İstanbul Tıp Fakültesi Hastanesi Başhekimlik

İstanbul Tıp Fakültesi Hastanesi Başhekimlik

Istanbul University
Istanbul Faculty of Medicine
Hospital Administration
Plan
• Health care systems in the world
• Problems in university hospitals in Turkey
• Istanbul University Hospitals: New
changes/organizations (HAGED)
• Hospital of Istanbul Faculty of Medicine
Major changes in health care
systems are encountered in the
world
Every single country is affected
WHY?

o Health Technologies developing fast
o Volume of health care services is increasing,
accordingly, the cost of service is increasing
o Average age of the population is increasing
o Changes of cummunity social structure
o The potential of health information systems is
increasing
Principles of Health Care Systems &
Services
1. Effectiveness (Evidence-based Medicine)
2. Efficiency (Health Economics)
3. Equity (Fundamental/Health Law)
4. Humanity (Quality of Service)
Main Objectives of 21st Century
• Safety Not harming patients
• Effectiveness Preventing incomplete, incorrect and excessive
use
• Patient-Centered Clinical decisions should be in line with
the benefits, norms, values and beliefs of the patients
• Punctuality (On-Time) A delayed service is not a service
• Efficiency Curbing a new strain (device, material, man power
and utilities)
• Equitablity The level, quality and scope of service should not
be different in the community . (Geographic Region, Sex,
Age, Religion, etc.)
University Hospitals
• The best address of
Undergraduate/Graduate/Continuous
Medicine education
• As part of being a “UNIVERSITY”
– Education
– Research
– Functions not only as traditional outpatient
and clinical services but also functions in
featured service areas.
University Hospitals
• The most prestigious health
institutions from the perspective of
the community.
• The last point of care in many
severe cases.
Actors in Health Care Services
 POLITICAL AUTHORITIES
TURKISH PARLIAMENT (TBMM), DPT, MINISTRY OF HEALTH ,
UNIVERSITIES
 SERVICE SUPPLIERS
MINISTRY OF HEALTH, UNIVERSITIES, MUNICIPALITIES, OTHER
MINISTRIES
PRIVATE HEALTH CARE ORGANIZATIONS, PRIVATE PHYSICIANS,
PHARMACIES
 FINANCIERS
PUBLIC (TAX+PREMIUM); TREASURY, MINISTRY OF
FINANCE/HEALTH/ÇSG/NATIONAL DEFENSE, INSTITUTION OF HIGHER
EDUCATION (YÖK), OTHER PUBLIC ORGANIZATIONS
PRIVATE (PREMIUM); PRIVATE INSURANCE COMPANIES
Problems in University Hospitals in Turkey
• Dependence on governmental credit
institutions.
• Increase in costs. As the level of expertise
increases, the cost increases accordingly.
• Academic staff are forced to carry out more
than one role in the organization.
• Regulations including heavy conditions
create difficulty while processing the service.
Istanbul University
Istanbul Faculty of Medicine ( IFM) + Cerrahpaşa Faculty of
Medicine (CFM) + Institute of Cardiology + Institute of
Oncology + Faculty of Dentistry
• To re-assess conglomerate structure  HAGED was founded.
(General Administration of Hospitals)
Hospitals provide support to each other when any help
and/or medical equipment are needed.
30% cost reduction is targeted.
(Process of maintaining organizational costs within a
specified budget; restraining expenditures to meet
organizational or project financial targets )
ISTANBUL UNIVERSITY HOSPITALS
ISTANBUL UNIVERSITY HOSPITALS
ORGANIZATIONAL STRUCTURE
COORDINATION COMMITTEE OF ISTANBUL UNIVERSITY HOSPITALS
(Code No: 5/1)
Geçmiş
Şuan
BOARD OF DIRECTORS/EXECUTIVE
BOARD
GENERAL MANAGEMENT/DIRECTORATE
Gelecek
ADVISORY BOARD/COUNCIL OF CONSULTANTS
ISTANBUL UNIVERSITY HOSPITAL
BOARD OF DIRECTORS
Rector Prof. Dr. Yunus SÖYLET
Vice Chancellor
Prof. Dr. Kamil ADALET
Dean of Faculty of Medicine
Geçmiş
Dean of Faculty of Medicine Cerrahpasa
Dean of Faculty of Health Science
Dean of Faculty of Dentistry
Şuan
Manager of Oncology Institute
Manager of Cardiology Institute
Prof. Dr. Bilgin SAYDAM
Gelecek
Istanbul University Hospital - Administrator
Cerrahpasa Hospital - Administrator
Working Capital Operations Manager
General Director of Hospitals
General Medical Director of Hospitals
Prof. Dr. Özgün ENVER
Prof. Dr. Haydar SUR
Prof. Dr.
Prof. Dr. Ahmet KĠZĠR
Prof. Dr. Zerrin YĠĞĠT
Prof. Dr. M. Akif KARAN
Prof. Dr.
Prof. Dr.
Yard. Doç. Dr. S. Haluk ÖZSARI
-



GENERAL MANAGEMENT/DIRECTORATE
at Istanbul University Hospitals
General Director
Yard.Doç.Dr.Haluk ÖZSARI
Sağlık Bilimleri Fakültesi Sağlık Yönetimi Bölümü Öğretim Üyesi
Medical Director
Prof. Dr. Yakup TUNA
Cerrahpaşa Tıp Fakültesi Temel Bilimler Bölüm Başkanı
Geçmiş
Director of Nursing
Prof . Dr. Aytolan YILDIRIM
Florence Nightingale Hemşirelik Yük.Okulu Hemşirelikte Yönetim Anabilim Dalı Başkanı
Şuan
Director of Laboratory Services
Prof . Dr. Münire HACIBEKĠROĞLU
Ġstanbul Üniversitesi Hizmet Laboratuvarları Sorumlusu
Director of Finance
Gelecek
Prof.Dr.Yakup SELVĠ
Ġstanbul Üniversitesi Döner Sermaye Ġşletmesi Müdür Yardımcısı
Director of Quality
Prof. Dr. Gökhan AYGÜN
Cerrahpaşa Tıp Fakültesi Kalite Koordinasyon Kurulu Üyesi
Director of Data Processing
Dr. Yılmaz KESKĠNDEMĠRCĠ
Sağlık Hizmetleri Meslek Yüksekokulu Öğretim Görevlisi
Istanbul Faculty of Medicine
Hospital
Operational
Managers
Vice chief
Administrator
Nursing
Manager
Hospital
Managers
Health
council
Public
relations
Head of
Blood
Center
Secreteriat
Head of
bone
marrow
Istanbul Faculty of Medicine
Operational Managers
under the Administration Office
Processes
Istanbul
Faculty of
Medicine
Cerrahpasa
Faculty of
Medicine
Faculty of
Dentistry
Institute of
Oncology
Institute of
Cardiology
Movable property
manager
Doç. Dr. Önder ŞAHİN
Doç. Dr. Kazım BEŞİRLİ
Arş. Gör. Dr. Değer
ÖNGÜL
Doç. Dr. Vakur OLGAÇ
Prof. Dr. Kazım
ERSANLI
Income financing
manager
Prof. Dr. Ahmet Bilge
SÖZEN
Yard. Doç. Dr. Suphi
VEHİT
Ümit Begüm EFES
Prof. Dr. Fulya
AĞAOĞLU
Prof. Dr. Emir Özgür
Barış ÖKÇÜN
Expense financing
manager
Prof. Dr. Halim İŞSEVER
Doç. Dr. Özcan
ÖZTÜRK
Sadi HIRA
Prof. Dr. Ahmet KİZİR
Doç. . Dr. Murat
BAŞKURT
Human resorces
manager
Prof. Dr. Mustafa ERELEL
Prof. Dr. Fatiş
ALTINDAŞ
Figen SEYMEN
Prof. Dr. Esra SAĞLAM
Prof. Dr. Gürkan
ÇETİN
Medical
operational
manager
Dahili Bilimler
Prof. Dr. Mustafa Nuri
YENEREL
Cerrahi Bilimler
Prof. Dr. Ufuk EMEKLİ
Dahili Bilimler
Prof. Dr. Adnan Levent
YALDIRAN
Özen ONUR
Cerrahi Böilimler
Prof. Dr. Fadıl AYAN
Rasim MERAL
Prof. Dr. Zerrin YİĞİT
General
operational
manager
Ehsan PAPAKÇI
Şakir AYBİRDİ
Prof. Dr. Fulya
AĞAOĞLU
Güler İŞLİK
Fatma BOZKURT
DEMİRDAĞ
Plan of the campus
Istanbul Faculty of Medicine Hospital
• Outdoor: 112.000 m2
• Indoor: 180.716 m2
• Buildings: 20
• All buildings will be knocked down and
rebuilt except 4 historical ones
• In terms of increasing the standards, the
number of beds will be decreased from 1390
to 1100
• 44 Departments, 63 Divisions
• Number of Staff dependent on
Institution of Higher Education………..
982
(# of Professors … 379
# of Associated Professors …64
# of Specialists… 61
# of Residents … 435)
• Full-Timers 657 4A … 1767
• Service Recipients-laboratorytechnicians-secretary 1695, security
141, food 86, cleaning 315 … 2237
• 4B … 422 (contracted in rectorate)
Outpatient
2011
2012
January
100.657
98.348
February
93.901
91.457
March
105.538
105.062
April
92.780
96.622
MAY
99.832
105.737
June
100.223
94.919
July
84.200
87.248
August
74.489
75.068
September
90.085
87.083
October
89.578
87.252
November
84.470
101.070
December
98.748
95.773
TOTAL
1.114.501
1.125.639
2011 # of Outpatients
2012 # of Outpatients
İIFM Inpatient
Official number of beds
Number of beds
Number of Inpatients
1.322
2012 # of Inpatients
38.951
TOTAL NUMBER OF OPERATIONS
(Large, Medium, Small-Scale)
2010
2011
2012
January
2237
2705
2458
February
2380
2633
2225
March
2728
2902
2338
April
2468
2327
2165
May
2404
2315
2519
June
2535
2529
2282
July
2339
2200
2006
August
2228
2178
1998
September
1982
1846
1915
October
2231
2097
1892
November
2068
1838
2177
December
2748
2341
2213
28348
27911
26188
TOTAL
TOTAL NUMBER OF BIRTHS
Annual Birth number
Normal
Abnormal
C/S
TOTAL
2011
2012
631
559
4
2
1321
1051
1956
1612
TOTAL NUMBERS in ICU
ICU - 2012
TOTAL
Number of
Beds
Number of
Inpatients
121
2490
Automation is being revised
• Education,
• Human Resources,
• Revenue-Expense-Fixed
Asset controlling and
auditing standards will
be provided.
• Conjugation of
hospitals will be
achieved.
• Efficiency will be
perceived by the help
of outputs.