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AGREEMENT 33.1328.2011 of the Board of Directors concerning the approval of the Regulation for the Measurement and Evaluation of Performance Medical and Financial Services for Health Services and Incentives to the Performance and Quality of the Medical Service of the Institute of Safety and Social Services of State Workers
Published DOF 14 July 2011
Last Reform 2 November 2012
On the sidelines a seal with the National Shield, which reads: United Mexican States.-Institute for Security and Services
Social Workers of the State.-Secretariat of the Board of Directors.-SG/SJD/1054/2011.
Lic. Jesus Villalobos López Director General of the Institute. Present.
In session held by the Board of Directors today, as it is about the approval of the Regulation for the Measurement And Evaluation of the Medical and Financial Performance of the Health Services and Incentives Workers to the Performance and Quality of the Medical Service, the following was taken:
AGREEMENT 33.1328.2011.-" The Board of Directors, based on Articles 28, 208, fraction IX, and 214, fraction VI of the Law of the Institute of Security and Social Services of the State Workers, approves the:
REGULATION FOR THE MEASUREMENT AND EVALUATION OF THE MEDICAL AND FINANCIAL PERFORMANCE OF HEALTH SERVICE PROVIDERS INCENTIVES FOR THE PERFORMANCE AND QUALITY OF THE MEDICAL SERVICE OF THE INSTITUTE OF SECURITY AND SOCIAL SERVICES OF THE STATE WORKERS
CHAPTER FIRST INDEX
GENERALATIONS
CHAPTER SECOND
MEASUREMENT AND EVALUATION OF MEDICAL AND FINANCIAL PERFORMANCE
CHAPTER THIRD
INCENTIVES FOR PERFORMANCE AND QUALITY OF MEDICAL SERVICE
CHAPTER FOURTH TECHNICAL GROUP
TRANSIENT
REGULATION FOR THE MEASUREMENT AND EVALUATION OF THE MEDICAL AND FINANCIAL PERFORMANCE OF HEALTH SERVICE PROVIDERS INCENTIVES FOR THE PERFORMANCE AND QUALITY OF THE MEDICAL SERVICE OF THE STATE WORKERS ' INSTITUTE OF SAFETY AND SOCIAL SERVICES
CHAPTER FIRST GENERALITIES
Article 1.-The purpose of this order is to regulate the measurement and evaluation of medical and financial performance of the health service providers of the Institute of Safety and Social Services of the State Workers; as well as the granting of incentives to the performance and quality of the medical service, in accordance with the Law of the Institute of Security and Social Services of State Workers.
Article 2.-For the purposes of this Regulation,
following definitions shall apply:
I. Management Agreements.- The medical-financial instrument designed in the framework of the separation of financial functions and the provision of health services, used as a mechanism for the allocation of financial resources to the lending units health services, in the light of the results achieved in the performance of the management commitments;
II. Technical Group.-The working group responsible for defining the criteria for measuring and evaluating the medical and financial performance of health service providers and the granting of incentives to the performance and quality of the service medical;
III. Technical Guide.-The document setting out the technical characteristics, indicators, methodology, deadlines and responsibility for measuring and evaluating the medical and financial performance of health service providers;
IV. Institute.-The Institute of Safety and Social Services of State Workers;
V. Health Service Providers.- The National Medical Center "November 20"; Hospitals
Regional; High Speciality and General; Hospital-Hospital; Specialty Clinics; Family Medicine Units and Clinics; Family Care Offices of the Institute of Social Security and Social Services of the State Workers; as well as professionals, technicians, assistants and administrators who provide health services and administrative technical support in they;
VI. Programs.-Programs for the granting of incentives to the performance and quality of the medical service;
VII. Regulation.- The Regulation for the Measurement and Evaluation of the Medical and Financial Performance of the Health Services and Incentives for the Performance and Quality of the Medical Service of the Institute of Safety and Social Services of the Workers of the Status;
VIII. SIEDI.-The Internal Institutional Performance Evaluation System, and
IX. Evaluation System.-The set of systematic elements for the evaluation of the medical and financial performance of health service providers, based on a methodology based on results.
Article 3.-The General Secretariat, the Medical Directorate, the Directorate of Finance and the Directorate of Delegations, in the field of their respective competences, shall be the areas responsible for implementing, disseminating, implementing and monitoring compliance with the Regulation.
Article 4.-For the purposes of interpretation of the provisions of this Regulation, the Central Administrative Unit The competent authority shall be the Legal Directorate, in accordance with the provisions of the Organic Statute of the Institute of Safety and Social Services of State Workers.
CHAPTER SECOND
MEASUREMENT AND EVALUATION OF MEDICAL AND FINANCIAL PERFORMANCE
Article 5.-The measurement of medical and financial performance will be carried out by the Medical Directorate and the Directorate of Finance respectively, in coordination with the General Secretariat and the Directorate of Delegations, based on the indicators set out in the Technical Guide covering the areas of productivity, quality of health care and satisfaction of the righthohabritente.
Article 6.-The measurement shall be based mainly on information obtained from the following computer systems:
I. PrevenISSSTE Medical Online Information System near you (SIMP);
II. System for Performance Quality Assessment (SECDPS);
III. Local Statistical Information System (SIEL);
IV. Online System of Statistical Information in Preventive Medicine (SIEMP);
V. System of Revenue, Returns and Hospital Procedures (SIEPH);
VI. Financial Medical Information System (SIMEF);
VII. System of Programming and Budgetary Exercise (SPEP), and
VIII. Institutional Performance Evaluation (SIEDI) Internal System.
Article 7.-The measurement of medical and financial performance must be carried out through the indicators that are defined annually in the Technical Guide.
Article 8.-The indicators must be results-oriented, feasible to collect, capable of being compared, timely, low-cost, and simple to use.
Article 9.-The indicators defined in the Technical Guide, which are covered by the commitments of the Agreements The management or the SIEDI shall use the rating obtained by them, provided that they correspond to the same period evaluated.
Article 10.- The Evaluation System, its criteria and its ranges for the measurement and evaluation of the indicators of the medical and financial performance of the Health Services Prestors, as well as the weights by which These indicators will be included in the integration of the medical and financial performance components, as defined in the Technical Guide as:
I. Measurement. The indicators that will be taken into account for the medical and financial measurement of the Health Services Prestators in the corresponding period, contemplating the procedures of each of the indicators, those responsible for their processing, as well as methods of obtaining such information.
II. Assessment. The analysis and interpretation of the information obtained through the application of the indicators.
Article 11.-The Evaluation System will measure and assess the productivity and operational efficiency as well as financial Health Service Providers and shall be composed of the qualifications assigned to the following components:
I. Medical performance;
II. Financial performance; III. Management Agreements, and IV. SIEDI.
Article 12.-La measurement and evaluation of the medical performance component of the Assessment System shall primarily contain the following:
I. Productivity and efficiency;
II. Quality of health care;
III. Satisfaction of the right-holder;
IV. Progress of the budgetary programmes;
V. Preventive medicine, and
VI. Curative medicine.
Article 13.-Measurement and assessment of the financial performance component of the Evaluation System shall contain primarily the following:
I. Progress of the budgetary programmes;
II. Accounting aspects, and
III. Budgetary aspects.
Article 14.-The Technical Guide shall be reviewed and updated annually for the purpose of carrying out the design or updating of the indicators of medical and financial performance, as well as the evaluation mechanisms, in line with the priority health needs.
Article 15.-The results of the evaluations of medical and financial performance shall be sent to the General Secretariat, the Medical Directorate, the Directorate of Finance, the Management Directorate, the Directorate of Delegations of the Institute, the Evaluation and Monitoring Committee of the Health Services and the Headlines of the Health Prestors so that, in the field of their respective powers, determine the actions to be taken implement according to applicable normativity.
Article 16.-The results of assessments of the medical and financial performance of the Prestators of the
Health Services, as well as the Technical Guide will be disseminated through the Intranet Institute's internal network.
CHAPTER THIRD
INCENTIVES FOR PERFORMANCE AND QUALITY OF MEDICAL SERVICE
Article 17.-The performance and quality of the medical service will be awarded annually for the purpose of recognize public servants who have provided health services to the right-holder with quality and opportunity.
Article 18.-The granting of incentives to the performance and quality of the medical service shall be carried out in accordance with the Programs that have the effect of the Technical Group, that consider reliable, timely and low-cost strategies; through the use of computer technology for their documentation, validation and operation.
Article 19.-For the granting of incentives the public servants of Health Services must have performed any of the following actions:
a) Outstanding Performance of Assigned Activities;
b) Elaboration of initiatives that provide significant benefits for the improvement of the function in which they develop their activities;
c) Valuable initiatives or outstanding execution in preventive medicine, and
d) Other than determined by the Technical Group.
Article 20.-The incentives for the performance and quality of the medical service to be awarded may be:
I. Honorific;
II. In kind, or
III. Economic.
Economic incentives will be subject to budgetary sufficiency.
Article 21.-Programs shall be reviewed annually by the Technical Group.
Article 22.-The public servants involved in the preparation of the Programs will not be able to participate as candidates in them.
Article 23.-La dissemination of the Programs will be through the internal network of the Intranet Institute.
CHAPTER FOURTH TECHNICAL GROUP
Article 24.-The Technical Group shall be integrated by seven permanent members and by those persons who are invited to the sessions to be held.
They are permanent members of the Technical Group:
I. General Coordinator, the Deputy Director appointed by the Medical Directorate;
II. Deputy General Coordinator, the Deputy Director appointed by the Finance Directorate;
III. Technical Secretary, the Head of Services designated by the General Coordination, and
IV. Four Vowels, the Heads of Services appointed respectively by the General Secretariat, the Directorate
Medical, the Directorate of Finance and the Directorate of Delegations.
The permanent members of the Technical Group may appoint a public servant, with the immediate lower level, to support them in their inassists, with the exception of the General Coordinator.
Article 25.-Members of the Technical Group will have a voice and vote, with the exception of the Technical Secretary and the Guests, who will only have a voice.
Article 26.-Agreements shall be adopted unanimously by the members with the right to vote.
Article 27.-The Technical Group will have the following functions:
I. Develop, analyze and approve the contents of the Technical Guide, as well as request their publication to the
corresponding Central Administrative Units;
II. Determine the date on which the modifications to the Technical Guide are to be approved and published;
III. Establish mechanisms for measuring and evaluating the medical and financial performance of the
Health Service Providers;
IV. Attend to requests, complaints, and suggestions from Health Service Providers, related to the content and application of the Technical Guide;
V. Consider proposals for methods of measurement and evaluation of staff performance, as well as evaluation and stimulus systems for productivity and quality in the service that the members of the Technical Group and the Committee of Assessment and Monitoring of Health Services;
VI. Check, at any time, the opportunity, veracity and quality of the information required for the measurement and evaluation of the medical and financial performance of the Health Services Prestors, and
VII. Develop the Programs, as well as determine the date on which they are to be approved and published.
Article 28.-Members of the Technical Group will have the following responsibilities:
I. Attend the sessions, in the terms set out in the notice given to them;
II. To analyse the issues and, where appropriate, to make the comments and to put forward any proposals that they consider necessary for the best performance of the Technical Group's functions;
III. Vote, where appropriate, on matters under consideration;
IV. Sign the minutes of the sessions they would have attended, and
V. Carry out the activities assigned to them by decision of the Technical Group.
Article 29.-The General Coordinator will have the following functions:
I. Coordinate work meetings;
II. To integrate and present to the Directorate-General an annual report of the agreements approved by the Group
Technical and general results obtained;
III. Propose, to the members, the order of the day of the sessions;
IV. Monitor implementation and coordinate follow-up to compliance with the agreements issued by the Technical Group;
V. Request the Central Administrative Units and the Disconcentrated Information to be necessary for the fulfilment of the objectives and functions of the Technical Group; and
VI. Carry out the activities assigned to them by decision of the Technical Group.
Article 30.-The Subcoordinator General will have the following functions:
I. Coordinate work meetings in the absence of the General Coordinator;
II. Support the General Coordinator in the integration of the annual report of the adopted agreements and the overall results;
III. Propose the issues to be considered on the agenda;
IV. Support the General Coordinator in the implementation and monitoring of the agreements issued by the Group
Technician;
V. Follow up on requests for information that are necessary to meet the objectives and functions of the Technical Group, and
VI. Carry out the activities assigned to them by decision of the Technical Group.
Article 31.-The Technical Secretary shall have the following functions:
I. Issue the call to the work sessions;
II. Analyze the issues to be submitted for consideration by the Technical Group and verify its inclusion on the agenda;
III. Notify members, with five working days in advance, of the call, the agenda and the documentary folder of the issues to be discussed in the relevant session;
IV. Lift the minutes resulting from the holding of the sessions;
V. Communicate to the areas involved, within five working days of the closing of the session, the agreements adopted by the Technical Group, for their attention, monitoring, execution and compliance, and
VI. Carry out the activities assigned to them by decision of the Technical Group or the Coordinator
General.
Article 32.-The vowels will have the following responsibilities:
I. Attend and remain at the Technical Group sessions;
II. Send to the Technical Secretary ten working days prior to the conclusion of the session, the documentation and information related to the matters to be submitted to the Technical Group;
III. Approve, if applicable, the order of the day;
IV. Analyze the documents on the issues to be dealt with, as well as issue the comments they deem relevant, and
V. Carry out the activities assigned to them by decision of the Technical Group.
Article 33.-The Technical Group shall define the dates in which it shall be held, and shall have at least one session every six months.
TRANSIENT
FIRST.-This Regulation shall enter into force on the day following that of its publication in the Official Journal of the
Federation.
SECOND.-The Technical Guide and the Programs shall be issued by the Technical Group within a period not exceeding 80 calendar days from the date of entry into force of the Regulation.
THIRD. -any regulatory provision which is opposed to the Regulation shall be left without effect. "
What I allow myself to make of your knowledge for the legal effects coming. Intently
Mexico, D.F., as of June 23, 2011.-The Secretary of the Board of Directors appointed for this ordinary session,
Antonio Guillermo Chavez Fares.-Rubrica.
