Management Information System for Children's Clinic Pediatric Intensive Care Unit
Introduction
We have been having the priviledge to work for Bókay Children's Clinic Pediatric Intensive Care Unit. The project has been going on for about two years with considerable results.
The Bókay Street Department, Pediatric Centre, Semmelweis operates with 160 inpatient beds and provides quality care for children. Among the many highly specialized (tertiary) services is Clinic Pediatric Intensive Care (aka. PIC). The department is also responsible for the pediatric education of the fifth- and sixth-year medical students. Besides, the department is also engaged in clinical and basic research. Currently, three major working groups operate in our research laboratory, supported by the Hungarian Academy of Sciences (MTA)
Source: https://semmelweis.hu/bokayklinika/betegellatas/fekvobeteg-ellatas/pic-osztaly/
Bókay Children's Clinic Pediatric Intensive Care Unit has started crafting and implementing of our Management Information System that helps in ensuring control and clarity in the complex health care operation environment.
The Story of Pediatric Intensive Care Unit
The PIC (Pediatric Intensive Care) unit is specifically prepared for the care of premature and sick newborns. This preparedness has both personnel and material requirements. The material requirements, which must always be on standby and in working condition, include: oxygen, suction devices, balloon and mask, intubation equipment, ventilator, life-saving and other medications, infusions, resuscitation table, incubators, devices suitable for monitoring the patient (e.g., pulse, blood pressure, oxygen saturation, blood glucose meter), skin and surface disinfectants, etc.
The basic condition for the operation of PIC units is to have an adequate number of well-trained intensive care nurses who are reliable, accurate, observant, disciplined, persistent, and able to cooperate with each other and with the doctors.
The Clinic received qualifications of the International Organization or Standardization (ISO) and the Hospital Care Standard in the field of patient care, education and research in 2004.
Intensive care is only possible in a well-organized work schedule, highly trained personnel, and constant information flow. The department head, Prof. Dr. Miklós Szabó, decided to further improve management communication of PIC.
The Challenge of PIC Before Management Information System
The flow of information and knowledge sharing between the two major professional groups, Doctors and Nurses, has been incomplete. Each group having full transparency regarding their own status but not the daily work of the other, which affected the overall case managements. Additionally, planning and follow-up have been sporadic, allowing problems to remain unresolved.
These changes simultaneously impact the operational frameworks, the managerial and medical care processes related to performance management, and systemic problem handling.
The Professor required that all of this be improved in a way that maintains the Unit’s performance and quality of work while ensuring customer satisfaction (eminently the mothers) is met.
The Professor also recognized that if management modifies elements of the change through direct interventions, it puts significant pressure on employees and tends to hinder the change. However, if management addresses the change at a systemic level, the interactions of the individual operational elements are also considered.
Why PIC Chose Management Information System
The goals can only be achieved with a very consciously developed management communication system. Our approach is based on the actual business impact of individual positions, focusing on how each position and their cooperation contribute to generating the expected results.
The advantage of the management communication system we recommended is that only a Team is involved in managing the change, which occurs in the background. In this case the team consists the Professor, his Deputy, and the Chief Nurse. At the same time, it transparently and consistently appears at every level of internal communication, conveying the changed role expectations and clearly supporting the new cooperation adoption.
How PIC intended using Management Information System
The gradual implementation and intended use of our Management Information System will make the operation of PIC run smooth, controlled and per Professor’s and Patients’ expectation.The main feature of our management system are communication events. The data on these evets are produced by the organizational unit that owns that, about their work, the quality of planning, and issues and development opportunities.
Using the data produced by the contributors, the organizational unit continuously maintain the functions—responsibility and authority—assigned to jobs and positions through daily joint task and problem allocation and accountability.
The data show the quality of:
- planning
- execution, and
- development and problem-solving activities in the area
The data serve as the basis for decisions about the organizational unit's operation, employee performance, and development opportunities (recurrent issues, efficiency improvements, cost reductions).
Since it is always a joint effort with our Customer, we provide ongoing support on crafting and implementing the Management Information System for PIC. Furthermore, any ad-hoc request for advice are welcome.
The Results
The result is that Doctors and Nurses perform the same professional tasks and solve professional problems, but the performance indicators reflecting their work now align with the new operational model. This facilitates the development of new behaviors or communication styles required by the new expectations.
Call-to-Action
The implementation includes training management to detect changes (primarily regulatory and financial) early and to intervene as needed. Training leaders to use the communication events (discussing data/meetings) and adjusting the incentive system to align with the new job metrics system to ensure its maintenance.
Get in touch with us if you want to see the same results as Bókay Children's Clinic Pediatric Intensive Care Unit enjoys.
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