Establishment of Centres of Integrated Responsibility in the NHS
The Centres of Integrated Responsibility (CRI) are organic intermediate management structures, dependent of the boards of directors of the entrepreneurial public entities of the NHS, which have functional autonomy and establish a commitment of economic and financial assistance, for a period of three years.
Their main goals are:
- Ensure the development of best clinical practices focused on the patient’s needs, by adapting the internal organization of the NHS´s entities to an efficient management;
- Foster clinical governance processes, contributing to the continuous improvement of the quality of care provided in the NHS;
- Increase accessibility and waiting times of the NHS;
- Maximize the installed capacity in NHS´s public network;
- Promote autonomy, and a greater participation and responsibility of the professionals involved in the resources management, encouraging them to exclusively develop their activity in the NHS;
- Increase levels of productivity and satisfaction of NHS professionals, linking the allocation of institutional and financial incentives to the performance effectively achieved.
The CRI are composed of professionals from the NHS, who voluntarily adhere to an oriented organization model that recognizes and rewards individual and collective performance. They are provided with the human and material resources necessary to carry out their activities, and are accountable for the results achieved and the associated costs and revenues.
They are managed by an administration council consisting of the director, who presides, a hospital administrator or other professional with proven health management experience and a multidisciplinary professional team, who must be a nurse when medical and surgical services are involved.
The CRI contribute to the full compliance of the Guaranteed Maximum Waiting Times and ensure a fair and timely response in the NHS, within the scope of the Integrated Access Management System, which monitors the entire chain of health care delivery, from the identification of the health problem to its resolution.
In order to raise awareness of health professionals for the development of these organic structures, more information sessions will be held in order to promote better knowledge about this new organizational model.
Published on 14/3/2018
