Acceso abierto·Documento·2015·Español

Public Security Project - FONASA (National Health Fund) / Proyecto Público Seguro - FONASA (Fondo Nacional de Salud)

Jeanette Vega; Soledad García Muñoz; M. Ribes González

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Resumen

The purpose of the project is to build the foundations in both terms of processes and systems for the transformation of a public insurance Fonasa with everything that entails, enabling efficient control of the health budget consists of three pillars as the basis for information, which are the persons (Beneficiaries) Performance and providers.This is intended to meet the strategic objective of Fonasa regarding quality of attention and opportunity and quality of information both in relation to the beneficiaries and internal processes.This project is not only a technological development, but also to point to the improvement and optimization of processes which will be supported by a world class technology solution (IHO OIPA + + OSB).This will cause a change in the Institucin service and development of key processes.The goals of this project are: Change of vision from a viewpoint focused on offering a user-centric view Having personal user information (IRAs) Traceability of benefits received, when received, which were made Payment amount according to mode (for performance, GRD, per capita, etc.) Traceability of users of insurance through systems and time, with respect to access to services and financial coverage.Monitoring and control of health spending to maximize financial efficiency.This transformative project will have benefits for: Beneficiaries (Members Insurance) timely services, faster and closer through multiple service channels (call center, Web Portal, self-care, and Social Networks Contact Face).Simplification of formalities.More information is available, allowing you to make better use of public insurance.Comprehensive support and advice to exercise their right to health.Positive experience around interactions with FONASA.Improved access to health care and financial protection.

Cómo citar

Jeanette Vega, & Soledad García Muñoz, & M. Ribes González (2015). Public Security Project - FONASA (National Health Fund) / Proyecto Público Seguro - FONASA (Fondo Nacional de Salud). https://doi.org/10.5334/ijic.2391