Οργάνωση Λειτουργία και Πιστοποίηση Υπηρεσιών...

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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

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7.4. 87

8. 90

8.1. SWOT 90

I. . 93

II. . 93

III. . . 94

IV. . . 94

. 95

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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

145

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PETER MANTEGAZZA, CEO

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WILLIAM JOHNSON, Executive Vice President

DR. PETER BAGLEY, Medical Director

DR. HOWARD FIXLER, Chief of Internal Medicine

MARY ALEKSIEWICZ, Vice President of Nursing

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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

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JOYCE COLBY, Director of Business Development

MATTHEW AKULONIS, Director of Support Operations

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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)

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128

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9.9.1.4 EQRM

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1. , , CD,

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2001

2. United Nations, Disability Statistics Compendium, Department of

International Economic and Social Affairs Statistical Office, Statistics on

Special Population Groups Series Y No. 4, New York, 1990

3. Jaap van den Berg, United Nations Statistics Division, United Nations

Childrens Fund, Statistical Office of the European Communities, Centres

for Disease Control and Prevention of the United States of America

International Seminar on the Measurement of Disability, Collecting data

on disability in EU general population surveys, New York, 4 - 6 June 2001

4. Chart book on Disability in the United States, Info Use, 1996

5. ,

http://www.ypyp.gr/GR/welfaregr/welfaregr.htm

6.

, 2003

7. Key results of the report based on Euro barometer 54.2, ATTITUDES OF

EUROPEANS TOWARDS DISABILITY, Brussels, May 2001

8. ... ... Intensive Rehab,

http://www.disabled.gr/

9. , http://www.ric.org/

10. , http://neurorehab-

westend.de/greek.htm

146

11. , , , ALFA

SPORT, Physio Release,

http://www.physio.gr/article_showall.asp?cat_id=41&parent_id=19&sub

_name= &parent_name=, 22 2003

12. ,

, ,

, http://www.disabled.gr/

13. European Platform for Rehabilitation (EPR), www.epr.be

14. Commission on Accreditation of Rehabilitation Facilities (CARF),

http://www.carf.org/default.aspx

15. International Organization for Standardization (ISO),

http://www.iso.org/iso/en/ISOOnline.openerpage

16. Hazard Analysis and Critical Control Points (HACCP),

http://www.haccp.org/

17. ,

http://www.eiaa.gr/

18. ,

" -

" &

, http://medlab.cs.uoi.gr/erga/biomed/newindex.htm

19. . . . . ,

-

, , 2000

20. , ,

- , 1992

147

21. . . . . ,

, , 2003

22. . , - ! , .

, 2002

23. ,

, ,

24. ,

, ,

1996

25.

, ,

, 1999

26. . . , ,

, 1999

27. ,

, , 1996

28. , ,

, 2002

29. , .

,

,

30. Patrick J. Montana, Bruce H. Charnov, ,

, , 1998

31. . ,

, , , 3

, . , 1990

148

32. , ,

, 2000, 12(2): 68-77,

http://www.elegeia.gr/phc122g.htm

33. Health, Health Care & Welfare In Greece, Hellenic Republic Ministry of

Health and Welfare, Athens, January 2003

34. Evans, R. J., Lindsay, M.W., The management and control of Quality, West

Publishing Company, 3rd EDT. 1996

35. Delene, L., Bunda, M., Kim, C., Methods of Measuring Health Care

Service Quality, Lee, H., Journal of Business Research,48 pp.233-246,

2000

36. Black, N., Quality assurance of medical care, Journal of Public Health

Medicine, Vol. 12, No 2 pp. 97-104

37. Deming, E., Out of the crisis, Massachusetts Institute of Technology,

Center for Advanced Engineering Study, 1986

38. Donabedian, A., Anne Arbor, The Definition of Quality and Approaches to

its Assessment, Michigan, Health Administration Press

39. Leffel G., Blumenthal D., JAMA, The case of using Industrial Quality

Management Science in Health Care Organizations, November 24, Vol.

262, No 20, November, pp. 2869-2873, 1989

40. Thompson R.E., Mohr and Associates Inc., Next steps in implementing

quality appraisal/action plans in hospitals, 1980

41. Y.K. Sahney, G.L. Warden, The quest for quality and productivity in health

services. Frontiers of health services management, 7:2-40, 1991

42. K. Jennison, McGraw-Hill, Organization dynamic of quality control. In

Bland P (Ed.). Making managed healthcare work: a practical guide to

strategies and solutions, (New York) 1991, . 421-430

149

43. - , ,

, 2001.

44. , ,

, .

,

, , , 2004

45. , ,

, Manager / ,

, , , 2004

46. Mr. Miguel Angel Cabra de Luna, Director of Social and International

Relations for the Once Foundation and Member to the Social and

Economic European Committee, Presentation title: "Integration of

Disabled People in Society and Independent Living: The European

Approach", European Congress on Independent living, Nothing for us

without us Tenerife 2003,

http://www.congresovidaindependiente.org/ingles/indexi.htm, Quovis

Network http://www.quovis.net and European Disability Forum (EDF)

http://www.edf-feph.org/en/events/year/news.htm

47. , , Management

, ,

, 2003

48. , Planning- ,

,

, , , 2003

49. Six sigma Standards and Methodologies,

http://www.smartdraw.com/resources/centers/bpm/sixsigma#sixsigma

150

50. 6Sigma Heath, GE Healthcare,

http://www.gehealthcare.com/prod_sol/hcare/sixsigma/

51. National Rehabilitation Hospital Washington D.C.,

http://www.nrhrehab.org/

52. Spaulding Rehabilitation Hospital Network,

http://www.spauldingrehab.org/

53. The Burke Rehabilitation Hospital, http://www.burke.org/home.cfm

54. Madonna Rehabilitation Hospital, http://www.madonna.org/

55. Magee Rehabilitation Hospital for Physical Rehab,

http://www.mageerehab.org/

56. Palanga Rehabilitation Hospital,

http://www.randburg.com/li/palangare.html,

57. Royal Perth Rehabilitation Hospital, http://www.rph.wa.gov.au/rph.html,

58. Pfeffer, Jeffrey (Stanford University), Salancik, Gerald R. The external

control of organizations: A resource dependence perspective, Harper &

Row (New York), 1978

59. Nutt, P. C., & Backoff, R. W. The strategic management of public and third

sector organizations. San Francisco: Jossey-Bass., 1992

60. Espy, S. N. Handbook of strategic planning for non-profit organizations.

New York: Praeger, 1986

61. The Royal Buckinghamshire Hospital. The International Spinal Injuries &

Rehabilitation Centre, http://www.royalbucks.co.uk/index.htm

62. Joint Commission on Accreditation of Healthcare Organizations (JCAHO),

http://www.jcaho.org/index.htm

151

63. Fairlawn Rehabilitation Hospital Leadership,

http://www.fairlawnrehab.org/hospitallead.html

64. . , Ph.D., :

, ,

, 2003, http://www.relax-now.gr/host/christidis/

65.

() :

, Health News,

, 3/12/03,

http://health.in.gr/news/article.asp?lngArticleID=48170

66. , :

, 5.2,

http://tedk.evros.gr/PEP/5_2b/tech52b.doc

67. ,

...., http://www.na-

hrakleioy.gr/Nah_800_600/pronia/pronia_b_E.htm

68. The 20 ISO 9000 quality assurance system elements,

http://www.jdunman.com/ww/Business/ISO/The%2020%20elements%2

0of%20ISO.htm

69. EFQM, http://www.efqm.org/welcome.asp

70. EFQM | Levels of Excellence,

http://www.efqm.org/levels/reco/details.asp?reco_id=500

71. . 2072/92 . 125/23-7-1992 ,

152

72. . 2082/92 . 158/21-9-1992 ,

73. .. 395/93 . 166/28-9-1993 , ,

,

....

74. . 789/6-10-1993 ,

-

10 . 1 . 2072/1992

75. . 2345/95 . 213/12-10-1995 ,

76. . 2646/98 . 236/20-10-1998 ,

77. . 819/21-5-1999 ,

()

() 14 . 2072/1992 (. 125//92)

78. . 1078/30-8-2000 ,

( 10 . 2072/1992)

79. .. 383/02 . 332/30-12-2002

80. . 3106/03 . 30/10-2-2003 ,

153

81. . 3172/03 . 197/6-8-2003 ,

.

82. . 2072/92 . 125/23-7-1992 ,

83. . 2082/92 . 158/21-9-1992 ,

84. .. 395/93 . 166/28-9-1993 , ,

,

....

85. . 789/6-10-1993 ,

-

10 . 1 . 2072/1992

86. . 2345/95 . 213/12-10-1995 ,

87. . 2646/98 . 236/20-10-1998 ,

88. . 819/21-5-1999 ,

()

() 14 . 2072/1992 (. 125//92)

154

89. . 1078/30-8-2000 ,

( 10 . 2072/1992)

90. . 2889/2001 . 37/2-3-01 ,

91. .. 383/02 . 332/30-12-2002

92. . 3106/03 . 30/10-2-2003 ,

93. . 3172/03 . 197/6-8-2003 ,

.

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

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