{"id":34809,"date":"2010-03-01T14:44:49","date_gmt":"2010-03-01T13:44:49","guid":{"rendered":"https:\/\/gestions-hospitalieres.fr\/?p=34809"},"modified":"2018-03-12T15:00:01","modified_gmt":"2018-03-12T14:00:01","slug":"lefficience-des-consultations","status":"publish","type":"post","link":"https:\/\/www.ricom-web8.com\/gestions\/lefficience-des-consultations\/","title":{"rendered":"L\u2019efficience des consultations"},"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\"> &lt;\u00a01<\/span> <span class=\"rt-label rt-postfix\">minute<\/span><\/span><p>La r\u00e9flexion sur les consultations externes repr\u00e9sente pour tout \u00e9tablissement une occasion forte d&#8217;\u00e9volution et d\u2019am\u00e9lioration de son fonctionnement global. Les consultations sont en effet \u00e0 la fois une vitrine de l\u2019\u00e9tablissement (le premier contact programm\u00e9 passe souvent par l\u00e0),un potentiel d\u2019activit\u00e9 (recrutement de malades pour l\u2019hospitalisation), une source de facturation et un sympt\u00f4me du fonctionnement g\u00e9n\u00e9ral. En r\u00e9alit\u00e9, est souvent constat\u00e9e une h\u00e9t\u00e9rog\u00e9n\u00e9it\u00e9 des pratiques et des organisations (centralis\u00e9es ou d\u00e9centralis\u00e9es) li\u00e9e au caract\u00e8re souvent \u00ab secondaire \u00bb de la probl\u00e9matique pour les soignants. D\u2019o\u00f9 une organisation \u00ab artisanale \u00bb, avec des d\u00e9lais\u00a0d\u2019attente inacceptables, une fiabilit\u00e9 des rendez-vous al\u00e9atoire (annulations fr\u00e9quentes), un gaspillage de moyens et des pertes de recettes par manque d\u2019exhaustivit\u00e9 des recueils d\u2019actes.<\/p>\n<p>En revanche, on assiste de plus en plus \u00e0 un \u00ab r\u00e9veil \u00bb des directions qui y voient un levier \u00e0 la fois d\u2019attractivit\u00e9 et de recettes (tant en consultations qu\u2019en recrutement pour l\u2019hospitalisation) dans la logique T2A. Il est donc indispensable de d\u00e9velopper de nouvelles pratiques plus efficaces et plus performantes, mieux adapt\u00e9es aux besoins des patients et permettre aux professionnels, en particulier m\u00e9decins, secr\u00e9taires m\u00e9dicales, infirmi\u00e8res et cadres, de s\u2019approprier de nouvelles habitudes plus syst\u00e9miques de travail, en int\u00e9grant les contraintes li\u00e9es \u00e0 leur activit\u00e9 dans leur service de rattachement. Cela permettrait de r\u00e9pondre \u00e0 la fois aux attentes des patients et aux imp\u00e9ratifs d\u2019efficience, notamment par :<\/p>\n<ul>\n<li>l\u2019am\u00e9lioration de la qualit\u00e9 de prise en charge (d\u00e9lai, retour d\u2019information, accueil, confidentialit\u00e9, identification de professionnels, signal\u00e9tique intramuros, initiation du diagnostic&#8230;) ;<\/li>\n<li>l\u2019adaptation de l\u2019organisation \u00e0 la cha\u00eene \u00ab rationnelle \u00bb de prise en charge ;<\/li>\n<li>la fluidification du circuit administratif (gains de productivit\u00e9, ma\u00eetrise des co\u00fbts) ;<\/li>\n<li>la codification syst\u00e9matique des actes pour une pleine ma\u00eetrise des recettes.<\/li>\n<\/ul>\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\"> &lt;\u00a01<\/span> <span class=\"rt-label rt-postfix\">minute<\/span><\/span>La r\u00e9flexion sur les consultations externes repr\u00e9sente pour tout \u00e9tablissement une occasion forte d&#8217;\u00e9volution et d\u2019am\u00e9lioration de son fonctionnement global. Les consultations sont en effet \u00e0 la fois une vitrine de l\u2019\u00e9tablissement (le premier contact programm\u00e9 passe souvent par l\u00e0),un potentiel d\u2019activit\u00e9 (recrutement de malades pour l\u2019hospitalisation), une source de facturation et un sympt\u00f4me du fonctionnement g\u00e9n\u00e9ral. En r\u00e9alit\u00e9, est souvent constat\u00e9e une h\u00e9t\u00e9rog\u00e9n\u00e9it\u00e9 des pratiques et des organisations (centralis\u00e9es&hellip; <\/p>\n","protected":false},"author":23133,"featured_media":0,"comment_status":"open","ping_status":"closed","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":[3,2],"tags":[],"class_list":["post-34809","post","type-post","status-publish","format-standard","hentry","category-experience","category-gestions-hospitalieres"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>L\u2019efficience des consultations - 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\/lefficience-des-consultations\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L\u2019efficience des consultations - Gestions hospitali\u00e8res\" \/>\n<meta property=\"og:description\" content=\"Temps de lecture\u00a0:  &lt;\u00a01 minuteLa r\u00e9flexion sur les consultations externes repr\u00e9sente pour tout \u00e9tablissement une occasion forte d&#8217;\u00e9volution et d\u2019am\u00e9lioration de son fonctionnement global. Les consultations sont en effet \u00e0 la fois une vitrine de l\u2019\u00e9tablissement (le premier contact programm\u00e9 passe souvent par l\u00e0),un potentiel d\u2019activit\u00e9 (recrutement de malades pour l\u2019hospitalisation), une source de facturation et un sympt\u00f4me du fonctionnement g\u00e9n\u00e9ral. 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