BOLIVARIAN REPUBLIC OF VENEZUELA

MINISTRY OF PEOPLE'S POWER FOR HEALTH

STATE HEALTH DIRECTORATE OF THE BOLIVARIAN STATE OF
MIRANDA
GENERAL HOSPITAL OF HIGUEROTE
HIGUEROTE - BRIÒN MUNICIPALITY

PROVIDING A QUALITY SERVICE INCORPORATING

INNOVATIVE PROPOSAL ENSURING AND PROVIDING ACCESS
QUALITY HEALTH FOR ALL BY INCREASING CARE
SERVICES TO PROVIDE TIMELY RESPONSE IN THE HOSPITAL
GENERAL DE HIGUEROTE, LOCATED IN THE BRION MUNICIPALITY OF
BOLIVARIAN STATE OF MIRANDA

TUTOR: Prepared by:

Lcda. Edzabel Fuente. Dr. Wilander Solórzano
Dr. Tania Fagundez
Lic. Jessica Camacaro
Lic. America Hurtado

Higuerote
 INDEX

INTRODUCTION....................................................1
CHAPTER I
Problem Statement.......................................................2

4
Research Objectives
General Objective
Specific Objectives
Glossary of Terms

CHAPTER II
Background
Historical Review
Geographical Location
ASIC of Affiliation
ASIC Beneficiary
Type of Establishment
Population Served
Structural Characteristics of Birth of the Center
Conceptual Frameworks
Hospital Administration
Analysis of Hospital Movements
Hospital Epidemiology
Water, Sanitation and Hygiene (WASH)
Infection Control and Prevention
Medical Supplies Warehouse Management
Hospital Security Index (ISH) Assessment
Legal Bases
 Comparative Table of Structural Characteristics
SWOT Matrix
Action Plan (Correctives)
CHAPTER III
Conclusions and Recommendations
Annexes
Bibliography
 INTRODUCTION

Health is a social right, that is why the state as a whole

with the different public bodies in charge is obliged to
promote and develop policies aimed at improving the quality of life, the
collective well-being and access to services. Venezuelan Public Health
has undergone a series of changes over time in which, sought,
encompass a complete set of knowledge and practices, scientific techniques and
cultural, ideological, political, and economic, we find this proposal
framed in what we know as Collective Health, which will allow us
incorporate innovative proposals in health centers guaranteeing and
providing access to health.

For managers in health services, the pursuit of quality

the service represents a challenge or even a strategic priority for
these health professionals, in this sense the health managers or
hospital managers rely on hospital management, which involves
management of all aspects related to the hospital's operation;
like medical administration, patient care service, the service
emergency response, financial management. In short, all the
aspects that allow a hospital to provide health services.

For this reason, the quality of the care service is reflected as a

necessity and not as an obligation for which this work is proposed
to know hospital management within the General Hospital of Higuerote

This research is structured into three (03) chapters. In chapter I

the problem statement, the justification, the objectives of
research and glossary of terms.
 Chapter II refers to the background, conceptual basis,
legal bases and action plan

Chapter III presents the conclusion and recommendations, annexes and

bibliography
 CHAPTER I

STATEMENT OF THE PROBLEM

According to figures from theWorld Health Organization,

around 2.6 million patients die each year due to medical errors or
for damages incurred while receiving hospital care In addition to
It is alarming, this figure reveals the importance of proper management.
hospital care at all levels that ensures the proper functioning of the
health centers.

In this regard, hospital management has the responsibility to

grant health centers the foundations to strengthen their capacity to
resolution and incorporate criteria that allows decision-making in
as for its good functioning and the provision of services in a
optimal

It is important to recognize that through good management

In a hospital setting, plans and strategies can be developed to achieve results.
effective with efficiency and these must involve all workers of
hospital.

Therefore, the General Hospital of Higuerote must have a strategy

based on hospital indicators to achieve the strengthening of the
services and departments, this will be done with the policy evaluation in
hospital management implemented within the hospital.

JUSTIFICATION

Every organization that carries out its activities within the health sector,
requires management tools with which it must search
permanently its growth and organizational development, and it is there where
the elements of hospital management become tools
indispensable for the maintenance of the health center.

The implementation of sustainable action plans with strategies

established in the hospital indicators will help in making decisions
correct in terms of the organization and functioning of the health center.

Hospital management is very important because it

develop tools that allow for solutions with correct decisions
after evaluating the critical knots and their possible solutions in a
quick and effective.

With the help of hospital management in the decision-making

daily decisions the General Hospital of Higuerote will be promoted the
development for the proper functioning of each of the services that comprise
the health center to provide a quality service.
 OBJECTIVES OF THE RESEARCH

GENERAL OBJECTIVE

Provide quality service by incorporating innovative proposals,

ensuring and providing access to quality healthcare by increasing the
attention in all services to provide timely response in the Hospital
General de Higuerote, located in the Brion Municipality of the Bolivarian State
of Miranda

SPECIFIC OBJECTIVES

Identify the average monthly consumption in medical services

of the medications.
Compare the productivity of services in the years 2020 - 2022.
Determine the application of immunization programs and the
causes of morbidity and mortality in the health center.
Improve hospital infrastructure and carry out equipment in the
services.
Establish appropriate access management to water services
safe, sanitation and hygiene, and clean environments.
Implement programs for surveillance, prevention, and control of
infections associated with health care.
Register through administrative instruments that allow for the
reception, dispatch, and inventory control of medical supplies
surgical medical material.
 Organize the operation of the health center applying the index of
hospital security where the surveillance and protection of the
hospital establishment, the staff and the patients.

GLOSSARY OF TERMS

ARO
ASIC:
ASH: Water Sanitation and Hygiene
Hospital Security Index
MPPS: Ministry of Popular Power for Health
MSAS: Ministry of Health and Social Assistance
WHO: World Health Organization
PAHO: Pan American Health Organization
 CHAPTER II

BACKGROUND

Historical Review

In the eighties, the population explosion in the region

barloventeña served as the basis for the creation of a type IV hospital with
sixty (60) beds to meet the needs of the population. It was like this
when the construction of the General Hospital of Higuerote began in the
In 1985, the construction of the new structure of the center was completed.
health, carried out by MINDUR, in 1988 and by decision of the Ministry of
Health and Social Assistance (MSAS) managed to have the ground floor delivered,
but the facilities were still not completed for their operation in their
totality. The employees and workers decided to invade the facility for that
year, the director Dr. Carlos Vivas decides to move all the materials and
equipment for the installation of the new Hospital.

It is important to highlight that this hospital not only serves the residents
from the municipality of Brión but also to the other municipalities of Barlovento.

Founded on March 15, 1988, it is a type I reference hospital of the axis

from Barlovento, has both medical and surgical specialties,
where undergraduate, graduate, and assistant courses are taught
University of Obstetric Gynecological Specialties, Anesthesiology and
General Surgery. It has a capacity of 70 beds according to the latest movement
Hospital (March 2023). Currently, there are medical services.
surgical procedures in Gynecology and Obstetrics, General Surgery, as well as with the
servicios médicos de Medicina Interna, UCI, UTIN, Sala de Parto, Cirugía,
Epidemiologia, Inmunización, Banco de Sangre, Rayos X, Rehabilitación,
Pediatric and Adult Emergency, Pediatric and Adult Triage Laboratory,
Nutrition and Dietetics, Mortuary likewise with the consultations of Pediatrics,
Traumatology, General Medicine, STDs, Respiratory, Preventable Immune
Dentistry, ARO, Prenatal, Family Planning, Internal Medicine
Neonatology, Anesthesiology, Nephrology, and Cardiovascular. It also has
with the services and Medical Records department, Appointment Center,
Nursing
Human, Security, Housekeepers and General Services

GEOGRAPHICAL LOCATION

The Higuerote General Hospital is located on Fine Avenue.

university, entrance to the urbanization June 3, Higuerote parish of
Brión Municipality of the Bolivarian State of Miranda. Belonging to
peace quadrant P5 which coexists with 26 communal councils within
its point and circle. The health center is located to the Southeast of the population
from Higuerote, its limits are:
North: Universidad Avenue, San Luis sector
On: Public Services of the Brión Municipality
This: La Costanera Urbanization
West: Urbanization June 3
Its geographic coordinates are:
Latitude: N 10° 28' 51.83
O 66° 6' 2.88
 ASIC DESCRIPTION

One of the priorities in any society must be to organize and guide

collective efforts to promote, protect, prevent and restore health
of the inhabitants of a community. In Venezuela, various have been devised
mechanisms to achieve this goal, and this is how Health Areas are born
Community Integral (ASIC), as a management strategy of the Public System
National Health that involves the network of medical assistance services
from each locality and includes community participation, councils
community and citizen security institutions, among other entities.

The Higuerote General Hospital belongs to the Higuerote ASIC that

it serves all the localities belonging to the Brión municipality

Benefited ASICs

Our health center provides institutional support to the neighboring ASICs.

of the municipalities of the Barlovento axis these are:
Acevedo Municipality
Buroz Municipality: ASIC Mamporal
Municipality Andrés Bello: ASIC Santa Eduviges
Páez Municipality: ASIC El Guapo
Pedro Gual Municipality: ASIC La Loma
 TYPE OF ESTABLISHMENT

The General Hospital of Higuerote provides medical care and is

considered as a Type I medical center, although it has 70 beds
operational. According to considerations when exceeding 60 beds and having
departments of undergraduate and graduate university teaching should
to be called type II.

ASSISTED POPULATION

At the time of inauguration, it was estimated that between 5 would be attended to.

one thousand and ten thousand inhabitants. Currently, the population of Higuerote is around

over 68,940 people according to the 2018 census and increases on weekends
week and in considerably seasons

The hospital serves a daily number of patients between 100 and 150.
these are attended to in the different medical consultations and services. Likewise
as the reference medical center of the Barlovento axis increases
the number of patients attended to by transfers and referrals. The Axis
Barlovento has a population of 308,834 inhabitants. It has 06.
municipalities, 21 parishes and 08 Asic.

STRUCTURAL CHARACTERISTICS OF THE BIRTH OF THE CENTER

ABOUT HEALTH

The commissioning of the Higuerote General Hospital dates

since last century, when in the 1950s it was created the
Rural Clinic Dr. Bernardo Gómez where patients were provided with care
simple surgical medical attention while more serious cases
severity or emergency were taken to Caucagua. In that center, they
provided some preventive services such as prenatal care, child hygiene
and as an adult, immunization and triage consultation. As time goes by
by the late eighties the demographic explosion in the region
barloventeña served as the basis for the creation of a type IV hospital with
sixty (60) beds to meet the needs of the population. It was thus
when the construction of the General Hospital of Higuerote began in
In 1985, the construction of the new structure of the center is completed.
health, carried out by MINDUR. Covering an area of 5,600 m2, designed with
an architectural capacity of 90 beds, in 1988 and by decision of the
Ministry of Health and Social Assistance (MSAS) was able to deliver
the ground floor, but the facilities were not yet completed for their
operation in its entirety. The employees and workers decided to invade the
installation for that year, the director Dr. Carlos Vivas decides to relocate everything
the materials and equipment for the installation of the new Hospital.

Currently our health center is divided into three floors:

On the ground floor we find the adult emergency services, adult triage,
adult observation, adult shock trauma room (for reactivation), treatment room
(to reactivate), pediatric emergency (to reactivate), shock trauma room
pediatric (to reactivate), RX service (inoperative), laboratory, record
doctor, appointment center, pharmacy, dentistry, general surgery consultations;
medicina interna; pediatría; epidemiología; traumatología; pre anestesia;
outpatient consultation, central storage, staff break rooms
nocturnal, laboratory warehouse, pharmacy warehouse, service of
rehabilitation, nutrition and dietetics service, national goods service
morgue, power plant, hydropneumatic room, water tank and
deposits of national goods.
First floor:

ORGANIZATIONAL CHART

ORGANIZATIONAL SCOPE

The organization of the staff working at the General Hospital of

Higuerote is evident in the different departments and services remaining
distributed in the following way:

MEDICAL STAFF: One (1) Director, One (1) Deputy Director, Four (4)
Heads of Services, Seventeen Specialists, One (1) Resident III, One
(1) and Seven (7) Residents I
 NURSING: Distributed in 3 shifts (morning, afternoon, and night). One
Chief Nurse, One (1) Assistant, Four (4) Supervisors; One
one (1) morning; one (1) afternoon and (2) night, two (2) supervisors of the

Critical areas, Eighty Five (85) professional nurses

EMPLOYEES: One Hundred Sixty-Five (165)
Biennials: Three (3)
OBREROS: Doscientos Tres (203)
RADIOLOGIST: Two (2)

CONCEPTUAL BASES

Hospital Administration

Hospital administration is a specialty of the

health management focused on what is being quality in health,
and is focused on the autonomy of management, administration, and supervision of
the different services offered by the different institutions
hospital services at the regional, state, and national levels.

Analysis of Hospital Movements

Hospital Epidemiology

Water, Sanitation and Hygiene (WASH)

Infection Control and Prevention

Management of Medical Supplies Warehouse

 Evaluation of Hospital Safety Indices

LEGAL BASES

Comparative Chart of the Structural Characteristics of the Center

Moments Number of Population Amount of No. No. of

Beds Beneficiaries
Operational annual annual Doctors annual

Inauguration 28 400 300 5 o

Actual 70 26,500 1761 19 1656

SWOT Matrix

This matrix will serve as a tool to observe situations.

current in order to diagnose various conditions present in
our health center.

WEAKNESSES OPPORTUNITIES
Deficiencies of teams Availability to carry out the
doctors. proposed work.
Lack of furniture from Support from different entities
 consultations and office. governmental MPPS,
Absence of teams from Governorship, Mayor's Office

telecommunications. Community Collaboration

Organized.
STRENGTHS THREATS
Good teamwork. Resistance to change from
I work in unity. part of some people.
proactive. Difficulties in the
Knowledge technicians y infrastructure.
logistics for part delete Lack in the can
personal acquisitive.

ACTION PLAN
(Correctives)

Items Objectives Situation Situation Action or Resources Population Population Indicators Deadline
Specific Real Desired Measures Humans Benefited of Analysis of
Corrective actions to Materials and Results
Perform Financial
Necessary

Identify in the
services
doctors the
average of
consumption
monthly usage
of
medications
Compare the
productivity of
the services in
the years 2020 -
2022.

Determine the
application of
the programs
of immunization
and the causes of
the morbidity y
mortality in the
health center.

Improve the
infrastructure
hospital y
carry out
equipment in
the services.

Establish a
suitable
management of
access a the
services of
water safe,
sanitation e
hygiene y
environments
clean.

Implement
programs of
surveillance
prevention y
control from
infections
associated a the
attention
hospital

Register through
of instruments
administrative
which allow
the reception
dispatch y
control of
inventories of
supplies of
medications and
materials
doctor
surgical.

Organize the
functioning
from the center of
health applying
the index of
security
hospital
since himself
evidence the
surveillance y
protection del
establishment
hospital

CHAPTER III

CONCLUSION AND RECOMMENDATIONS

ANNEX

BIBLIOGRAPHY