The Secrets Of Uncomplicated Hospital Management

More than a health service, the hospital ends up being a mixture of clinic, laboratory and lodging, counting even with the restaurant itself. It is then possible to affirm that the management of a hospital involves issues related to administration, hospitality, nutrition, medicine, financial system- public resources, and individuals and via health plans, internal communication, marketing, laboratory and image tests, social services, multi-professional team, multidisciplinary and naturally patients.

The great objective of the hospital manager, therefore, is to integrate all these sectors, facilitating the flow of information, guaranteeing the improvement of the hospital processes and making the assistance provided to patients more effective. It is the manager who decides what innovations to do, what investments to make, how to obtain more resources, which sectors to close, etc., and must, therefore, be qualified and qualified to make such decisions.

That is why here we will tell you all the secrets of a hospital consulting companies in India without complications: a super guide that contains various topics that are part of the manager’s day-to-day life.

The secrets of efficient hospital administration

In the current context, efficient hospital administration should seek the centralization of services in the patient and their needs. The ultimate goal must always be the health and satisfaction of that person who seeks the hospital in an emergency and expects to receive the necessary assistance.

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But of course, to achieve this end, various means are needed.

First, any change must have clear and positive objectives for the whole team. It is necessary that all hospital employees know and understand why the change, what are the advantages of the change for the team, what are the advantages for the hospital and, mainly, what are the advantages for the patient. Only with this clarity will any change happen with the support of all, without resistance and with the suggestions and valuable criticism for the improvement of the projects.

Therefore, it is important that the manager does not isolate himself in his role as administrator but seeks the adherence of other employees to management decisions, decentralizing power and having the direct participation of those involved in hospital processes on a daily basis.

Hospital administration also involves monitoring all aspects of the hospital and the assistance provided by the medical team through frequent measurements and evaluations. Identify what is being well executed, what should be maintained and what should be changed and improved in relation to the structure of the hospital, assistance and results. With the guarantee of an easy-to-use management system and interpretation, these evaluations can be shared, debated and interpreted by the entire team, in the search for solutions.

Another big challenge of the hospital administration is the incorporation of ethics to management decisions, since they will directly affect the well-being of patients and the accumulation of benefits generated by the hospital consultancy services . It is necessary to question the values ​​and principles that govern management, counterbalancing the nobility of the mission with the economic and financial reality of the market. In addition to ethical subordinations, hospitals are still subordinated to specific legal issues for the health sector.

How To Reduce Costs In The Construction Of Hospitals?

Image and design occupy many expenses when building hospitals; therefore, before carrying it out, a cost evaluation is usually done. Hospital construction teams focus on complying with the requirements established by the owners who, together with graduates in architecture and engineering, are responsible for making plans.

The design, planning, and financing of the construction of hospitals are usually very expensive procedures. Ensuring that capital exceeds the budget for the construction of hospitals should be an option.

This is due to the fact that usually, additional expenses arise, whether due to material failures, a change of suppliers or having to hire more personnel for the construction and thus be able to streamline this process. There are different ways to save money in the construction of hospitals; these are:

Decrease critical functions

There are hospitals whose facilities have an estimated 30 years old, so they lack technological advances regarding their structure and equipment. In addition to this, they have a wide capacity for the beds of patients who are hospitalized. Currently, the construction of hospitals is based on the creation of integrated care spaces. Among the spaces that could be combined is the ambulatory surgery room with the chronic disease management room. It is because both require medical equipment of the same kind.

As told by hospital project consultants in India, evaluating the area in which the construction of hospitals will take place is fundamental. Those mostly busy areas, where the surroundings are expensive, is not an alternative if the costs are reduced.

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General considerations

One of the ways to reduce costs is to build hospitals in buildings that have been developed for a few years. Making an expansion in them would be more economical.

It is necessary to verify that the structures of these buildings are well supported. The study should be done by a professional in the field. The building has to have extra land that allows expansion for some regions of the hospital, and it is recommended that these are not in the center of the city.

The reallocation of spaces is essential if it is an expansion. The areas built must be adequate for the functions that will be carried out in it.

Design of spaces

The designs of spaces for the construction of hospitals will depend on each unit. Not all areas of hospitals require the same equipment. Therefore, many of them carry a different design. For example, in the operating rooms, you need modular systems that allow the installation of medical gases. Contrary to this, in emergency rooms, only a system capable of sustaining oxygen is required.

While the areas of the hospital are large, it will require more investment for maintenance. Another way to reduce expenses is by creating open spaces.

General considerations

The design plays a very important role if hospital construction is all about.A good design of the areas made by the hospital consultancies in India allows hospital workers to perform their work more efficiently. For example, build a module in which there are several beds for patients, divided into capsules so that they are a little more independent of the others. These rooms are built a few meters from the nurses’ station, so that they can be guaranteed direct access to the capsules, allowing patients to be treated quickly.

Architecture for Health: Buildings that Heal

“The whole is better than the amount of its portions”; thus Aristotle abridged the bases of holism. It is about examining and considerate the systems as a combined and worldwide set that is, in short, going to establish the behavior of its diverse parts. But he does not believe that this “everything” is only a sum of its parts, but that the synergies between them achieve a much more complex system.

As such, architecture can, therefore, be integrated into a holistic system that tries to respond to different needs of the human being from different perspectives; but today, we want to highlight the concrete relationship of hospital architecture with holistic architecture. In this sense and from the point of view of psychology, Abraham Maslow already spoke of the satisfaction of the needs of his pyramid (physiological, security, social, recognition and self-realization) to achieve complete health, from the point of view of mental, emotional, physical and spiritual view.

Currently, medicine tends to be a holistic discipline, according to which the individual should be treated as a whole and provided with comprehensive health care related to physiology, biochemistry, nutrition, exercise, social relationships and also the habitat. Therefore, today, architecturally speaking, we tend to subscribe to this holistic commitment to health, seeking better visual and spatial quality and greater readability of hospital buildings that may be beneficial for patients.

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Healthcare architecture firms in India firmly trust that curing is possible, in part, through space. To attain an adequate space, we take into account the machinery that will be available, and we always seek the integration of natural light, chromatic and natural and green spaces, both inside the building and around it. The goal is always to improve user comfort. A good sanitary building is one in which the user feels that he is receiving the necessary care without perceiving that he is in a sanitary building”.

Once inside, the chromatic game that welcomes the patient will accompany him through the clinic, identifying each color with a specialty.

For us, scale, light or ventilation are basic elements, but in the well-being of a patient comfort and beauty are also fundamental. For a hospital to have the ability to heal it must be properly organized in architectural terms, but also, as we mentioned before, to be comfortable and to overcome the feeling of confinement that these buildings often cause.

From students, young aspiring architects are intimidated by their teachers when dealing with complex issues, such as prisons, social housing, and hospitals. More seductive are museums, theaters, and cultural centers, where the “artist” can give free rein to their creativity.

Buildings related to health, on the other hand, are among the most complex and technified, since their facilities, networks, special equipment, and spatial relationships must respond to precise requirements and to a host of restrictions that limit, or at least relegate to the background, the expressive value of the work.

However, the rejection that provokes this type of hospital space planning design rests fundamentally on the fear of the unknown and on simple prejudice. Beauty, in this case, is in the right way to respond to the problem; in contributing to the recovery of the patient.

On the other hand, it has been the same hospital architecture that has forgotten its user, in its human dimension, allowing machinist efficiency and procedural asepsis, end up eclipsing those fundamental aspects in the care of a patient, as is its assessment as an individual.

10 Keys for an Architecturally Curative Hospital

Therapeutic gardens, natural light, clear and understandable signs, etc. are some of the challenges that help cure the sick.

The disease generates feelings of vulnerability and loneliness. Whether you are a patient, a friend or a family member, the experience of visiting a hospital often causes stress and anxiety. The certainty that hospital project consultants in India can contribute positively to the healing process is increasingly necessary.

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DESIGN CHALLENGES FOR A HOSPITAL TO HELP HEAL

  1. – Clear and direct signaling. To help patients, companions, doctors and workers to find what they are looking for intuitively, avoiding detours and wasting time. “A healthy building needs healthy circulation,” says the architect, and in fact, the flow of circulation not only calms but can save lives.

2.- Temperature, lighting, air quality … Each of these elements designed to promote an optimal environment in the hospital should help in the recovery of the patient and this is achieved by fostering a space of refuge and safety, including a selective relationship of the most suitable materials.

  1. – Modular designs. They can reduce costs and deadlines, while environmentally friendly strategies can help hospitals remain sustainable and self-sufficient in the long term.
  2. – Balance between the technological and the physical. On the one hand, health care techniques are increasingly advanced and innovative. On the other hand, a change in the doctor-patient relationship means that patients now have more power than ever before. Hospitals must provide an infrastructure that promotes collaboration between technology, doctors and patients.
  3. – Therapeutic gardens. They are used to improve the quality of indoor and outdoor spaces, which reduces stress and has a direct benefit in patient recovery. In addition, sustainable materials and renewable energy strategies are protagonists in our environmentally responsible approach.
  4. – Soothing acoustics. The perception of a hospital as a refuge is achieved through meticulous attention to detail and decomposition into smaller and more accessible parts when talking about large buildings. Thus, both the hospital and its facilities will be integrated into its environment.
  5. – Maximize natural light and choose colors carefully. A comforting and humane structure must be followed to ensure that patients who remain in the hospital feel at home and do not feel the anxiety that often causes the size and design of a center with these characteristics.
  6. – Flexible designs. Hospitals are buildings subject to constant changes, so they need to be able to respond quickly and efficiently to changing demands, both from the healthcare world and from the patients themselves. The flexibility provided by hospital designers & planners allows anticipating future needs ensuring that hospitals of the present are built to last.
  7. – Delivery in time and budget. Because hospitals face enormous economic demands for their resources and capacities, in a hospital project – which depends largely on public funds – it is important that it be delivered under the parameters initially stipulated.
  8. – Diversity of needs. In addition to patients and their visitors, a hospital hosts the daily work of a wide diversity of employees. The architect must design a hospital that works without problems for all of them.

7 strategies to reduce the average stay in the hospital

When the subject is the number of days of hospitalization, not always “more” means “better. Thinking about strategies to manage the average permanence is essential to maintain the financial balance of the hospital and the quality of care, which guarantees patient safety.

Managing rooms efficiently and quickly are a direct indicator of hospital performance. It reflects a reduction in costs, optimization of processes and a reduction in the rate of infections and other adverse events. In a connected system, the doctor has online access to the results of exams and additional information and, thus, expedites the discharge. At the same time, the cleaning team receives the availability information of the room and organizes it much faster for the next hospitalization.

Know seven strategies to reduce the average permanence:

1- Control of the flow of the patient in the period of hospitalization- Decreases the unnecessary time of substantial assets of an institution, such as surgical center, hospital beds and Intensive Care Unit (ICU). The management depends on the healthcare consulting firms in India– doctors, nurses and administrative leaders- for more collaborative action, storage, and analysis of patient data from their entry into the emergency room to post-surgery, for example. It is also related to the use of devices that facilitate the routing of exams, prescription of medications and other stages necessary for health support.

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2- De-capitalization- Patients in treatment and recovery or those who need to undergo simple surgical procedures can be sent to a day hospital or be treated in the home care system, which avoids unnecessary hospitalization and provides space for critical care and emergencies

3- Online access to test results- With the implementation of internal collaboration and communication platforms, the doctor enjoys a consultation tool to access patient information and initiate the discharge process with more ease and agility.

4- Prescription and electronic clinical record-The report makes up an essential part of the Electronic Patient Clinical Record, a system that stores the individual’s history, including treatments, exams and prescriptions already made; that facilitates medical attention and the correct diagnosis.

5 – Extension of surgical procedures by robotics and arthroscopy- Accompanies the development of less invasive and more precise surgical techniques and methods, which allows rapid recovery to the patient.

6 – Reduction of the time of permanence- With the adoption of various process improvements, automation, and use of less invasive options and training of the medical and nursing team, the patient stays less time in the hospital. There is also the possibility of carrying out the transfer of chronic and long-term patients for home care.

7 – Implementation of clinical protocols- These instruments help professionals in decision making – be they simple or complex – that demand clinical paradigms and reliable theoretical subsidies, and streamline the entire assistance process.

With strategies that align management and hospital consultancy services, the time of hospitalizations is reduced, but there is more intelligence in the use of resources and less risk to the patient.

Hospital Planning Will No Longer Be Based Mainly on the Number of Beds

The first question that health authorities often ask about hospitals is, “How many beds do you have?” Traditionally, this indicator has been one of the most iconic units of measurement of health planning and one of the most emblematic resources in the psychology of patients.

However, the hospital bed will no longer be such a significant point of reference. This is because of the convergence of factors that intensify and have generated changes in the organization of health systems and the role of hospitals within them.

Hospitals face new challenges

The primary factor in the midst of these new trends is the demographic and epidemiological transition – older populations and a higher burden of chronic diseases and multiple pathologist. This generates a growing demand for services in a general context of secured financing. Also, the pressure on health spending intensifies due to the high inflation rates in the sector, the new high-cost technologies, and the inefficiencies of the systems historically oriented to pay attention to acute conditions in the face of the wave of synchronicity.

The patients themselves have also transformed the way hospital consultancy services in India work. They are increasingly better informed about health, are more proactive in the management of their conditions and have higher expectations about the quality of services. Likewise, information and communication technologies allow new ways of interaction between health personnel and patients, as well as the spatial configuration of services.

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To survive, adaptation is mandatory

There are several ways in which hospitals are responding to this new reality, among which the following stand out:

– Articulation of hospitals in integrated networks of diversified services. Advances in medical technology associated with outpatient surgery and hospital consultancy services (in oncology, for example), the predominance of the chronic patient, and the development of information and communication technologies (ICT) make it possible to transfer services outside the hospital, through tel monitoring recovery and home hospitalization, remote consultations, and medicine.

Also, complementary health services are being configured, such as long-term intermediate care for subacute patients, which seek to reduce the risk of acquired infections in hospitals and use beds efficiently. To adequately care for chronic patients with multiple pathologist, greater continuity of care, multidisciplinary, integration with social health services and strengthened primary care are required.

– Specialization of the offer. The traditional model of the general hospital with a portfolio of similar services has proved unviable in many countries. Therefore, it is increasingly common to find hospitals with a particular focus to increase patient volumes to optimize quality and reduce unit costs. This phenomenon, together with the departure of non-acute patients to secondary health services, is resulting in hospitals that concentrate a higher proportion of complex cases and require more sophisticated medical-surgical interventions.

Consequently, in some countries, there is a reduction in the number of beds for acute patients and also a shorter average stay, associated with the perfection of medical technologies.

– New collaboration and contracting relationships. Hospitals traditionally operated entirely autonomously; however, it is more efficient to structure some independent services that can serve multiple providers. Diagnostic imaging and laboratory, for example, were the first to use this model, maximizing the productivity of technology and human resources of high cost and limited, which could hardly be absorbed by a single entity. Likewise, different providers are integrating clinical services through the creation of unique teams, the exchange or rotation of professionals and residents, the adoption of standard protocols, the joint accounting of production, and the use of ICT.

Beware of Errors in Hospital Management

With the advance of evidence-based medicine, there is a growing concern to avoid errors in medical practice and inpatient care, but there is still much to be developed and improved regarding management errors and how they also affect the performance of the hospital and the patient’s health. Although its consequences are not necessarily as immediate as that of a medical error, the management error can end up having a more significant impact, affecting several patients for an extended period.

Now that you are familiar with the peculiarities of hospital management, it is time to examine how they can become traps and generate errors as shown below: Not planning changes well

Changes are necessary, but it is essential to prepare before initiating any action. You should assess the current situation of the hospital and the situation in which you want the hospital to be in a few years, establish the objectives and goals, define the equipment and resources available for the change, verify which market movement and only then begin to Act.

The change of hospital management system, for example, can impact the hospital for decades, positively or not, then it must be done with excellent security. For all this, it is necessary to reflect on what is the best software, what is the best equipment, what are the advantages presented by each option, how long should you wait for the return of the investment.

The indicators in hospital management to be attentive

When it comes to management, there is no way not to address the indicators, and in hospital management, it could not be otherwise. Only through hospital management consultancy in India it is possible to evaluate the progress of the hospital and verify that the changes are generating positive results or if there are failures in any sector.

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The indicator, therefore, should serve for the continuous improvement of the hospital processes, helping in the mapping of risks, in the identification of occurrences and their causes-origins, in the simultaneous management of multiple projects and the linkage of these to the strategic plan of the hospital. With the indicator, it is also possible to predict crises and plan ways to solve or minimize them.

It is worth noting that the performance indicators, which are associated with patient satisfaction with the assistance provided. The signs are, therefore, essential management tools for the evaluation of the quality of the two services provided and for the control of resources and costs.

Every indicator must exist for a specific reason, giving the manager valuable information about the hospital in the areas of organization, resources and work methodology and helping in making decisions.

It is essential that the manager takes into account that the indicators try to represent merely a complicated situation, indirectly impacting reality and evaluating the hospital through necessary mathematical reports. The index gains strength, not in the meantime when compared with other indicators, whether from other areas or the same locality over time.

In this way, the calculation of an indicator is only the beginning of the process. It is necessary that this information is constantly updated, made available for the hospital team, for patients and for other hospitals, compared with other indicators and only then used in management.

It should be regarded that the quality of an indicator depends directly on the accuracy of the data used and from the calculations. Therefore, it is recommended that the hospital management consultancy services are always automated and does not rely directly on manual operations.

How To Assess The Management of Services in The Hospital?

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Over the last decades, cost control has been the subject of business discussions, mainly in the health sector, since it depends on high investments in equipment (many imported), high-impact logistics organization and technological implementation for monitoring and control of information. But in recent years, it was perceived that treating cost and quality as two incompatible elements was a massive error in the management of services, explaining even the financial collapse of many institutions.

The successful experiences of some reference hospitals in India show that cost is an attribute of quality. That is, the financial chaos that attacks many hospitals, diagnostic centers, diagnostic imaging sectors and health plan administrators originates in the misconception that saving on technology and generating value for the patient is a way of leaving accounts well. In practice, that is giving a certificate of death to the institution. Do you want to know how to attribute more value to the hospital management consultancy in India? Come with us:

The detail that makes any difference in the control of functions

Adding value is not lending the same level of assistance to the health of the competition and charging less for services. It is also not to improve what is already perceived as excellent by patients. It’s not about adding services to add prices. Generate or add value is to advance in relative quality in the services provided by the hospital. Either using subtle reorganizations in the logistics of internal processes or technological implementations that return the most rapid attention, the most personalized care and the full accompaniment, related to the image of the hospital to an entity with empathy and responsibility concerning their patients. That can appear in the midst of small change

The computerization that avoids errors and gives agility to billing

Transformations promoted by technology in the routine of a hospital increase the level of patient satisfaction, strengthen the image of the institution and improve its financial results.

The link with the administrators generates opportunity

Some hospitals began to adopt a holistic view of health, with a focus on emergency care, but also on the whole process of developing and monitoring the health of potential patients. This work can be done much more efficiently with the operators of health plans. The improvement in the link between operator and institution can accelerate the processes of availability of exams, implementation of biometric verification to avoid fraud, as well as joint prevention actions.

Strategies based on health promotion, prevention, recovery, and rehabilitation are excellent for patients (who want to avoid diseases), for the hospital (which can provide much more services) and also for the operator (as the healthy beneficiary reduces the rates of accident rate). If everyone is victorious, why not start with this initiative?

Generating value in the hospital consultancy services is much more than exercising medical knowledge in the treatment and cure of patients. It is the differentiation next to the market, offering something more, whether speed in the attention or permanent accompaniment through IT resources in health  (such as monitoring the health of patients outside the hospital environment with wearable devices for example), in addition to the encouragement to health professionals with the exercise of humanized care. Always developing the quality, of the necessary the unexpected, surpassing the expectations of the patients.

The Goals of Health Outsourcing

The expert first points to the central aspect of the issue: the sustainability of the system. Outsourcing of services does not just create a new relationship between public and private, but it allows to create virtuous circles with the consequent saving of resources. But top healthcare consulting firms in India adds to this topic another well-known issue in assessing the opportunities offered by outsourcing: the addition of new professional skills difficult to integrate into the previous model.

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The mix between public and private

It is an old question of the debate on the integration between public and private. The doubts raised by some reside in the fact that private logic cannot guarantee the pursuit of certain purely public goals. A mix, a mix, collaboration, however, that does not exclude one or the other but makes them interact fruitfully seems to be a satisfactory solution.

Integration is already under way, indicating that there has been a radical change of mentality in the public because it has understood the necessity and convenience of having part of its duties to other people who are more likely to do so, thanks also the slimness and flexibility that they can boast over the public. “

A new method of evaluation

One of the most burning issues in public-private integration is the evaluation. In the past, only economically-focused evaluation systems were adopted. The Balanced Scorecard, on the other hand, aims to take account of extra-financial indicators such as patient satisfaction and the quality of the service provided.

The expert states that evaluation is not a “true science” and therefore improvements are always possible. From what is said in the interview it is possible to say that, even in Italy, the integration of the private in the SSN is now an irreversible process. The new service reflects emerging style, which stands out in the market for its ability to partner with customers and listen to their needs, realizing genuine accompaniment and tutoring in system implementation and training.

Advice

Advice is directed to hospitals, clinics, senior residences, personal services and covers the process review, both for regulatory compliance by ISO 9001: 2015 and for the application of specific technical disciplines. Some areas of application may be:

  • Residences for elderly;
  • Medication-assisted procreation centers;
  • Home care and palliative care;
  • Cord blood banks;
  • Blood banks;
  • Top healthcare consulting firms in India (Hematology, Organ Transplants, CSE Transplants, Pediatrics, Operating Rooms);
  • Centers conducting clinical research;

The main feature of hospital consultancy services in India is the application of a methodology that can:

  • comply with binding norms and voluntary standards;
  • safeguard the care of individual services;
  • To ensure an effective improvement in the quality of the service.

Training

The training is addressed to both the operating personnel and the companies operating in the tertiary and hotel sectors and can be targeted as follows:

  • Clinical risk management;
  • Inter professional communication, with particular reference to those who have a direct relationship with the public;
  • Development of skills in the field of social health care with particular reference to the following competences:
  • Efficacy (Lean method);
  • Empathy (passage from empathy to exotics and empowerment);
  • Communication (Communication skill);

Assertiveness.

Standards for Hospital Certification

Through the certification of ISO standards, it is intended to guarantee compliance with a series of internationally recognized requirements and good practices on different aspects, such as quality, risk and safety management, and the environment or social responsibility, among others. However, these are not the only certificates that exist nationally and internationally, although they are some of the most recognized.

The certification of hospitals is the process through which the work of this type of centers is recognized according to the requirements established in the regulations of the hospital sector. These requirements are called standards and are those that set the level of quality of the health care service.

When a hospital is certified by the authorities of the sector, it means that it satisfactorily fulfills issues such as security and patient care, optimal resources, hospital safety and social welfare. But the certification of hospital services is not the same as that of any product circulating in a given market. What, then, are the scales to measure the quality of said services? How are they established? How can top hospital consulting firms in India help you?

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Types of hospital care standards

To make the audit work easier, the top hospital consultants in India responsible for the hospital certification process have established two types of standards: some focused on patient safety and others related to the management of the centers.

  1. PATIENT SAFETY:

Access to the attention and continuity of it. These are the minimum elements that a hospital center must have to provide its services. A center that does not guarantee access to it or the continuity of treatments cannot exercise quality medical work.

Rights of the patient and the family. The centers must carry out their work within the framework of dignity, respect, good treatment and the right to privacy.

Evaluation of patients. Likewise, medical diagnoses must be efficient and timely. The evolution of the cases depends on them.

Anesthesia and surgical care. It is one of the hospital services that require more rigor and attention. In general, the centers specialized in this type of intervention have an added value.

Management and use of medications. The responsibility of the treatments and the level of the opportunity of each of them is valued.

Education of the patient and his family. That is the work of accompaniment, advice, and help during medical processes or treatments. In this section, the psychological orientation can be derived from the hospital service.

  1. MANAGEMENT OF THE CENTERS:

Management of communication and information. Those responsible for hospital centers must know when to issue certain messages and when not. In this aspect, clarity, opportunity, and truth must prevail.

Prevention and control of infections. Hospital centers must be clean places and where health conditions are guaranteed.

Government, leadership, and direction. The positioning of hospitals depends, to a large extent, on those in charge of their management. The decisions taken from the managerial level will influence the progress and prestige of the centers.

Security of the facilities. Anything that happens in a hospital must be properly identified and regulated by internal regulations.

Training and education of the personnel. It is essential that the personnel that is part of the hospital centers be updated not only in the specific topics of their exercise but also in others such as training in values, human rights, attention to the public, teamwork, risks professionals, etc.