{"id":15349,"date":"2012-03-01T00:00:00","date_gmt":"2012-02-29T23:00:00","guid":{"rendered":"http:\/\/ricom-web.com\/gestions-hospitalieres\/du-triple-a-a-la-pause-dejeuner\/"},"modified":"2018-03-08T16:34:08","modified_gmt":"2018-03-08T15:34:08","slug":"du-triple-a-a-la-pause-dejeuner","status":"publish","type":"post","link":"https:\/\/www.ricom-web8.com\/gestions\/du-triple-a-a-la-pause-dejeuner\/","title":{"rendered":"Performance hospitali\u00e8re"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Temps de lecture\u00a0: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p class=\"para-TC_txt\">Il n\u2019est pas inutile dans ce contexte de rappeler quelques notions de la performance qui demeure un concept central du management. Cela est particuli\u00e8rement vrai dans le domaine de l\u2019\u00e9valuation o\u00f9 l\u2019une des grandes tendances observable ces derni\u00e8res ann\u00e9es a \u00e9t\u00e9 de d\u00e9velopper des cadres d\u2019\u00e9valuation de la performance hospitali\u00e8re fond\u00e9s sur des jeux d\u2019indicateurs, comme en t\u00e9moigne le d\u00e9veloppement de l\u2019outil Hospi-Diag par l\u2019Agence nationale d\u2019appui \u00e0 la performance (Anap) des \u00e9tablissements de sant\u00e9 et m\u00e9dico-sociaux. <span class=\"char-TC_txt-Local-38\">En m\u00eame temps, la qu\u00eate de performance \u00ab\u00a0sur le terrain\u00a0\u00bb renvoie diff\u00e9rents constats\u00a0: la multitude des activit\u00e9s \u00e0 combiner, l\u2019importance de la conviction \u00e0 emporter aupr\u00e8s des professionnels dans les changements organisationnels m\u00eame les plus minimes, la place de la valorisation de ces m\u00eames changements dans les logiques d\u2019un \u00e9tablissement. Ces constats ont en commun d\u2019affirmer la complexit\u00e9 dans laquelle s\u2019ancre la recherche de cette performance.<\/span><\/p>\n<p class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-38\">Mis ensemble, on per\u00e7oit alors l\u2019enjeu de cr\u00e9er de la coh\u00e9rence entre une lecture agr\u00e9g\u00e9e de la performance \u00e0 des fins d\u2019\u00e9valuation, et des actions d\u2019am\u00e9lioration men\u00e9es dans la complexit\u00e9 de l\u2019activit\u00e9 hospitali\u00e8re. En quelque sorte, il s\u2019agit de concilier la qu\u00eate d\u2019un triple A en mati\u00e8re d\u2019\u00e9valuation, et la r\u00e9ussite du changement dans des sujets quotidiens comme le fait de rendre appropri\u00e9s les pics d\u2019activit\u00e9 et le temps de la pause-d\u00e9jeuner (cas abord\u00e9 dans ce dossier). Mieux, il s\u2019agit de comprendre le sens entre ces deux logiques d\u2019\u00e9valuation et d\u2019am\u00e9lioration de la performance.<br \/>\n<\/span><span class=\"char-TC_txt-Local-38\">C\u2019est tout l\u2019int\u00e9r\u00eat de ce dossier que de contribuer \u00e0 cette r\u00e9flexion.\u00a0<\/span><\/p>\n<p class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-38\">L\u2019article suivant s\u2019attache plus particuli\u00e8rement \u00e0 rappeler quelques principes th\u00e9oriques de la performance, abordant les questions de ses dimensions, des indicateurs et des tableaux de bord cr\u00e9\u00e9s \u00e0 cet effet.<br \/>\n<\/span><span class=\"char-TC_txt-Local-38\">L\u2019exp\u00e9rience pr\u00e9sent\u00e9e par Jean-Louis Bourgain \u2013 responsable d\u00e9partement bloc op\u00e9ratoire \u2013 montre le d\u00e9veloppement pragmatique de tableaux de bord \u00e0 un \u00e9chelon d\u00e9centralis\u00e9 (d\u00e9partement ou p\u00f4le).<\/span><\/p>\n<p class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-38\">L\u2019article de Nathana\u00ebl Loric \u2013 responsable cellule d\u2019appui \u00e0 la performance \u2013 s\u2019attache pour sa part au changement organisationnel op\u00e9r\u00e9 au niveau d\u2019un plateau de consultations. Dans les deux cas, ces op\u00e9rations ont \u00e9t\u00e9 men\u00e9es au sein de l\u2019Institut de canc\u00e9rologie Gustave-Roussy, centre de lutte contre le cancer qui accueille des patients adultes et enfants, atteints de cancers fr\u00e9quents ou rares et \u00e0 tous les stades de la maladie (en 2010, 168\u00a0000 consultations ont \u00e9t\u00e9 r\u00e9alis\u00e9es, et pr\u00e8s de 11\u00a0300 nouveaux patients ont \u00e9t\u00e9 pris en charge dont 20\u00a0% dans le cadre d\u2019un essai clinique).\u00a0<\/span><\/p>\n<p class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-38\">Ces deux exp\u00e9riences apportent une description et tirent des enseignements de ce que signifie la performance \u00ab\u00a0sur le terrain\u00a0\u00bb dans un \u00e9tablissement de sant\u00e9 en 2012. Le lecteur de\u00a0<\/span><em><span class=\"char-TC_txt_ital-Local-130\">Gestions hospitali\u00e8res<\/span><\/em>\u00a0<span class=\"char-TC_txt-Local-38\">pourra ainsi, nous l\u2019esp\u00e9rons, puiser dans ce dossier des connaissances et m\u00e9thodes qui pourront lui \u00eatre utiles.<\/span><\/p>\n<script>function PlayerjsAsync(){} if(window[\"Playerjs\"]){PlayerjsAsync();}<\/script>","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Temps de lecture\u00a0: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>\ufeffUn th\u00e8me r\u00e9current des r\u00e9formes est l\u2019appel \u00e0 une meilleure performance. Une s\u00e9rie de mod\u00e8les ont ainsi \u00e9merg\u00e9 avec pour point commun de conceptualiser la performance et de rechercher son adoption par les acteurs du syst\u00e8me de soins.<\/p>\n","protected":false},"author":1202,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[2,581],"tags":[],"class_list":["post-15349","post","type-post","status-publish","format-standard","hentry","category-gestions-hospitalieres","category-seminaire-ehesp-idm"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Performance hospitali\u00e8re - Gestions hospitali\u00e8res<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ricom-web8.com\/gestions\/du-triple-a-a-la-pause-dejeuner\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Performance hospitali\u00e8re - Gestions hospitali\u00e8res\" \/>\n<meta property=\"og:description\" content=\"Temps de lecture\u00a0:  2 minutes\ufeffUn th\u00e8me r\u00e9current des r\u00e9formes est l\u2019appel \u00e0 une meilleure performance. Une s\u00e9rie de mod\u00e8les ont ainsi \u00e9merg\u00e9 avec pour point commun de conceptualiser la performance et de rechercher son adoption par les acteurs du syst\u00e8me de soins.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ricom-web8.com\/gestions\/du-triple-a-a-la-pause-dejeuner\/\" \/>\n<meta property=\"og:site_name\" content=\"Gestions hospitali\u00e8res\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/gestionshospitalieres\/\" \/>\n<meta property=\"article:published_time\" content=\"2012-02-29T23:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-03-08T15:34:08+00:00\" \/>\n<meta name=\"author\" content=\"yann Le Sager\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@revue_GH\" \/>\n<meta name=\"twitter:site\" content=\"@revue_GH\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"yann Le Sager\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/du-triple-a-a-la-pause-dejeuner\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/du-triple-a-a-la-pause-dejeuner\/\"},\"author\":{\"name\":\"yann Le Sager\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/810c9671279c5f5a094f6f0a42237516\"},\"headline\":\"Performance hospitali\u00e8re\",\"datePublished\":\"2012-02-29T23:00:00+00:00\",\"dateModified\":\"2018-03-08T15:34:08+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/du-triple-a-a-la-pause-dejeuner\/\"},\"wordCount\":525,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#organization\"},\"articleSection\":[\"Gestions Hospitali\u00e8res\",\"s\u00e9minaire EHESP-IDM\"],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.ricom-web8.com\/gestions\/du-triple-a-a-la-pause-dejeuner\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/du-triple-a-a-la-pause-dejeuner\/\",\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/du-triple-a-a-la-pause-dejeuner\/\",\"name\":\"Performance hospitali\u00e8re - 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