Melhoria da qualidade do processo de faturamento: o caso do Hospital Federal dos Servidores do Estado do Rio de Janeiro

Abstract

The aim of this work is to implement improvements in the quality of the billing process of the Federal Hospital of the State Servers, under invoicing and not billing procedures performed on an outpatient basis, making it vulnerable hospital to prove its production, justify spending on materials and equipment and the need to increase the budget. It is classified as a study applied descriptive and that used as research methodology the case study of one type with complementary instruments to collect data as bibliographic and documentary research, process mapping, semi-structured questionnaire and participant observation. Qualitative results demonstrated the need to implement improvements in different activities of the registration processes of care productivity and outpatient billing. The quantitative research was conducted with a stratified sample of top-level professional categories working in the hospital's outpatient clinic. Quantitative results showed that most professionals do not use the instrument for the codification of the services provided under the National Health System and who do not realize institutional initiatives to improve the record of care productivity and outpatient billing. The implemented improvements are being monitored and has contributed to the greater professionalization of the activities developed by the Medical Documentation and Statistical Office of the Federal Hospital of the State Servers