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作业治疗部门的规划与管理经验分享_黄锦文.pdf

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1、18/6/20151作业治疗部门的规划与管理经验分享g21748g19286g7095g20425g9311g13948g1098g8939g11207g4502g19602g1354g19375g21g19g20g24g5284g24g7480g714g2375g1244内容 g1420g1098g8939g11207g12289g4564g16878g16849 g12753g10806g13567g20668g2102g1243g12678g11157g12753g10806g1278g14933g19248g4502g16386g5334g11579g1973g3424g50g55g2

2、561g4741g1258g1211g12753g10806g17240g18431g12753g10806g20222g19609g12753g10806g1553g5791g13099g13583引言g1420g1098g8939g11207g12289g4564g11444g16878g16849g5316g2546g13875g7472g7136g11444g1420g1098g8939g11207g8114g5669g712g13884g1085g5316g1676g11145g3416g3373g1973g1301g2173g11444g16372g14643g452g1420g1

3、098g8939g11207g7485g2257g1131g16305g7263g17994g17911g459g1420g1098g460g708g7481g5951g1145g11444g9067g2264g709g2748g7017g2996g10719g3763g7573g3790g5482g11253g5843g13877g3416g2546g1086g7189g5224g9067g2264g11444g10524g12539g14125g2251g712g1278g13884g7017g2996g1286g1308g11444g1685g5351g452g1420g1098g893

4、9g11207g1086g3373g19573g2255g14125g451g8635g11246g2748g1685g5351g2102g12971g297g330g324g327g298g289g4649g1685g5351g11444g8114g5669g19854g5224g2667g2616g712g4018g7628g12289g4564g16878g16849g14125g18301g2616g1420g1098g8939g11207g11444g10806g5669g712g3373g1973g11444g5351g3901g7485g2257g5316g2591g2018g1

5、1876g2586g11632g18429g14034g1411g5351g3901g712g17471g2090g17843g1944g19858g5351g3901g11444g18051g17439g452设计构思g1420g1098g8939g11207g12289g4564g11444g16878g16849g2591g1301g6255g19492g11444g2255g14125g2102g12971g712g1167g2591g3344g5316g7485g2257g11253g13877g11444g5284g21940g451g5351g3901g19760g16305g2

6、554g2411g19602g2561g4741g7573g16947g7076g452g8939g11207g9067g2264g2410g3927g14372g2591g2102g1130g22g1114g1131g16305g2410g3599g726g14012g14009g20696g20716g2567g6543g11253g13877g708g6267g2123g1364g451g20696g12289g451g14138g20739g6543g1364g451g10007g1364g12665g709g8939g11207g2410g451g12174g13567g11246g

7、11253g2554g13873g5284g11253g708g2357g6428g1663g11355g451g7679g18433g17978g11255g451g6034g5719g14120g14058g11253g12665g709g5351g3901g8939g11207g2410g2554g1903g12565g5351g3901g8939g11207g2410g452g7481g1227g2255g14125g2410g3599g712g4018g7007g1959g451g2491g2251g16019g2554g17845g1959g2150g1420g12665g2591

8、g1086g1301g1082g8939g11207g2410g3599g13143g4598g11560g17934g712g1301g3790g5482g17920g1420g11444g7032g10679g452g2582g3910g12289g4564g17928g19760g16305g1072g1227g7007g6449g11444g2410g3599g712g2357g6428g11435g16864g3892g451g13948g2696g2254g1948g4564g451g17239g1283g18g7538g10393g1283g451g9269g9031g19492

9、g451g13948g2696g2554g11253g1258g2501g6256g12665g452肌肉骨骼受损病者治疗区A.g6267g18200g9067g2264g2410B.g1082g14034g9067g2264g2410C.g1083g14034g9067g2264g2410D.g4582g4725g16861g13555g2410E.g2173g7503g13948g1098g5351g3901g2410A, B, Cg2410g2591g1301g11096g4582g1959g2554g16878g3895g1981g13558g2102g2255g14125g2410D

10、g2410g2591g10409g2139g1130g14138g20739g2567g6543g11253g1258g16878g16849g712g19760g16305g7481g11665g6255g451g2501g6256g2554g2520g6255Eg2410 g17843g17970g4556g7481g10524g12539g6255g19492g712g1301g2047g4673g10261g20003神经疾病及老年病治疗区F.g1082g14034g9067g2264g2410G.g1083g14034g9067g2264g2410H g4582g4725g16861

11、g13555g2410I. g16852g11797g2255g14125g16884g1376g2554g16861g13555g2410J. g7598g5451g16861g13555g2410K.g5680g7191g8939g11207g2410F, Gg2410 g2591g1301g11096g4582g1959g2554g16878g3895g1981g13558g2102g2255g14125g2410Hg2410 g16878g16849g2591g17843g8984g18429g19554g17404g16878g7149g712g19760g16305g7481g11

12、665g6255g451g2501g6256g2554g2520g6255Ig2410 g19760g163054g19492g4671g6255g19492g712g1301g6656g1483g17843g4529g19849g11444g10719g3763Jg2410 g19760g163051g19492g4671g6255g19492(5 m2) g25541g19492g17843g3927g6255g19492(15 m2)g712g13577g14120g14058g11253g5843g6214g13038g12174g13143g5456g1258g3867g6656g1

13、483g7598g5451g16861g13555Kg2410 g11444g16878g16849g2591g7785g6558g13873g1258g11300g2678g11255g5843g13877g11444g19760g16305g7573g16878g1684918/6/20152儿童康复治疗区L. g16884g1376g2410M.g8939g11207g9067g2264g2410N.g10713g1959g3374g1174g20406Lg2410 g5316g7481g10524g12539g6255g19492g712g1301g1917g2102g7059g450

14、5g4480g11444g1091g8984g2251Mg2410g2591g11096g4582g1959g2554g16878g3895g2102g19492g9067g2264g12285g12971Ng2410g5316g7481g17379g3919g4722g7654g2554g7692g1752g4488g10713g1959其它功能區g3901g5351g7007g1959g2150g1420g4564 g4564g1973g5316g16878g7481g10524g12539g4671g5141g3434g712g1301g6656g1483g3892g10806g1843

15、3g4750g18301g1318g11444g7007g6449g2491g2251g16019g2150g1420g4564 g4564g1973g5316g16878g7481g10524g12539g4671g6255g19492g11096g1420g13645g2150g2491g2251g16019g5141g3434g712g1301g2047g4673g10261g20003g452g4564g1973g1238g5316g16878g7481g3929g14561g17439g17816g2554g4735g4657g17845g2265g12289g6320g4564 g

16、6656g1483g17822g7989g451g3456g3547g451g17845g1959g451g16849g12743g7530g12665g17845g2265g12289g6320g11444g1455g11096g16884g1376g2554g16861g13555g451g1566g7017g2554g1549g1963g7530g7904g1258g17845g2265g2554g15498g6415g10719g3763g16861g13555g4564g6656g1483g20744g12289g6320g11444g8939g11207g19858g16952/g

17、17845g4652g4564g4671g13556g9067g2264g4564g17239g1283/g7538g10393g1283g11435g16864g3892g8939g11207g5176g2254g1948g4564 g2591g7785g6558g3373g1973g7735g2038g9269g9031g19492g6247g3910g16861g13555/g3901g5351g14561g3357 g6247g3910g3434g3424g2591g5418g12539g459g5141g1420g5482g2374g460g16861g13555g12553g451

18、g17822g7989g5556g2554g1903g12565g9320g1152g3434g12665g16878g7149g712g1959g1411g16878g16849g2554g19858g12319g16305g16374g1150g2411g19602g7076g1411g11444g19858g12319g2554g16878g16849创作条件checkbldg1420g1098g8939g11207g5176g11444g3626g7516g3625g16861head2right g9067g2264g2102g7616head2right g1206g16403g1

19、7627g1411g451g5619g10806g451g12142g1236g451g9893g5719g11444g19760g16305head2right g5141g12289head2right g16878g16849checkbldg1258g6267g13638g2150head2right g1420g1098g8939g11207g2265g10806g2696g6656g1483g5141g12289g7007g6449checkbldg18200g19480g16878g16849head2right g18200g19480g11444g5141g3434g1687

20、8g3895g7145g19858g8939g11207g5176g16878g16849g11096g1959g1915g7485g10719g3763g19660g11965创新意念checkbld g1072g19492g2411g19602g6214g1072g1114g18200g19480g7481g8913g7481g10409g4554g11444g8273g5439g731checkbld g4741g16376g2485g731checkbld g2442g10393g20406g731checkbld g5694g7783g4717g11096g18200g19480g1

21、1444g12458g19492g731checkbld g4018g1413g1455g9067g2264g7460g7481g5951g1145g731checkbld g11253g1258g7263g2646g1072g4554g7263g6613g2567g13877g731checkbld g11253g1258g14125g2646g2568g6208g1288g2090g13877g731checkbld g18200g19480g5316g6656g1483g1264g1144g7485g2257g731部门及医院装饰计划checkbld g5418g16878g1072g1

22、114g1085g1791g2411g19602g11444g10719g3763g712g1072g1114g17843g9305g7366g11444g10719g3763checkbld g1455g11253g1258g2047g4673g5619g18428g11444g2491g2251checkbld g11253g1258g1085g2437g7263g6613g2567g8939g11207g13877g712g1286g1308g1167g7263g1145g5141g11444g16386g14498g712g5214g2265g2411g19602g712g5214g2

23、265g1958g4531g11253g1258医院的其它范围18/6/20153Managers vs Clinicians管理层 vs 治疗师Vision/MissionWhat you are nowWhat you want to be in the futureg17318g9936g11183g7982g19198g17677愿景/ 使命 All our clients shall lead the meaningful life of their choiceWe empower our clients to return to their valued life roles a

24、t home, work and leisure by making the best use of their functional capabilities.g13133g9087OTg14005g8777g20397g9111g24431g7806g20882g11673g24497g12945g14001g12471g7665g17964g17607g15587愿景使命g12729g7828g11734g8785g13133g9087OTg14005g8777g20397g28859g24514g24431g10310g12002g7806g7828g17964g8775g20645g

25、28859g7975g7806g7828g12298g10421g9936g11102g11861g739g11661g7940g9074g26010g7937g7602g14001g7839g8164g17964g22906g21018g740g26945g15831g8931g26122g19273g17326g11240g20468g7618g15459g17727g11696g288591995定位是你在顾客心内的位置g22825g18317g24571g7944g23943g7944g17964g11169g12787g9936g26662g11082g12139g8493g1400

26、1g7784g7664g7605g9140g28878SWOT 分析Strengthg25895g10412Weaknessg11993g16481Opportunityg14050g7874Threatg10665g2058518/6/20154市场学head2rightPg85g82g71g88g70g87g708g1239g2801g709head2rightPg79g68g70g72g708g7485g2257g11444g6656g1483g709head2rightPg85g82g80g82g87g76g82g81g708g4563g1360g709head2rightPg85g7

27、6g70g72g708g4554g1319g709head2rightCg88g86g87g82g80g72g85g3g89g68g79g88g72g3g11g20142g4562g1319g1644g12head2rightCg82g81g89g72g81g76g72g81g70g72g3g11g1519g2137g12head2rightCg82g80g80g88g81g76g70g68g87g76g82g81g3g11g8911g17994g12head2rightCg82g86g87g3g87g82g3g87g75g72g3g70g88g86g87g82g80g72g85g3g11g2

28、0142g4562g6208g7516g12市场学作业疗法概念产品/ 顾客价值现时内地OT推销的服务head2right g8475g21034g15587g8784head2right g8567g11193g17795g14594head2right g10310g12002g20532g8771head2right g8775g20645g23381g20075g1420g1098g8939g11207 g16g11087g9067g2255g14125g19558g7903g8273g3515g2566g5575g14495g4013g11444QOLg14125g2251g12142

29、g1354g16386g14498g11g13556g13559g11087g9067g6320g14125g1301g9489g17379g12142g1354g16305g8818g11444g14125g2251g12g4582g5341g16386g14498g11g13556g13559g11087g9067g6320g14125g1301g9489g17379g4582g5341g16305g8818g11444g14125g2251g12g20744g19558g11087g9067g6320g14125g11g4582g5341g451g12142g2410g11087g906

30、7g2554g4193g1152g12665g14125g2251g12g3626g7516g11087g9067g6320g14125g11g15996g2264g451g11087g9067g14362g10806g451g1236g9073g451g5619g10806g2554g5877g5967g16947g14514g12665g14125g2251g12g1420g1098g8939g11207g12142g1354g3344g13136g1258g19573g1955g13099g3344g13136g4582g5341g3344g13136g1114g1258g3344g13

31、136g2567g1364g12347g5334 g11087g10806g3626g11888g2554g3224g4552g7530g14125g20696g20716, g12174g13567, g15984g12753, g2732g2664, g20382g20239, g3927g4671g1519g6615g2150g14034g22611g11944g9081 建议扩阔OT推销的服务head2right g8475g21034g15587g8784head2right g8567g11193g17795g14594head2right g10310g12002g20532g8

32、771head2right g8775g20645g23381g20075head2right g15587g8784g9074g9065g7606head2right g21015g10533g16990g12201head2right g17607g15587g23760g24951head2right g12179g7672g11808g1874318/6/20155科室及设备服务的提供/便利人员培训服务的提供/便利作业治疗head2right g9936g7614g17652g9081g24422g9893g11102g22611g13846g24565g7975g17616head2

33、right g7601g20891g9859g11804g10447g11022g12734g10447g7611g10145g23381head2right g9936g8493g9944g7797g13783g8645g15117g9081g11261g26078g15197head2right g11871g10421g15459g17727g23462g18867head2right g14036g18809g7940g7618g15459g17727g23462g18867head2right g7606g9893g26093g13133g24336g8931g11022g12139

34、g17326g11022g11661g18809/g11661g21026g1258g1411g2255g7032g4502g22923g8702g11022g8775g20645g11022g15587g8784g8622g14136员工培训方向head2right g15459g17727g12840g14039head2right g8643g12471head2right g7821g17773g7778g7650g7637g12139(g7821g12471g7665g7650g8784g8771)head2right g12969g20117g24451g8086head2righ

35、t g18809g18364病人教育及期望宣传/ 沟通18/6/20156病人教育及期望head2right g17727g18867head2right g15459g17727g14005g8777head2right g12728g8775g14320g7987Occupational Therapyg1420g1098g8939g11207g13948g14125g8939g11207g13948g1098g8939g11207发展方向定价/顾客成本定价/发展方向head2right g11661g7884g11871g10421head2right g12787g8643g7884g

36、11871g10421head2right g10421g11871g13527g8479head2right g22611g8784g15587g8784head2right g7651g8784g15587g8784head2right g8775g20645g23404g7896g9074g23381g20075head2right g15459g17727g13726g26012g7606g26681g17199人事管理Team Building建立团队18/6/20157Chris Petersong8478g7806g7778g17964g24949g22825g12239 The

37、ories of Group DevelopmentTheorists Stage 1 Stage 2 Stage 3 Stage 4sheppard Dependence Counter- Resolution Inter-Dependence DependenceGibb Acceptance Data Flow Goals & Norm ControlSchutz Inclusion Control Openness DeinclusionTuckman Forming Storming Norming PerformingMozenter Awareness Conflict Coop

38、eration ProductivityVarney Formation Building Working Maturity部门人手结构图 生崖发展模式 (Career Progression Model)g26662g26006g23788g15769g15459g17727g11696DM(OT) / SOTOT IOT IIg24451g26078g11078g23965g14793g11959g26006g23755 g26670g11172g23788g9006g20645g8771g22906g21018g7606g23755g7843g26662g26006g23788g1576

39、9g15459g17727g11696OT的培训 g7136g1941g13948g2696g5141g7472g21253g5284g3625g16861 Basic Training for New Recruit g2256g5482g1091g1098g11797g16886g3625g16861 Enhanced Specialty Training g20744g19558g1091g1098g3625g16861 Advanced Specialty Training g9127g3910g6610g16879g2554g4502g1168 Overseas Visits and

40、 Attachment18/6/20158Quality Terms1991 1995Quality AssuranceTotal Quality ManagementContinuous Quality ManagementReengineering1997Clinical AuditRisk Managementg14001g8475g23760g24951g19273g17326g17964g23413g23445Historical Development1950Before19001990Product, process, and craftmanship inspectionSta

41、tistical process controlTotal quality controlQ Assurance system standardTQMDonbedians Model of Quality Assessment 质量评估 Structure g20091g14124 human resource, tool, equipment & organisational setting Process g24431g18867 activities that goes between patients and carers Output g8610g7759 Productivity

42、in the health care organisation Outcome g13552g14148 Change in patients healthPerformance Measurement表现量度 Clinical outcome measurement g7644g11826g13552g14148 impairment, disability, handicap Utilization measurement g7975g17616 attendance, average cost per patient, length of stay, bed occupancy rate

43、 Technical performance measurement g11661g8479g12239g22544g17240 clinicians compliance to defined standards Patient satisfaction measurement g17773g7778g16009g12471g11854 patient satisfaction surveyTypes of Indicators 指针种类 Input Indicators g12861g8461g12975g25648 staff no., no. of beds, salary Proce

44、ss Indicators g24431g18867g12975g25648 no. of disciplines involved in treatment of CVA Output Indicators g17607g7759g12975g25648 average length of hospital stay Outcome Indicators g13552g14148g12975g25648 change in functional status after interventionOperations Indicators g13429g7940g12975g25648Outc

45、ome indicators for Occupational Therapy ServiceOrth.Medical / GeriAdult Psy.Impairment Activity Participation QOLPost acuteDischargeFollowupPatient satisfactionTo what extend our service helpful to your ?Single questionSingle questionHow satisfy are you with your overall QOL?Two questionsHow well .

46、participate in ?How satisfy your participation in .?Disease specific Generic18/6/20159Risk Management 风险管理 Develop standards of care g8670g11074g14255g8558 Guidelines for medical recording g8931g17727g20050g12029g12975g11965 Adverse incident reporting g7629g24949g7731g7838g12877g9202g14050g8670 Secu

47、rity issues in hospital g8931g26122g11057g8464 Reduce fire risk g16403g16422g26742g26129 Maintenance of building, plant and equipment g20124g8086 Control of infection risks g17766g17773g12487g14203 Security of information g7634g7778g23788g13633g8069g26180 Occupational Safety and Health g20468g11057g

48、8205Hospital Accreditation 医院认证Evaluation and Quality Improvement ProgramAustralian Council on Healthcare Standardsg23372g23401g14255g8558資訊系統的使用checkbld g12861g23788g10434g11193checkbld Microsoft Excel, Access, Wordcheckbld g9216g11661g13569g20570checkbld g11661g7940g7688g12439g10145g8483checkbld g

49、7975g17616g23788g13633head2rightg19198g8634g23788g15928head2rightg15228g24363g15459g17727g24451g11261head2rightg13537g9516g15459g17727g23369g8634head2rightg13136g19263g17773g7778g24451g11854head2rightg10310g8776g11661g7940g13552g17199g23037g7896g22544g10201g920218/6/201510撮要 g21015g10533g17964g18809g11084g17239g10283g23398g23369g14001g8785g10310g8776g24720g26000g13552g17199 g24490g12027g7975g17616g17239g10283g9111g103

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