To show the organization of the course that includes this module, follow this link:  Course organization

Program

The Professionalization Process of Health Professionals: Towards a Role of Management in the Rehabilitation Area.
Definition of Profession. Legislative, training and clinical development of health professions. Peculiarities of Health Professions of Rehabilitation.
Role profile of Manager of the Rehabilitation Area.
Clinical Govenance and its Instruments.
Organizational analysis. Theory of complex adaptive systems applied to organizational analysis. Input factors, processes, output factors. The 5 dimensions of organizational analysis: people (quantitative / qualitative analysis); equipment; spaces; operating processes (intrinsic and extrinsic); social dynamics.
Rehab staffing. Definition of workload and requirements. The annual workable potential. Methods of calculation of orehabilitative staffing: inpatient services with continuous activities; outpatient services with variable volumes and with binding activities. Presence Programming Methods. Calculation of the realistically deliverable volumes in outpatient activities. Examples of organizational problems in rehab staffing.
Risk management applied to rehabilitation services. Definitions of: clinical risk, error, damage, event, adverse event. Theory of latent errors. Sentinel event. Prevention and Protection. Reactive analysis methods: incident reporting, trigger triggers, root causes analysis. Proactive analysis.
Project management.
Analysis of the problem and the consequences. Indicators of organizational, perceived, clinical quality problems.
Analysis of causes: Ishikawa diagram and conceptual maps.
Formulation of solution hypotheses.
Choice of multiple solution hypotheses: SWOT analysis.
Description of system operation: Flowcharts, Responsibility Matrices.
Change Planning: Gantt Chart.
Checking and monitoring the change: outcome indicators and process indicators.
Problems in outpatient rehabilitation activities
Waiting list and waiting time. Expected waiting time and waiting time in progress. Organizational quality indicators in the management of waiting times. Interpretative model of waiting times in outpatient rehabilitation services: input factors, factors affecting absorption capacity.
Normative requirements on Outpatient Services: Essential levels of assistance in Italy, Recipe, Ticket, Reflections on different contest (public, private accredited, direct access at self-employed professionist, access through insurance).
Clinical documentation in rehabilitation. Definition of information system. Possible meaning of clinical documentation in rehabilitation. Phases of the rehabilitative process and related documentation modes. Potential and Limitations of Paper Documentation and Computerized Documentation.

Bibliography

Didactic methods

Frontal lessons. Presentation and discussion of organizational cases. I work in small groups.

Learning assessment procedures

Written test with multiple choice and open-ended questions aimed at testing the learning of the different areas of the program. Presentation to small groups of a project management paper on an organizational problem in the rehabilitation field prepared according to the methodologies learned in the classroom.

Evaluation criteria

Written test passed with a mark of at least 24 points out of 32. For group presentations, active participation in the group's work will be evaluated, as well as the quality and correctness of the presentation.

Exam language

Italiano