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1
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Kierunki rozwoju serwisu „Statystyka Jednorodnych Grup Pacjentów” Narodowego Funduszu Zdrowia

100%
Iltchev P.
Zarządzanie i Finanse
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2012
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vol. 1
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issue 2
437-447
EN
This article aims to provide directions to improve how statistical information related to Diagnostic Related Groups (DRG) published on the National Health Fund web-site. The following methods has used: analysis and modeling of decision making, building data models, metadata analysis, data cleansing and transformation. The first part analyzes the financing of hospitals from the National Health Fund. The second part presents the essence of DRG, and the third focuses attention on possible directions for improvement website "Statistics DRG", conducted by the NHF.
2
Content available remote

Zastosowanie Jednorodnych Grup Pacjentów (JGP) w controllingu

100%
Iltchev P.
Zarządzanie i Finanse
|
2012
|
vol. 1
|
issue 2
449-459
EN
This article aims to present the application of Diagnosis Related Groups (DRGs) in hospital controlling. The paper shows the role of DRG in the analysis related to the optimization of hospital costs. The first part presents the DRG system and the development of cost accounting. The second part presents cost management, and the third focuses attention on the use of DRG in the hospital controlling. The following methods are used: literature survey, case studies, analysis of decision making process in control-ling.
3

The Knowledge of Medical Professionals from Selected Hospitals in the Lubelskie Province about Diagnosis-Related Groups Systems

51%
Iltchev P., Sierocka A., Gierczyński S., Marczak M.
Studies in Logic, Grammar and Rhetoric
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2013
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vol. 35
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issue 1
191-201
EN
Health information technology (IT) in hospitals can be approached as a tool to reduce health care costs and improve hospital efficiency and profitability, increase the quality of healthcare services, and make the transition to patient-centered healthcare. A hospital’s efficiency and profitability depends on linking IT with the knowledge and motivation of medical personnel. It is important to design and execute a knowledge management strategy as a part of the implementation of IT in hospital management. A Diagnosis-Related Groups (DRG) system was introduced in Poland in 2008 as a basis for settlements between hospitals and the National Health Fund (NHF). The importance and role of a DRG system in management of healthcare entities was emphasized based on a survey of medical professionals from two hospitals in the Lubelskie province. The goal of a survey is to assess the knowledge of medical professionals about the DRG system and how the medical personnel uses the DRG system in order to achieve the strategic goals of the organization. A newly developed survey was used to assess the medical personnel’s knowledge of DRG, using 12 closed and 5 open questions. The survey was conducted on 160 medical employees from two hospitals in the Lubelskie province. In conclusion, medical personnel’s DRG knowledge unambiguously contributes to reducing hospital costs and increasing profitability. The DRG related knowledge enables personnel to obtain value from data by applying DRG data-driven decisions.
4

Hospital Statistics as a Tool for Obtaining Data Necessary in the Healthcare Entity Management Process

51%
Sierocka A., Woźniak B., Iltchev P., Marczak M.
Studies in Logic, Grammar and Rhetoric
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2013
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vol. 35
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issue 1
169-177
EN
Statistical methods used by healthcare entities enable the collection of various information about the structure and characteristics of treated patients. They are an important source of knowledge, and form a database that plays an important role in entity management theory. In the presented study, we analysed the hospital stays of patients treated in all hospital wards of the 3rd City Hospital in Łodź during 2012. The following, in particular, were taken into account: admittance procedure, discharge procedure, age and sex of hospitalised persons. Patients in over 55% of cases were admitted using the sud- den admittance procedure. At the same time, over 3/4 of the stays ended with a referral for further treatment in ambulatory conditions, and death occurred in approx. 5% of hospitalisations. By comparing the discharge procedures, the percentage of deaths in the Anaesthesiology and Intensive Care Wards can be seen clearly (more than 70%). Internal wards are next in turn (10.6 and 16.6%). The biggest differences in the length of hospitalisation between the studied institution and the NFZ data (which are averaged values from all medical entities in Poland) concern the E77, A49, A48, A87, A33, D18, E16, E61 and G37 groups.
5

Differences in Financing of Admission Rooms (ARs) and Hospital Emergency Rooms (ERs) Between the Years 2013 and 2014, Using an Example of a Lodz Municipal Hospital

51%
Woźniak B., Sierocka A., Iltchev P., Marczak M.
Studies in Logic, Grammar and Rhetoric
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2014
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vol. 39
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issue 1
167-177
EN
The goal of the article is to compare methods of financing ARs and ERs based on the data from the 1st half of 2013 and 1st half of 2014 from the K. Jonscher 3rd Municipal Hospital in Lodz. All the stays in the AR/ER in the 1st half of 2013 and the 1st half of 2014 were analysed. Based on the presented data, it can be clearly seen that the new method of financing AR/ER services proposed by the NFZ will beyond doubt have negative outcomes, and will certainly not improve the financial situation of hospitals.
6

Managing the Risk of Adverse Events Using the Example of a Hospital in Wroclaw

51%
Kaleta A. L., Sierocka A., Iltchev P., Marczak M.
Studies in Logic, Grammar and Rhetoric
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2014
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vol. 39
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issue 1
155-166
EN
Health Care Centres are institutions which, because of their specificity and character, are particularly exposed to various kinds of risk. One of the most important and most frequently used methods of risk management is the black spots method. The research material collected for the study comes from one of the hospitals in Wrocław. All hospital stays of the C22 (Face and Jaw Surgery Ward) and H05 (Injury and Orthopaedics Surgery Ward) settlement groups (DRG) were analysed - a total of 178 hospitalisations. The black spots method was used in the study, which consisted of risk identification, the ordering of threats and proposals for remedial actions. Using the black spots method, it was possible to identify adverse events that occurred during the hospitalisation of patients with H05 and C22 DRGs in the Injury and Orthopaedics Surgery Ward and Facial and Jaw Surgery Ward. In both cases, the treatment costs for patients with complications were higher than for the stays without complications.
7

Diagnosis-Related Groups (DRG) and Hospital Business Performance Management

45%
Szynkiewicz P., Iltchev P., Piechota A., Sierocka A., Marczak M.
Studies in Logic, Grammar and Rhetoric
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2014
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vol. 39
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issue 1
143-153
EN
The goal of this article is to present the possibility of using Diagnosis- Related Groups (DRG) in the hospital management process and to analyse the need for business performance management on the part of hospital management staff. The following research methods were used: literature analysis, case studies, and poll analysis. It is not possible to increase the effectiveness of operation of healthcare entities without increasing the importance of IT systems and using DRG more effectively in the management process. Training users in IT and the use of DRGs is important to achieving hospital effectiveness. The increased importance of analyses and planning in a hospital should be reflected in the organisational structure of service providers. Hospital controllers should have a similar role to those present in most companies in other industries.
8
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Glove failure in elective thyroid surgery: A prospective randomized study

39%
Timler D., Kusiński M., Iltchev P., Szarpak Ł., Śliwczyński A., Kuzdak K., Marczak M.
International Journal of Occupational Medicine and Environmental Health
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2015
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vol. 28
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issue 3
499-505
EN
Objectives To analyze perforation rate in sterile gloves used by surgeons in the operating theatre of the Department of Endocrinological and General Surgery of Medical University of Lodz. Material and Methods Randomized and controlled trial. This study analyses the incidents of tears in sterile surgical gloves used by surgeons during operations on 3 types of thyroid diseases according to the 10th revision of International Statistical Classification of Diseases and Related Health Problems (ICD-10) codes. Nine hundred seventy-two pairs (sets) of gloves were collected from 321 surgical procedures. All gloves were tested immediately following surgery using the water leak test (EN455-1) to detect leakage. Results Glove perforation was detected in 89 of 972 glove sets (9.2%). Statistically relevant more often glove tears occurred in operator than the 1st assistant (p < 0.001). The sites of perforation were localized mostly on the middle finger of the non-dominant hand (22.5%), and the non-dominant ring finger (17.9%). Conclusions This study has proved that the role performed by the surgeon during the procedure (operator, 1st assistant) has significant influence on the risk of glove perforations. Nearly 90% of glove perforations are unnoticed during surgery.
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