RRAPORTAPORT DEDE ACTIVITATEACTIVITATE MEDICALAMEDICALA

SSPITALPITAL FFILANTROPIAILANTROPIA

RRAPORTAPORT DEDE ACTIVITATEACTIVITATE MEDICALAMEDICALA

SSPITALPITAL FFILANTROPIAILANTROPIAAnulAnul 20092009

ICM SI NUMAR PACIENTI CONTRACTAT

•• CONTRACTAT 2009: DRG = 19017; ICM = 0,7395CONTRACTAT 2009: DRG = 19017; ICM = 0,7395

•• REALIZAT 2009: DRG = 30038; ICM = 0,8847REALIZAT 2009: DRG = 30038; ICM = 0,8847

•• ABATERE DE LA CONTRACT: (+)11021 DRG =ABATERE DE LA CONTRACT: (+)11021 DRG = 57,95%*57,95%*

•• **TrimestrulTrimestrul III 2009:III 2009: mediemedie de 2200 DRG/de 2200 DRG/lunaluna pestepeste contractcontract(34,7%),(34,7%), platiteplatite suplimentarsuplimentar

VALORI CONTRACTATE

CLINICA NR. MEDICI NR. DRG. CONTR.ONCO 4 1268M3 6 1395CARDIO 4 1480HEMATO 6 1691OG1 8 1903OG2 10 1903NEONAT 4 2104PED 12 2114M1 10 2368M2+DZ 11 2791FIZIOTERAPIE NA

VALORI REALIZATE

CLINICA NR. DRG. CONTR. NR. DRG. REALIZATOG1 1903 4765OG2 1903 4613ONCO 1268 3611HEMATO 1691 3256PED 2114 3018M2+DZ 2791 2933M1 2368 2576M3 1395 2018NEONAT 2104 1847FIZIOTERAPIE NA 1501CARDIO 1480 1401

INDICATORI DE EFICIENTA

CLINICA ICM TOTAL PCTE ICM PCTE ICM/MEDICM3 1,1565 2333,82 388,97HEMATO 1,0816 3521,69 586,95CARDIO 1,0384 1454,8 363,7ONCO 0,9401 3394,7 848,68M2+DZ 0,9213 2702,17 245,65M1 0,9028 2325,61 232,56PED 0,8441 2547,49 212,29NEONAT 0,6822 1260,02 315,01OG1 0,6514 3103,92 387,99OG2 0,6288 2900,65 290,07

PONDEREA SECTIILOR

HEMATOHEMATO14%14%

ONCOONCO13%13%

OG1OG112%12%

OG2OG211%11%

M2+DZM2+DZ11%11%

PEDPED10%10%

M3M39%9%

M1M19%9%

CARDIOCARDIO6%6%

NEONATNEONAT5%5%

CLINICACLINICA TOTAL PCTE ICMTOTAL PCTE ICMHEMATOHEMATO 3521,693521,69ONCOONCO 3394,73394,7OG1OG1 3103,923103,92OG2OG2 2900,652900,65M2+DZM2+DZ 2702,172702,17PEDPED 2547,492547,49M3M3 2333,822333,82M1M1 2325,612325,61CARDIOCARDIO 1454,81454,8NEONATNEONAT 1260,021260,02

EFICIENTA PERS. MEDICAL

00

100100

200200

300300

400400

500500

600600

700700

800800

900900

ONCOONCO HEMATOHEMATO M3M3 OG1OG1 CARDIOCARDIO NEONATNEONAT OG2OG2 M2+DZM2+DZ M1M1 PEDPED

PCTE ICM PER MEDIC DE SALONPCTE ICM PER MEDIC DE SALON

CLINICACLINICAPCTEPCTE

ICM/MEDICICM/MEDICONCO 848,68HEMATO 586,95M3 388,97OG1 387,99CARDIO 363,7NEONAT 315,01OG2 290,07M2+DZ 245,65M1 232,56PED 212,29

INCADRAREA IN VALORILE CONTRACTATE (NR. PACIENTI)

-4000

-3000

-2000

-1000

0

1000

2000

3000

4000

5000

6000

OG1OG1 OG2OG2 ONCOONCO HEMATOHEMATO PEDPED M3M3 M1M1 M2+DZM2+DZ CARDIOCARDIO NEONATNEONAT

Contr

Real

Abatere

SECTIE ABATEREOG1 (+)2862OG2 (+)2710ONCO (+)2343HEMATO (+)1565PED (+)904M3 (+)623M1 (+)208M2+DZ (+)142CARDIO (-)79NEONAT (-)257

CONSUMURI LEGATE DE DIAGNOSTIC

CLINICA CT RMN SCINTI TORAx TOTAL EX.ONCO 721 91 27 9 848HEMATO 414 25 1 13 453M1 219 18 0 1 238M2+DZ 100 22 56 3 181CARDIO 42 12 18 0 72M3 44 15 1 0 60FIZIOTER. 3 56 0 0 59OG2 8 6 0 0 14OG1 6 1 0 0 7PED 2 2 0 0 4NEONAT 0 0 0 0 0

1559 248 103 26 1936

CONSUMURI LEGATE DE TRATAMENT

CLINICA BOLNAVI ATIOG2 751OG1 686HEMATO 88M3 66M1 58M2+DZ 46CARDIO 42ONCO 27NEONAT 0PED 0FIZIOTER. 0

1764 00

100100

200200

300300

400400

500500

600600

700700

800800

BOLNAVI ATIBOLNAVI ATIIN SERV. ATI: 1764 BV/25 PATURI/52 SAPT.= 1,36 BV/SAPTAMANAIN SERV. ATI: 1764 BV/25 PATURI/52 SAPT.= 1,36 BV/SAPTAMANA

MEDICAMENTE

CLINICA MEDICAMENTEONCO 2048064HEMATO 783137,3PED 195415,8OG2 72170,87OG1 62101,27M1 47767,33CARDIO 46133,29M2+DZ 45965,56M3 32402,44NEONAT 8935,73FIZIOTER. 6589,14AMB 5131,42CPU 4412,57

3.358.227

ONCOONCO61%61%

HEMATOHEMATO23%23%

PEDPED6%6%

OG2OG22%2%

OG1OG12%2%

PROFILUL CONSUMULUI DE MEDICAMENTE

MEDICAMENTEONCO-PN 2.593.452 leiSIMPT 653.426 leiPED-PN 320.809 leiD-PN 16.024 lei

3.583.711 leiONCOONCO--PNPN

72%72%

SIMPTSIMPT18%18%

PEDPED--PNPN9%9%

DD--PNPN1%1%

MATERIALE SANITARECLINICA MAT. SANITARE

OG1 155351OG2 144732HEMATO 86845NEONAT 68588PED 57406CARDIO 46338ONCO 41167RADIO 30202AMB 27042CPU 25869FIZIOTER 24540M1 20483,6M2+DZ 7413,19M3 6965,17LABORATOR 3625,15ANAPAT 1962,63ATI 0

748.530

OG1OG121%21%

OG2OG219%19%

HEMATOHEMATO12%12%

NEONATNEONAT9%9%

PEDPED8%8%

CARDIOCARDIO6%6%

ONCOONCO5%5%

RADIORADIO4%4%

AMBAMB4%4%

CPUCPU3%3%

FIZFIZ3%3%

M1M13%3%

SERVICII SI UTILITATIFURNIZOR SUMA

Distrigaz 917.754SPAD 504.444Electrica 467.900Infoworld 334.447Reg. Apa 283.867Guardian 277.039ROMTELECOM 88.524RDS 79.620Sp. Judetean 64.850Salubritate 54.871RALCOREX 18.071Posta 7.561Ambulanta 6.765Monitorul Of. 6.765Orange 6.510IFMA 5.938Vodafone 5.773CNCAN 5.145Ctr. Sange 4.242ROCOR 2.852RAADPFL 538HELIOS 324

3.143.800

DistrigazDistrigaz29%29%

SPADSPAD16%16%

ElectricaElectrica15%15%

InfoworldInfoworld11%11%

Reg. ApaReg. Apa9%9%

GuardianGuardian9%9%

CHELTUIELI CU MATERIALE SI REACTIVI

MATERIALE SIREACTIVI

SUMA

LABORATOR 272154RADIOLOGIE 107883ATI 249104ANAPAT 14000

643.141

CHELTUIELI DE PERSONALCLINICA CHELT. PERSONAL

OG1 4.052.375OG2 3.583.802AMB 3.455.656PED 3.016.002M2+DZ 2.917.580M1 2.765.750HEMATO 2.627.677NEONAT 2.444.997LAB. 2.338.179ATI 2.289.390FIZIOTER. 2.134.241M3 2.043.184ONCO 1.919.790CPU 1.541.077CARDIO 1.509.915ANAPAT 1.319.312Rx 1.169.731

41.128.657

VENITURI DIN SERV. MEDICALE

SURSA VALOAREDRG 28.373.364FIZIOTER. 4.204.978AMB—MEDICI AMB 1.891.243AMB – MEDICI SPITAL 115.185

34.584.771

CONCLUZII

SubfinantareSubfinantare sisi haoshaos contractualcontractual

DepasiriDepasiri nejustificatenejustificate de cote dede cote de internariinternari alocatealocate, de, de panapana la 200% (la 200% (oncologieoncologie,,hematologiehematologie,, ginecologieginecologie),), generatoaregeneratoare dede consumconsum excesivexcesiv

ContracteContracte paguboasepaguboase (Guardian, InfoWorld)(Guardian, InfoWorld)

ActivitateActivitate deficitaradeficitara aa ambulatoriuluiambulatoriului dede specialitatespecialitate, in principal a, in principal a medicilormedicilor dindinspitalspital (sub 1%(sub 1% veniturivenituri dindin consultatiiconsultatii))

CheltuieliCheltuieli de personalde personal excesiveexcesive

PutinaPutina implicareimplicare inin identificareaidentificarea resurselorresurselor alternative (alternative (serviciiservicii cucu plataplata,, contractecontractedede cercetarecercetare//studiustudiu clinic)clinic)

RisipaRisipa (150000 RON(150000 RON facturifacturi Romtelecom+RDSRomtelecom+RDS))

MASURI PROPUSE

MonitorizareaMonitorizarea zilnicazilnica aa numaruluinumarului dede internariinternari pepe sectiisectii sisi programareaprogramarea cazurilorcazurilornonnon--urgenteurgente

OrganizareaOrganizarea eficientaeficienta aa ambulatoriuluiambulatoriului dede specialitatespecialitate sisi in principal ain principal a activitatiiactivitatiimedicilormedicilor dindin cliniciclinici

OrganizareaOrganizarea eficientaeficienta serviciilorserviciilor care potcare pot asiguraasigura veniturivenituri extrabugetareextrabugetare ((laboratorlaborator,,radiologieradiologie,, fizioterapiefizioterapie))

RenegociereaRenegocierea contractelorcontractelor dede imagisticaimagistica sisi monitorizareamonitorizarea strictastricta aa indicatiilorindicatiilor

ImplicareaImplicarea inin proiecteproiecte dede cercetarecercetare//studiustudiu clinic/clinic/proiecteproiecte educative dineducative din parteaparteacadrelorcadrelor didacticedidactice

CombatereaCombaterea risipeirisipei