Keywords: primary health care, secondary health care, coordinated care, optimal resource utilization

Background:

Optimal medical service provision plan is grounded on parameterisation of work based on measurement of collection of information about time of medical or organisational incidents performed (in real-time online or with a slight delay), as well as on an analysis of value created (cost of key processes, life expectancy and cost of redundant processes – unattainable at present). This process has been implemented in MDC already for many years based on hundreds of thousands of incidents and measurements of their measurable effects

Aim of the case report:

Increase in level of quality and safety of performed services. Control of working time spent on individual activities by category and priority Impact on fulfillment of working time of individual employees.Prioritization of selected services- focus attention on key services by giving high priority (including higher financial rate) which motivates to increase their performance. Better use of competencies-identification. Financial gratification-monthly bonus calculated on the basis of services performed.

Case report:

Each service in ITC is assigned a time, priority and amount value. All procedures were additionally prioritized using colors. Procedures of key importance are colored red. Each employee is assigned a monthly performance limit for procedures in red group. 70-80% of services performed are covered by ITC. 100% of non-medical personnel are covered by ITC, i.e. 331 people. Service catalog consists of 618 procedures. On a monthly average, about 500,000 procedures are reported for 100,000 PHC patients per year, 30,000 preventive contract patients and 160,000 SHC patients. Due to fact that 70% of services within PHC are shown in the system by name, it is possible to verify by whom, when and to whom a particular service was provided

Conclusions:

It is a potential to implement the innovation in another medical entity as long as the entity is interested in safety and increasing quality of services provided as well as staff salaries