Sturen met Zorg
Sturen met Zorg
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The first half of 2013 was a rough period for a Health care institute like ZorgSaam Zeeuws-Vlaanderen. Changes in the Dutch exceptional medical expenses act (AWBZ) and the rise of the social support act (WMO) in the Netherlands are forcing ZorgSaam to adapt as to improve their financial situation.
One of the decisions due to these changes ZorgSaam has made is to make healthcare teams of in-home and elderly self-managing. To make these health-care teams more self-managing, team members will need information to support their decision-making. This thesis should clarify in which way the need for information of more self-managing health care teams can be fulfilled. The main question in this thesis is:
"Regarding quality and information management, in which manner can ZorgSaam Zeeuws-Vlaanderen best meet the information needs of care teams that are more self-managing in home care and elderly care and what should be done to get this information available"
Regarding the current situation team members of health care teams in the elderly and homecare are provided with little information. The team leader often decides which information team members should see and more than often the amount of information that a team leader passes to the teams is next to nothing. In the new situation, team members should be provided with all the information needed to help improve their decision-making.
The theoretical study in this thesis investigated what information is needed for health care teams for in home and elderly care. The theoretical study finds information that should improve a successful self-managing team. The theoretical study also finds information that meets the following goal: "improving the quality of care, while considering the cost". The theoretical framework has been used to form preliminary indicators that can be used for the field research. Then, according to quality management theory the theoretical study investigates at how to gather information for these indicators.
The second part of the theoretical study regards the presentation of these indicators to team members of self-managing health care teams. A dashboard information system has been chosen as an information system that provides teams with information. Within this dashboard system some design aspects were found to help team members understand and process information presented in the dashboard. The indicators that were found by the first part of the theoretical study are designed according to these design factors and used for field research.
Regarding the field research a preliminary dashboard was prepared and discussed with team members. The field research tries to measure the ability to make decisions based on information in the preliminary dashboard. For the field research 10 members of care teams have been interviewed through a semi-structured interview.
The main conclusions provided by the field research are firstly: Team members in the current situation receive little information but definitely have a need and a desire for information. Secondly, the information displayed in the dashboard is satisfying the need and desire for information of team members. For effective use of the dashboard information system team members will need information about the use of this system and preferably need a coach to provide skills for decision making. For the indicator regarding productivity a extensive explanation of the best way to improve this indicator is the most important. The final conclusion implies that the preliminary dashboard will indeed contribute to more successful self-managing teams.
The conclusions from the field research, combined with the frameworks from the theoretical research lead to a number of recommendations for ZorgSaam. When followed, these recommendations will lead to a proper processing of information by self-managing healthcare teams. Furthermore, these recommendations ensure meeting the information needs of team members of these self-managing health care teams.