Proposition of a Shared and Value-Oriented Work Structure for Hospital-Based Health Technology Assessment and Enterprise Risk Management Processes

• Published in: International journal of technology assessment in health care 2019-01, Vol.35 (3), p.195-203
• Main Authors: Etges, Ana Paula Beck da Silva, Grenon, Veronique, Felix, Elaine Aparecida, de Souza, Joana Siqueira, Kliemann Neto, Francisco José, Polanczyk, Carisi Anne
• Format: Article
• Language: English
• Subjects: Activity based costing; Boards of directors; Content analysis; Cooperative Behavior; Corporate culture; Data analysis; Decision analysis; Decision making; Decision Making, Organizational; Efficiency; Employees; Enterprise risk management; Health care; Health care policy; Health technology assessment; Hospital Administration; Hospitals; Humans; Inservice Training; Literature reviews; Medical records; Method; Multidisciplinary teams; Patient safety; Principles; Professionals; Qualitative analysis; Research methodology; Resource management; Risk management; Risk Management - organization & administration; Risk Management - standards; Systematic review; Teams; Technology assessment; Technology Assessment, Biomedical - organization & administration; Technology Assessment, Biomedical - standards; Value creation
• ISSN: 0266-4623; 1471-6348
• DOI: 10.1017/S0266462319000242

Healthcare organizations have invested efforts on hospital-based health technology assessment (HB-HTA) and enterprise risk management (ERM) processes for novel systems to obtain more accurate data on which to base strategic decisions. This study proposes to analyze how HB-HTA and ERM processes can share personal resources and skills to achieve principles with value-oriented results. Literature on ERM and HB-HTA and data from interviews with healthcare managers compose the research data sources, which were submitted to a qualitative data analysis. It was oriented to identify the association between ERM and HB-HTA application in hospitals and the common principles between both processes, in addition to proposing the capability to share personal resources between both teams in a matrix. The common principles and personal background suggested for HB-HTA and ERM teams allowed the build of a matrix identifying how both teams can work in an integrated manner being more effective and value-oriented. The shared resource matrix reports how each professional (with a specific background) may interact with each activity associated to HB-HTA or ERM implementation guidelines. The identification of common principles and capabilities between ERM and HB-HTA suggested advances with the literature from both research areas. The opportunity to share personal resources also contributes to the implementation of those processes in hospitals with less financial resources, approaching its own management to be more efficient with the care chain.