annual report 20 11 01. The Hospital of the Autonomous Community GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011 01 .1 INTRODUCTION n June 23, 1993, the majority of the Basque Parliament Osupported the Osasuna Zainduz Strategic Plan. The plan included a deep reflection about contemporary healthcare policy models and firmly concluded that it was necessary to change the existing management models. The Basque public healthcare system was in a situation of growing costs due to, in the opinion of the public administrations, the ageing population, the incorporation of new, highly sophisticated technologies, and the population´s cultural change regarding the perception of healthcare benefits and required quality standards they had a right to, led to the unavoidable demand increase. As a result of the debate surrounding healthcare policy, the Basque Government´s Healthcare Department presented the Healthcare Standards Law to the A basic element in reaching the the Contract Programme that Autonomous Parliament on June 26, objectives is that of providing communicates directly between 1997. In the list of motives it is healthcare services to citizens. The these and the Healthcare defined as an essential tool for Healthcare Standards Law ensures Department, and in which addresses establishing the commitment of that the healthcare services provided activity objectives and financing with public powers with the population is the instrumental activity that offers public budget credits. Because of its regarding the development and people an organized and nature, Cruces Hospital is a application of the right for the homologated resource in order to healthcare services organisation that protection and care of health. provide healthcare benefits aimed at is equipped to provide highly promoting, preserving and re- specialised healthcare activities. The Healthcare Standards Law establishing their health. pursues a model that is able to fulfil The centre´s functional and the healthcare needs under the This task is assigned to the hierarchical structure is defined by premises of universality, equality and service organisations within the Healthcare Standards Law and quality, joined by their essential Osakidetza/Basque Health Service , the Decree 194/1996 of July 23 efficacy and efficiency, as well as the which include Cruces Hospital. The regarding the Organisational rationing of the benefits for the new functional and management Structure of the resources within the available resources handled by the model developed is established with Osakidetza/Basque Health Service for administration. Based on the unified the creation of the Social Statues of Specialised Care. The centre is led by organisation of all the public Osakidetza/Basque Health Service the Managing Director, who relies on healthcare resources in the through the Decree 255/1997 on an Executive Team for support. In Autonomous Community, it November 11, which transform the order to carry out the proposed establishes the Basque Healthcare previous autonomous organisation functions and consulting, as well as System as the development into a Public Entity with Private the participation, there is a framework within the National Rights, effective as of January 1, Management Committee, made up of Healthcare System, and it is 1998. In summary, the change offers the Managing Director, Executive equipped with the Basque Health healthcare service organisations the Team, Unit Chiefs to be determined, Plan in order to establish basic ability to act under the principle of and representatives from the health objectives to be pursued by economic-financial and Technical Council, a participative and all the Basque public management independence, consultancy body for the professionals institutions. establishing a legal instrument via who manage the Hospital. GURUTZETAKO UNIBERTSITATE OSPITALEA 9 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community 01 .2 ORGANIGRAMME GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES Management team Cruces University Hospital Gregorio Achútegui Managing Director Ildefonso Martínez Scientific Director Mª Dolores Boyano Scientific Assist. Director Alberto Olaizola Valentín Terés José Luis González Maite Barrena Fco. Javier Susana Cejudo Medical Director General Services O & S Assist. Nursing González Personnel Assist. Director Director Director Management Director Director (Ms. Esther Elvira Andrés until sept. 2011 ) Javier Pilar Edurne Isabel Ferreiro Felisa Fernández Elena Bravo Luis Villoldo Medical Services Omaetxebarria Surgical Services Nursing Assist. Management Personnel Assist. Director General Clinical Assist. Director Director Assist. Director Assist. Director Serv. Assist. Dir. 10 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011 Management Department Management Department Library Medical Teaching Communication Medical Department Medical Department Transplant Coordination Unit Medical Surgical General Clinical Sub Office Sub Office Services Sub Office – Allergology – Anaesthesia Resuscitation – Pathological Anatomy – Cardiology • Pain Unit • Cytology • Haemodynamics – General Surgery – Clinical Analysis • Coronary Unit – Cardiovascular Surgery • Biochemistry – Dermatology – Vascular Surgery • Cytogenetics • Molecular Genetics – Endocrinology – Maxillofacial Surgery • Hormones – Gastroenterology – Neurosurgery • Immunology – Clinical Haematology – Plastic Surgery – Pharmacy – Outpatient Hospital • Major Burns Unit – Clinical Genetics – Home Hospitalisation – Thoracic Surgery – Haematology – Infectious Diseases – Intensive Medicine • Laboratory – Internal Medicine – Ophthalmology • Blood Bank – Transfusion – Paediatric Medicine – Otolaryngology • Cytology • Allergology • Paediatric ORL – Nuclear Medicine • Cardiology – Traumatology – Microbiology-Parasitology • Intensive Care • Paediatric Orthopaedics – Clinical Neurophysiology • Dysmorphology – Urology – Radiotherapeutic Oncology • Endicronology • Gastroenterology – Paediatric Surgery – Radiology • Infectious Diseases • General Surgery • Interventionist Radiology • Paediatric Medicine • Urology – Rehabilitation • Metabolism – Tocogynaecology • Spinal Cord Unit • Nephrology • Gynaecology • Neonatology • Gynae-Oncology • Neurology • Obstetrics • Oncology • Human Reproduction Unit • Psychology • Foetal Therapy Unit • Psychiatry – Medical-Surgical Emergencies – Preventive Medicine – Nephrology – Pulmonology – Neurology – Nutrition and Dietetics – Medical Oncology – Psychiatry – Rheumatology – Palliative Care Unit – Paediatric Emergencies GURUTZETAKO UNIBERTSITATE OSPITALEA 11 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community Nursing Department Nursing Department Nursing Sub Office Medical- Mother- Surgical Block General Clinical Emergency Critical Area Surgical Child and Material Orderly Unit Services – Room Hospitalisation Hospitalisation Resources External C. Finance Department Finance Department Finance Sub Office Budget Accounting External Administrative Procurement Registry Management Cleaning Billing Contracts and Storage and Treasury Control Personnel Department Personnel Department Personnel Sub Office Hiring, Safety and Mobility and Legal Basque Union Admin. and Training Recognition Occupational Promotion Support Service Representation Remuneration Health Mgmtl., Personnel Integration 12 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011 General Services Sub Office General Services Sub Office Kitchen and Engineering and Radiology Electronic Linens Maintenance Supplies Security Protection and Engineering Radiophysics Organisation and Systems Sub Office Organisation and Systems Sub Office Clinical Administrative UGS / SAPU / Information Information Quality Documentation, Support Unit Admissions Technology Unit Archive and Management Control 13 01. The Hospital of the Autonomous Community 01 .3 COMMISSIONS EXECUTIVE COMMISSION President Managing Director Dr. Gregorio ACHÚTEGUI BASAGOITI Secretary Personnel Assistant Director Mr. Luis VILLOLDO ORTEGA Members Medical Director Dr. Alberto OLAIZOLA MENDIBIL Nursing Director Ms. Maite BARRENA SARACHAGA Personnel Director Ms. Susana CEJUDO FERNANDEZ Economic Management Director Mr. Francisco Javier GONZALEZ GOMEZ BioCruces Scientific Director Dr. Ildefonso MARTINEZ DE LA FUENTE MARTINEZ General Clinical Services Assistant Director Dr. Ms. Edurne OMAETXEBARRIA LEGARRA Surgical Services Assistant Director Dr. Isabel FERREIRO GONZALEZ Medical Services Assistant Director Dr. Francisco Javier PILAR ORIVE Economic-Financial Assistant Director Ms. Elena BRAVO SUAREZ General Services Assistant Director Mr. Valentín TERÉS TERÉS Scientific Assistant Director Ms. Mª Dolores BOYANO LOPEZ Organisation and Systems Assistant Director Mr. José Luis GONZALEZ IGLESIAS (Ms. Esther ELVIRA ANDRES until September 2011) No. MEETINGS: 8 TECHNICAL COUNCIL President Medical Director Dr. Alberto OLAIZOLA MENDIBIL Secretary Healthcare Management Unit Chief Dr. José A. ZUMALAKARREGI VILLASOL Members Nursing Director Ms. Maite BARRENA SARACHAGA Intensive Medicine Service Chief Dr. Fermín LABAYEN BERAZA Vascular and Angiology Surgery Service Chief Dr. Juan Luis FONSECA LEGRAND Obstetrics - Gynaecology Service Chief Dr. Txanton MARTINEZ ASTORQUIZA ORTIZ DE ZARATE Pulmonology Service Specialist Doctor Dr. Felix BARANDA BARCIA Interventionist Radiology Specialist Doctor Dr. Alexander AGUINAGA ALESANCO Research Unit Nurse Ms. Amaia