http://hdl.handle.net/10147/141103 Tue, 21 May 2013 10:34:48 GMT 2013-05-21T10:34:48Z http://www.lenus.ie:80/hse/retrieve/309003/HSRC.gif http://hdl.handle.net/10147/141103 http://hdl.handle.net/10147/250413 Title: Day care provision in Ireland: a survey of service utilisation and funding issues: report 1: Day service utilisation Authors: Wiley, Miriam; Merriman, Barry Description: The core rationale for this study arises from the fact that while day care provision is an expanding area within the Irish hospital system, the information currently available on utilisation levels and cost implications is limited and unsatisfactory. In this study, it is intended to address the issue of utilisation at both the national and the hospital level, in addition to assessing the associated implications for funding. This first report is primarily concerned with an assessment of utilisation and service provision for the last full year for which data are available, ie. 1992. The definition of the day care service area is, in itself, problematic. In this report. some background on approaches to definition will be reviewed, together with the application of the definition currently used by the Department of Health. The Hospital Inpatient Enquiry (HIPE) is the source used for the utilisation data, and the statistics collected by the Planning Unit, Department of Health is the source of the information on coverage. Moving on from the review of definitional issues presented at the beginning of this report, the results of a series of analyses on utilisation and service provision are presented. In the next report for the project, issues arising with regard to the future definition of day care service provision will be considered. In addition, the range of efforts which might be applied to address gaps in the utilisation and cost data will also be addressed. Mon, 01 Nov 1993 00:00:00 GMT http://hdl.handle.net/10147/250413 1993-11-01T00:00:00Z http://hdl.handle.net/10147/145516 Title: Service Quality Improvement in a Clinical Directorate: leveraging opportunities for latitude in a multiplicity of constraints, perspectives, objectives under system reform Authors: Williams, Peter; de Burca, Stiofán; O Hara, Christy; Murphy, Claire Description: This paper reports a mapping of constraints and enablers to quality and performance improvement in a Clinical Directorate. The site in an acute academic teaching hospital broadly follows the John Hopkins/NHS tradition. Research comprised three strands which were triangulated: documents (intent and realisation), quantitative (clinical governance extent and climate), and qualitative (semi-structured interviews). Mon, 17 Oct 2011 10:21:46 GMT http://hdl.handle.net/10147/145516 2011-10-17T10:21:46Z http://hdl.handle.net/10147/145515 Title: Alignment and variation in managerial and professional perceptions of purpose, leadership roles and outcomes in a healthcare organisation’s change programme Authors: de Burca, Stiofán Description: The aim of this paper is to clarify determinants of leadership effectiveness by examining key points of agreement and difference in managers’ and professionals’ expectations and experiences of organisational change in a healthcare organisation Tue, 01 Jan 2008 00:00:00 GMT http://hdl.handle.net/10147/145515 2008-01-01T00:00:00Z http://hdl.handle.net/10147/145536 Title: Leadership: a limited concept in a complex healthcare system. Description: Purpose:to explore the contextual nature of leadership and other internal influences. Mon, 17 Oct 2011 10:08:52 GMT http://hdl.handle.net/10147/145536 2011-10-17T10:08:52Z