THE CARDIOVASCULAR-INSTITUTE - A REENGINEERING PROCESS TO COORDINATE CARDIOLOGY AND CARDIOVASCULAR SERVICES

Changes in health systems are determining new hospital organization fo rms. The patient focused hospital suppose a new radical design of hosp ital processes from the patient's viewpoint. This paper defines the re -engineering process of the Cardiology and Cardiovascular Surgery Serv ices of the Hospital Clinic of Barcelona in order to develop and Insti tute. The change consists fundamentaly in a reorganization of the dire ction organs, creating a staff commission and director. The chief nurs ing and chief management report to the director, Also, a patients admi ssion and management unit, that manage the beds infrastructure of both services has been developed. The first year results show a reduction of the length of stay and an increase in the in-hospital and external activity.