Mudança organizacional e implantação de um programa de qualidade em hospital do município de São Paulo

Abstract

A presente dissertação é um estudo de caso sobre as mudanças organizacionais ocorridas em hospital como conseqüência da implantação dos padrões da Joint Commission on Accreditation of Healthcare Organizations - JCAHO (Comissão Conjunta de Acreditação de Organizações de Assistência à Saúde)

Case Study on organizational changes that took place in a tertiary healthcare facility located in São Paulo, Brazil, as a result of the adoption of a comprehensive quality model, the implementation of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards for hospitals. Quality initiatives within the referred hospital are identified. The changes that ocurred due to this implementaion process are presented and discussed, as well as the organizational change estimulating and limitating factors. The main challenges faced are the development of the medical staff organization, the medical record improvement and the management of the environmente of care.