Clinical Pathways as an integrated services planin hospital quality and finance.Dody FirmandaChairman of Medical CommitteeFatmawati Hospital Jakarta.
Quality is different things to different people based on their belief andnorms, their perspective as medical doctors, managers, nurses, pharmacists,allied professions, patients and stakeholders etc. But, one thing for surethat quality is a never ending journey – and quality is everyone’sresponsibility not just merely entitle to the institution or unit only. Thelatest impact of quality itself nowadays is safety –
– safeand cure to the patient and clean care for the providers. On the other part -financial constraints and budget allocation are limited – just put it simplythat resources – high qualified and quality people, time, facilities, equipmentand knowledge – are scarce and even if there are available- it will definitelyvery costly. Therefore, it will need a well tailored design tool thatintegrated and combine all aspects of professionals care involvement,resources usage and finance inclusively as it is already stated in IndonesianLaw No 29/2004 (paragraph:
kendali mutu dan kendali biaya
) through amanageable professional quality system (Clinical Governance) and financialsystem within a hospital. The critical and important junction is what wenamed it as
– bridging the quality and financial systems –that will reflects transparency, fairness and accountability as required inGood Corporate (Hospital) Governance’s principles (Diagram 1).