Vous êtes confronté à des contraintes budgétaires dans le domaine de la santé. Comment maintenez-vous des normes élevées de soins aux patients ?

Do you really want me to answer this? I've been a practising doctor for over 30 years, seen corporatisation of medicine, and if anyone who is reading my reply actually has the intestinal fortitude to ask me in a personal message and post what I say, I would be really surprised.

Defina as prioridades e busque eficiência nos atendimentos através da qualidade. Nesses casos é importante um olhar analítico para as contas X atendimentos de forma que assim será fácil encontrar um ponto em comum que ajude a garantir a eficiência apesar da restrição de recursos.

O ideal seria mapear os processos para atualização e para redefinir as responsabilidades com multifuncionalidades na medida do possível e realizar um workshop com a equipe para identificar potenciais de melhoria e reduções de custo e otimização do tempo. Muitas soluções estão na equipe e isto os torna mais comprometidos com as metas e propósitos.

1) Be data driven and objective. Start by looking at your management reports. Analyse the data by each department. Which department is contributing the most revenue and which department is taking up the most cost and resources. 2) Re-allocate the resources based on the audit so that there will not be much argument.

In addition to using electronic health records (EHRs) and strategic scheduling, overcoming language barriers is key to boosting efficiency in budget-conscious healthcare practices. Miscommunication due to language differences can result in costly errors and delays. By integrating multilingual staff, using professional translation services, and incorporating digital translation tools into EHR systems, practices can streamline communication, reduce misunderstandings, and accelerate care. Addressing language barriers ensures more accurate treatment and minimizes wasted time, helping maintain high standards while staying cost-effective.

Após o mapeamento de processos, workshop, extrair um plano de ação com responsáveis e prazo, priorizando atividades que possam viabilizar maior racio. Ter um share point com níveis de acesso para desdobramento do projeto com milestones com responsáveis e prazo e revisão semanas com 5 a 10 min por pessoa para assegurar que que os desdobramentos para os resultados sejam alcançados, eliminando desperdício de temo e de RH.

In my opinion, prioritizing is the most important task and is often underutilized to the same degree. I have found that this works best when a team can define and put into practice a clear, transparent method to score items. Having a well defined rubric saves time down the road when all the ‘most important things’ are happening concurrently. Once this is a standard practice, teams can then also spend time on evaluating the simplicity of the thing. There is waste in overly complex processes, so creating space by scoring will help double down and lead to potentially simpler processes.

One questionable approach during tough times is workforce restructuring, which often leads to unintended consequences, like losing talent with rare skills. This creates a cycle where the next budget cycle struggles to replace essential staff, forcing service closures due to understaffing. A better strategy is to engage current staff while incorporating technology and automation that allow caregivers to work at the top of their licenses. By eliminating repetitive tasks, this boosts productivity and supports growth.

"Engage Staff", looks like a chatGPT answer. What does that really mean? 1) Have regular meetings. 2) Form committees and sub-committees. Invite external stakeholders for external advice and 'out of the box' solutions. 3) Form advisory committees, if necessary.