promote wellness through prevention efforts including diagnosis treatment rehabilitation as well as palliative care measures aimed at maintaining or recovering health status among individuals.

Mandatory Health Routes

• Several mandatory routes have been established by the ministry including maternal-perinatal care; cardiovascular disease management; cancer treatment; nutritional disorders; substance abuse issues; infectious diseases among others which require adherence from healthcare organizations like Promedian.

• Primary attention strategy emphasizes proximity to populations serving as first contact points in recognized systems ensuring accessibility to essential healthcare services for communities in need.( t =398 s)

Healthcare System Structure and Levels of Care

Overview of Resource Allocation in Healthcare

• The focus is on directing resources to address health needs effectively, emphasizing low-cost, high-intensity activities such as health promotion and prevention.

Levels of Healthcare Attention

• First Level: Basic care units (APEC) are designed for primary attention, including self-care and basic healthcare services. This level aims to resolve 95% of health issues.

• Second Level: Specialized consultation units handle outpatient procedures and surgeries, addressing more complex health problems that require specialized care.

• Third Level: Hospital care focuses on rare and complex conditions requiring advanced technology and specialized procedures, covering the remaining 5% of healthcare needs.

Types of Care Settings

• There are three main areas of healthcare:

• Ambulatory Care: Includes basic attention units, specialist services, diagnostic imaging, and therapeutic procedures.

• Hospital Care: Comprises emergency units and hospitalization facilities located in Medellín and Apartadó.

• Home Care: Targets chronic patients with disabilities or dependencies who cannot access primary care facilities; includes regular home visits by medical teams.

Integrated Patient Management

• A clinical integration unit coordinates patient care across ambulatory, hospital, and home settings to ensure continuity in treatment pathways tailored to individual needs. Strategies include various programs for specific diseases like HIV, tuberculosis, cancer, etc.

Team Composition in Primary Health Care

• The primary healthcare team consists of general practitioners (gatekeepers), nurses, dentists, nutritionists, and therapists who provide planned consultations for comprehensive patient management. This model integrates specialized medical professionals for enhanced patient outcomes at the first level of care.

Understanding Medical Risks and Responsibilities

Types of Medical Risks

• The concept of technical risk involves the potential dangers a patient faces when undergoing medical decisions or interventions made by professionals.

• A CT scan exposes patients to significantly higher radiation compared to standard X-rays, equating to approximately 500 X-rays at once, highlighting the varying levels of risk associated with different medical procedures.

Risk Management in Healthcare

• Risks can be categorized into technical risks and primary risks, the latter being inherent to human existence. Effective management requires organizations to identify and stratify these risks.

• The first step in managing risks is identifying them when a patient seeks care, followed by evaluating their health status to classify their level of risk.

Patient Stratification

• Patients are classified based on their health conditions into different groups for tailored interventions: primary care for healthy individuals, specialized care for those with identified pathologies but no organ damage, and advanced care for patients with significant health issues.

• Group 1 consists of healthy individuals receiving primary care; Group 2 includes patients with manageable conditions requiring periodic specialist visits; Group 3 comprises those needing specialized treatment due to serious organ involvement.

Care Pathways

• Patients in need of complex treatments may transition from outpatient services to hospital-based care where comprehensive management is provided before returning to primary care under a follow-up plan.

• Specialized facilities focus on chronic disease management while ensuring that patients receive necessary interventions without frequenting primary healthcare settings.

Professional Responsibilities in Healthcare

• Health professionals bear four main responsibilities:

• Assistance: Providing urgent care for life-threatening conditions while prioritizing patient safety.

• Administrative: Managing resources effectively as every medical order incurs costs.

• Technological: Utilizing appropriate technology and maintaining proficiency in its use for accurate data recording and patient monitoring.

• Educational: Acting as knowledge transmitters within the healthcare system, ensuring effective communication and understanding among peers and patients.