Principles of setting up a health care service center Principles of setting up a health care service center: Second level principal: catchment areas
Principles of setting up a health care service center
Principles of setting up a health care service center: Second level principal: catchment areas with between 600,000 and 1,200,000 inhabitants. They are equipped with Level II facilities. This refers to AIDS hospitals, university hospitals and some key areas. The assistants in question have all the characteristics of the first level but are additionally equipped with structures capable of handling more complex subjects and distortions. In areas with less than 600,000 residents, activation or confirmation of the presence of Level II units is subject to the signing of an interregional agreement with neighboring Urgent Care San Antonio.
Private Hospital: Minimum accreditation limit of 80 beds. A minimum limit of 80 beds has been fixed for recognition of private hospitals.
Minimum and maximum standards of composition for each discipline
The plan defines how it will be possible to meet the standards set by law (3.7 PL x 1,000 inhabitants) and a hospitalization rate of 160 x 1,000 inhabitants. Firstly, the standards can be achieved by intervening on site/bed occupancy index which should be around 90% and average duration of normal hospitalization which should be less than 7 days. Using the table, expected hospitalization rates were defined by discipline and catchment areas based on the best performing areas. And based on these rates, the hospitalization infrastructure and services that make up the hospital network have to be identified. The plan also defines the application path: identification of need for hospital services; Calculate the corresponding number of public and private beds; Design of public and private hospital networks. Introduction of minimum volume limits will reduce complex surgical structures. The reduction for sectors in compensation scheme will be 25% while for others it will be 10%. The volumes and results will be used to evaluate the structure for reconstruction purposes.
The decisive elements for the reorganization of the hospital network (the great innovation of the document) are the volume of activities and the suitability of hospitalization and services for specific procedures. Reference measurement and estimation. Within 6 months of the issuance of the regulation, the threshold values for the amount of specific activity related to optimal outcomes and the threshold for outcome risk will be defined by a commission composed of the Ministry of Health.
In any case, the regulation identifies certain minimum thresholds for the volume of activity for a period of three years (eg at least 100 annual heart attack cases or at least 150 bypass operations) and risk outcome thresholds. (e.g. at least 60 percent femur more than 65 surgeries within 48 hours).