IMPLEMENTATION OF CONCURRENT NURSING AUDIT: AN EXPERIENCE REPORT

Carla Denise Viana,Cledir Tania França Garcia,Daniele Delacanal Lazzari,Luciane Zambarda Todendi De Bragas,Gisela Maria Schebella Souto De Moura

doi:10.1590/0104-070720160003250014

Carla Denise Viana, Cledir Tania França Garcia + Show 3 more

Open Access

https://doi.org/10.1590/0104-070720160003250014

Copy DOI

Abstract

Nursing audit is a management tool capable of assisting in the improvement of care quality and efficiency of hospital charges and may be performed concurrently, in other words, while the patient receives care. This study aims to describe nurses' experience about the implementation of concurrent nursing audit in a hospital environment. This is a report on an experience in the period from 2009 to 2014 at a hospital in the state of Rio Grande do Sul, Brazil. The following steps of this process are discussed: Instrument elaboration, Sensitization of the nursing team and Operation of concurrent audit. The results show the feasibility and benefits of adopting this model, especially regarding the reduction of time to send the bill to the health insurances, greater interaction between auditors and care teams, creation of indicators, and contributions to the improvement of healthcare quality and nursing records.

Highlights

Nursing has increasingly conquered space in nursing management
Due to the requirements of the institutions and the current health scenario, nurse auditors end up focusing their work more on financial issues than on care quality.[2]
Even in this condition, they contribute to the nursing team, client and institution, as they participate in the search to maintain the organizations’ financial equilibrium, which permits the continuity of care delivery

Summary

Introduction

Nursing has increasingly conquered space in nursing management. Due to the requirements of the institutions and the current health scenario, nurse auditors end up focusing their work more on financial issues than on care quality.[2] even in this condition, they contribute to the nursing team, client and institution, as they participate in the search to maintain the organizations’ financial equilibrium, which permits the continuity of care delivery. The function of nurse auditor is expanding in the job market, mainly regarding the analysis of the hospital accounts, which consists in verifying the compatibility between what was consumed, what is being charged and the procedures performed.[3]

Objectives

Methods

Results

Discussion

Conclusion