Diseño de un proceso para la recuperación de costos de la red hospitalaria del Hospital Pediátrico Alfonso Villagómez Román de la ciudad de Riobamba, provincia de Chimborazo, período 2017

Abstract

The following investigation's objective "Design of a cost recovery process of the Hospital Network of Hospital Pediátrico Alfonso Villagómez Román, Riobamba city, Chimborazo Province, period 2017”. It has the purpose of coordinating actions and achieving effective results in the recovery of costs for the provision of health services in the hospital network of the institution. In order to establish a diagnosis, the surveys are applied to the personnel of the four areas involved administrative-financial, nursing-medical, admissions and pharmacy; In addition, an analysis of the situation was carried out in relation to the amounts and procedures that were collected and recovered, dividing them according to each insurer/financier that make up the hospital network. It was concluded that the activities carried out by the personnel for cost recovery did not follow an appropriate order, without determining the responsible personnel in each activity; constant outdated patient database of the health network, documentation was incomplete or had errors; and therefore, all these aspects did not contribute to the return of money. Therefore, it is recommended to apply the design of the proposed process in the house of health, which will contribute to the organization of activities, assignment of responsibilities and finally to fulfill the objective that it is the total recovery of money.