Utviklingsplan for Helse Møre Og Romsdal HF

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Utviklingsplan for Helse Møre Og Romsdal HF Utviklingsplan for Helse Møre og Romsdal HF -i planperioden 2019-2022; og framtidsutsikter mot 2035 Forord I åra som kjem står vi overfor store samfunnsendringar som også påverkar helsetenestene. Vi blir fleire, vi blir eldre og kvar vi ønskjer å bu er også i gradvis endring. Nokre sjukdomar vil vekse i omfang, medan andre vil vi sjå mindre av. Fleire av oss vil leve lenger med kroniske sjukdommar, og som pasient vil vi ha auka krav til oppfølging og til å vere med på avgjerda kring eiga behandling. Resultatet er at presset på helsetenestene aukar, og det å halde fram som i dag er ikkje eit berekraftig alternativ. For å vere budd på framtida, må vi ha ei plan for korleis vi kan løyse utfordringane med dei viktigaste verkemidla vi har - kompetanse, organisering, nye arbeidsformer og teknologi m.fl. Utviklingsplanen er eit resultat av bidrag frå mange av våre samarbeidspartnarar. Både kommunar, brukarar, leiarar, tillitsvalde og tilsette har delteke på ulike møtearenaer og vore med i arbeidsgrupper internt og eksternt. I samspel med dei tilsette har vi fått auka medverknad og verdifulle innspel til planen, og den offentlege høyringa har gitt mange nyttige tilbakemeldingar. Sjølv med ulike ståstadar, så trur eg vi deler same mål; å skape pasienten si helseteneste. For å lykkast må vi løyse utfordringane saman! Espen Remme, adm. dir. 1 Utviklingsplan Helse Møre og Romsdal HF 2019-2022; 2035 Innhald SAMANDRAG ....................................................................................................................................... 9 1 BAKGRUNN OG HISTORIKK ................................................................................................ 20 1.1 Historikk for helseføretaket ............................................................................................................... 20 1.2 Visjon og verdigrunnlag ..................................................................................................................... 21 1.3 Gjennomføring av utviklingsplanarbeidet .......................................................................................... 21 1.3.1 Mandat ................................................................................................................................................ 21 1.3.2 Kvalitetssikring ..................................................................................................................................... 22 1.3.3 Dei tre perspektiva .............................................................................................................................. 23 1.3.4 Særskilt om bygningsmessig utviklingsplan ......................................................................................... 25 1.3.5 Interessentar ....................................................................................................................................... 26 1.3.6 Medverknad og aktivitetar .................................................................................................................. 27 1.3.7 Høyringsprosessen............................................................................................................................... 28 1.3.8 ROS- vurdering av Utviklingsplan HMR 2019-2022 (2035) .................................................................. 29 2 NO-SITUASJON ........................................................................................................................ 30 2.1 Ei helseteneste for pasienten- brukartilfredsheit ............................................................................... 30 2.1.1 Pasientforløp ....................................................................................................................................... 30 2.1.2 Brukartilfredsheit ................................................................................................................................. 30 2.2 Pasientbehandling - fagleg prioritering, pasienttryggleik, kvalitet og pasientopplæring .................... 31 2.2.1 Forbruksmønster og pasientstraumar ................................................................................................. 31 2.2.2 Pasientstraumar, somatikk .................................................................................................................. 34 2.2.3 Pasientstraumar psykisk helsevern og rusbehandling ......................................................................... 35 2.2.4 Kvalitet og pasienttryggleik ................................................................................................................. 39 2.2.5 Pasientopplæring ................................................................................................................................. 40 2.3 Oppgåvedeling og samhandling ......................................................................................................... 42 2.3.1 Innan Helse Møre og Romsdal HF ....................................................................................................... 42 2.3.2 Med andre helseføretak ...................................................................................................................... 44 2.3.3 Med private ......................................................................................................................................... 45 2.3.4 Med utdanningssektoren .................................................................................................................... 45 2.3.5 Med kommunar og fastlegar ............................................................................................................... 45 2.4 Organisering og leiing ........................................................................................................................ 49 2.4.1 Ny organisasjonsmodell ....................................................................................................................... 49 2.4.2 Leiing.................................................................................................................................................... 50 2.4.3 Medarbeiderundersøking om leiing og arbeidsmiljø .......................................................................... 51 2.5 Bemanning og kompetanse ............................................................................................................... 52 2.5.1 Innspel frå klinikkane på temaet bemanning og kompetanse............................................................. 53 2.6 Forsking og innovasjon ...................................................................................................................... 55 2 Utviklingsplan Helse Møre og Romsdal HF 2019-2022; 2035 2.6.1 Forsking ............................................................................................................................................... 55 2.6.2 Innovasjon ........................................................................................................................................... 56 2.7 Økonomi ............................................................................................................................................ 56 2.7.1 SNR ...................................................................................................................................................... 56 2.7.2 Effektivisering ...................................................................................................................................... 57 2.7.3 Investeringar ........................................................................................................................................ 57 2.8 Teknologi ........................................................................................................................................... 59 2.8.1 Utviklingsplanen i eit IKT-perspektiv ................................................................................................... 61 2.8.2 Medisinsk koding ................................................................................................................................. 62 2.9 Situasjonsbilete for prioriterte innsatsområde i føretaksperspektivet ............................................... 63 2.9.1 Pediatri ................................................................................................................................................ 63 2.9.2 Kirurgi Volda ........................................................................................................................................ 63 2.9.3 Operasjonsrobot .................................................................................................................................. 63 2.9.4 PET ....................................................................................................................................................... 64 2.9.5 PCI ........................................................................................................................................................ 64 2.9.6 Desentralisering av tenestetilbod inklusiv avtalespesialistar .............................................................. 64 2.9.7 Bygningsmessig utviklingsplan ............................................................................................................ 68 2.10 Situasjonsbilete klinikkperspektivet .................................................................................................. 75 2.10.1 Klinikk for psykisk helse og rus .......................................................................................................
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