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Proposition of a Shared and Value-Oriented Work Structure for Hospital-Based Health Technology Assessment and Enterprise Risk Management Processes

Published online by Cambridge University Press:  26 April 2019

Ana Paula Beck da Silva Etges*
Affiliation:
School of Technology, PUCRS, Porto Alegre, Brazil National Health Technology Assessment Institute, CNPq, Porto Alegre, RS, Brazil Department of Industrial Engineering, UFRGS, Porto Alegre, RS, Brazil
Veronique Grenon
Affiliation:
The Risk Authority Stanford, Palo Alto, California
Elaine Aparecida Felix
Affiliation:
Department of Anesthesiology, School of Medicine, UFRGS, Porto Alegre, RS, Brazil
Joana Siqueira de Souza
Affiliation:
Department of Industrial Engineering, UFRGS, Porto Alegre, RS, Brazil
Francisco José Kliemann Neto
Affiliation:
Department of Industrial Engineering, UFRGS, Porto Alegre, RS, Brazil
Carisi Anne Polanczyk
Affiliation:
National Health Technology Assessment Institute, CNPq, Porto Alegre, RS, Brazil Department of Cardiology, School of Medicine, UFRGS, Porto Alegre, RS, Brazil
*
Author for correspondence: Ana Paula Beck da Silva Etges, E-mail: [email protected]

Abstract

Background

Healthcare organizations have invested efforts on hospital-based health technology assessment (HB-HTA) and enterprise risk management (ERM) processes for novel systems to obtain more accurate data on which to base strategic decisions. This study proposes to analyze how HB-HTA and ERM processes can share personal resources and skills to achieve principles with value-oriented results.

Methods

Literature on ERM and HB-HTA and data from interviews with healthcare managers compose the research data sources, which were submitted to a qualitative data analysis. It was oriented to identify the association between ERM and HB-HTA application in hospitals and the common principles between both processes, in addition to proposing the capability to share personal resources between both teams in a matrix.

Results

The common principles and personal background suggested for HB-HTA and ERM teams allowed the build of a matrix identifying how both teams can work in an integrated manner being more effective and value-oriented. The shared resource matrix reports how each professional (with a specific background) may interact with each activity associated to HB-HTA or ERM implementation guidelines.

Conclusions

The identification of common principles and capabilities between ERM and HB-HTA suggested advances with the literature from both research areas. The opportunity to share personal resources also contributes to the implementation of those processes in hospitals with less financial resources, approaching its own management to be more efficient with the care chain.

Type
Method
Copyright
Copyright © Cambridge University Press 2019 

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Footnotes

Ethics approval and consent: All interviewees were invited to the survey and agreed to have their data analyzed. As it is not involving patient data, animals, or personal human information, the approval by the ethics committee was not necessary. Availability of data and material: The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

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