Post on 21-Mar-2016
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, . Email: info@peiraikos.org Website: www.peiraikos.org
BD , , : 2011 Blog: blog.dimitriadis.biz, Website: www.dimitriadis.biz
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CARF, EQRM, ISO JCAHO,
management (TQM).
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1.3 29
1.3.1 30
1.3.2 31
1.4 36
2. 12 41
2.1 41
2.2 45
3. . 47
3.1 47
3.2 48
3.3 50
3.3.1 ( ) 50
3.3.2 The Royal Buckinghamshire Hospital. The International Spinal Injuries & Rehabilitation Centre 54
3.3.3 Fairlawn Rehabilitation Hospital 57
4. 59
5. 65
6. 71
6.1. management () 71
6.2. management 72
6.4. 75
7. 79
10
7.1. 79
7.2. 82
7.3. 83
7.4. 87
8. 90
8.1. SWOT 90
I. . 93
II. . 93
III. . . 94
IV. . . 94
. 95
. 95
8.2. 96
8.3. 96
8.4. 97
8.5. 97
8.6. 97
9. , SIX SIGMA EQRM, CARF, JCAHO ISO 104
9.1 European Foundation for Quality Management (EFQM) 104
9.2 105
107
9.3 111
9.4 19 112
9.5 32 114
9.6 - ... 115
9.7 - ... (Total Quality Management) 116
9.8 Six Sigma 122
9.9 124
9.9.1 European Quality in Rehabilitation Mark (EQRM) 125
9.9.1.1 EQRM 125
9.9.1.2 EQRM 127
9.9.1.3 EQRM 127
11
9.9.1.4 EQRM 128
9.9.2 Commission on Accreditation of Rehabilitation Facilities (CARF) 129
9.9.3 International Organization for Standardization (ISO) 130
9.9.4 Joint Commission on Accreditation of Healthcare Organizations (JCAHO) 135
10. - 138
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European Quality in Rehabilitation Mark EPR - European
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Spinal Units,
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FES Bikes, electrical
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intensive rehabilitation
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Peers Program Beverly Hills. 3,5
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PETER MANTEGAZZA, CEO
DR. ARTHUR PAPPAS, Chairman of the Board of Directors
WILLIAM JOHNSON, Executive Vice President
DR. PETER BAGLEY, Medical Director
DR. HOWARD FIXLER, Chief of Internal Medicine
MARY ALEKSIEWICZ, Vice President of Nursing
58
DONNA LOCONTE, Director of Rehabilitation Services and
Case Management
BETH FOLEY, Director of Nursing Practice
NICK MEZZA, Chief Financial Officer
BRANDON HAY, Director of Human Resources and Volunteer
Services
JOYCE COLBY, Director of Business Development
MATTHEW AKULONIS, Director of Support Operations
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9. 45, 22, SIX SIGMA
EQRM, CARF, JCAHO ISO
9.1 European Foundation for Quality Management (EFQM)69
EFQM,
1988 14
,
,
.
EFQM
(European Quality Award) -
,
.
EFQM
:
1.
2.
105
3.
4.
5.
6.
7.
8.
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,
EFQM
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9.2
(Donabedian, 1980).
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118
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Henry Ford (HF-
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123
Six sigma
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Sigma (Define),
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124
(Control)
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sigma
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125
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9.9.1 European Quality in Rehabilitation Mark (EQRM)13
EQRM .
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126
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,
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,
.
,
.
127
9.9.1.2 EQRM
EQRM
,
.
,
,
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.
9.9.1.3 EQRM
:
Employers Forum on Disability
European Association of Service Providers for Persons with
Disabilities (EASPD)
European Disability Forum (EDF)
European Platform for Rehabilitation (EPR)
European Social Insurance Partners (ESIP)
European Trade Union Confederation (ETUC)
Rehabilitation International (RI),
128
Work & Employment Commission
9.9.1.4 EQRM
EQRM
-
.
:
129
58
.
EQRM
. EQRM .
9.9.2 Commission on Accreditation of Rehabilitation Facilities
(CARF)14
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9.9.4 Joint Commission on Accreditation of Healthcare
Organizations (JCAHO)62
Joint Commission on Accreditation of Healthcare
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144
145
1. , , CD,
, ..,
2001
2. United Nations, Disability Statistics Compendium, Department of
International Economic and Social Affairs Statistical Office, Statistics on
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155
ABSTRACT
In this diplomatic work it was attempted to be
approached the subject of administration of centres of
rehabilitation of disabled persons in Greece and abroad.
Owing to the recovery of elements was very difficult, even
for elementary statistical elements with regard to the number of
individuals for rehabilitation and the medium time of
hospitalisation individually, the particular work was turned
round the subject of Organisation, Management and
Certification of Services for the rehabilitation of disabled persons
and an effort for a comparative study of these in Greece and
abroad.
Deductively, it looks like that the public services for the
rehabilitation of disabled in Greece are insufficient, operated
faulty and administratively acting as spaces of re-establishment
of unfortunate politics, downgrading the institution and their
operations owing to the indifference of state, which doesnt see
the rehabilitation with modern social and economic terms,
turning a blind eye perpetuating thus a rotten and unacceptable
situation that does not lead anywhere.
156
Characteristic example of this is that the responsible
ministry of Health and Social Solidarity doesnt maintain
elements for the size, the categories and recording of disabled in
Greece.
Naturally, as it was expected, in the remainder advanced
societies of abroad, the centres of rehabilitation of disabled
function henceforth as modern hospitals of rehabilitation with
that this presupposes from side of hospitalization, education and
psychological and social support and no as asylums or
institutions.
In Greece the private sector is limited firstly, in a few of
big private hospitals which however do not function exclusively
as rehabilitation hospitals, providing their specialised services
only in the level of clinics and second in certain private
rehabilitation centres of daily care and benefit of services.
Is obvious and evident the lack of equivalents of units
with those of remainder "civilized" world, which function in
municipal or regional level for the confrontation of incidents or
the later support of disabled individuals providing as good as
possible qualitative services.
157
The benefit of qualitative services approved from the fact
that most of these units are certified or tries to become certified
from international organizations as the CARF, the EQRM, the
JCAHO or the ISO, implementing the last methods and practices
of management via the Total Quality Management (TQM). This
shows the gravity which they cope with the particular subject in
the abroad, which as already it has been reported, has very big
social but also economic dimensions.
The insufficient or bad rehabilitation has as result the
continuous economic bleeding that results from the
marginalisation of individuals with disability, who due to the
insuperable problems of their health cannot participate in the
social and economic life of their country, committing not only
financial resources but also an entire familial environment,
which fain to attend the not self-serviced individual.
In cases that the disabled person had been rehabilitated
in specialized and completely equipped centres of abroad the
above mentioned problem does not exist but again the demanded
economic resources for the interval of hospitalisation could be
been disposed for the creation of equally good centres in Greece,
which the damping of would become in a short interval deterring
158
thus the mentioned before economic bleeding during the
rehabilitation or after it, allowing the rehabilitated individual to
participate as good as possible in social activities abandoning the
social margin.
159
50 ..............24
Abstract .......................................... 155 Benchmarking ...................... 120, 127 Brace system ....................................34 CARF ........................................ 16, 117 Commission on Accreditation of
Rehabilitation Facilities (CARF) .................................................... 129
Customization .................................33 DFSS ............................................... 124 Disability.................................... 22, 39 DMADV.......................................... 123 DMAIC ........................................... 123 EASPD ............................................ 127 EDF ................................................. 127 EFQM ............................................. 104 EPR ........................................... 16, 127 EQRM....................................... 16, 117 ESIP ................................................ 127 ETUC .............................................. 127 European Foundation for Quality
Management (EFQM)............ 104 European Quality Award............ 104 European Quality in Rehabilitation
Mark (EQRM) ......................... 125 Fairlawn Rehabilitation Hospital 57 HACCP ..............................................16 Handicap ..........................................39 Help Them Walk Again .................33 Impairment ............................... 22, 39 Intensive rehabilitation .................32 International Organization for
Standardization (ISO) ........... 130 ISO .....................................................16 ISO 9001: 2000............................ 117 JCAHO ........................................... 117 Joint Commission on
Accreditation of Healthcare Organizations (JCAHO)62 ..... 135
Kaizen ............................................. 121 Management ............. 7, 58, 72, 73, 74 Manager .................49, 74, 78, 83, 122 N .... 136 Old fashioned rehabilitation ........30 Peers ..................................................34
Peers Program ................................ 32 Petrofsky .......................................... 34 Petrofsky Institute ......................... 33 RI 127 Six Sigma ....................................... 122 SWOT................................................ 90 The Royal Buckinghamshire
Hospital. The International Spinal Injuries & Rehabilitation Centre .......................................... 54
Universal Institute ......................... 33 Work & Employment Commission
.................................................... 128 .
. ................................. 94
............................................ 22 SWOT .................. 90 , ,
, ..... 21
............................... 87 ......................................... 96 ..................................... 87 ..................... 87 ................. 30 ................................ 145
......................... 59
...... 79
.. 79 .. 87
...................................................... 55
........................................ 72 -
... (Total Quality Management)........................... 116
, Six sigma EQRM, CARF, JCAHO ISO ....................... 104
160
......................... 23
.... .................... 14, 16, 23, 48, 50
....................................13, 48, 50, 96
......................................... 13
......................... 46 ............................................ 73 ......... 65 ............... 26, 27, 28, 34, 35, 36 ............ 50
......................... 55 .............. 31 11 ...................................... 35 ................ 92 ................... 45 ............ 45, 83, 85 ............... 92 ....................... 25, 28 ............ 35 104 ..... 36 EQRM
.................................................... 128 ............. 42
..................................... 42
........................... 65
........... 82 .... 42 ............................... 22 ................................ 47 .......... 55 ............................................. 48 ................................. 48
.................................... 46
............... 31
.... ...................................... 65
. ...................................... 46
.............................................. 87
..... 55
..................................................... 111 . 110
......................... 71
.................... 105
............ 66 ..6, 29,
49, 69, 75, 125, 142 .......... 71 ............. 21
......................... 41 ..... 41 management 72 EQRM ................. 127 EQRM .......... 127 ................ 29
......... 71
............................................... 97 ...................................... 96 ........................................ 72 management
() ......... 71
............................................. 87 .................................. 9 ........................................... 5
....................... 124 ........................................ 105 .................. 114 .............................. 107
. ......................... 93
. .............................. 93 .............................................. 97 ....................... 22 ................................................ 97 . .. 95
........................................... 95
... 90
161
.........................75
- ........ 138 -
... ........................................ 115 .....................................73 .......................................72
.........................45
. .......47
.................................... 48
..................... 112
. . ............. 94
EQRM .............. 125
management .............................. 73 . 37,
39, 40, 42, 44