Business View Caribbean | March 2019

24 BUSINESS VIEW CARIBBEAN MARCH 2019 A BC SALES & SERVICES HAS BEEN VOTE D THE BEST CLEANING SERVICE N THE US VIRGIN ISLANDS FROM 2012-20 17. re a leader in janitorial services, and provide our pro ducts to en ts of St. Thomas, St. John, and the British Virgin I slands. E LEBRATING OVER 50 YEARS OF SERV ICE SALES & SERVICES CHEMICAL • PLASTICS • PAPER (340) 774-1073 WWW . ABCVI . COM Clea ning • Emergency Cleaning • Window Cleaning • Floor Care Services • C lean & Sanitize Restrooms al Se rvice • Residential Cleaning • Interior Cleaning For Any Size Yacht • Cons truction Clean Up Fire Restoration • Pressure Washer Cleaning • Initial/One Shot Cleaning • Ins tall Paper & Soap Dispensers ove Out Cleaning • Swimming Pool Chemicals • Pre/Post Party Clean Up • Ki tchen and Hood Located in St. Thomas, U.S. Virgin Islands, ABC ales & ervices was established in 1964, to provide cleaning, sanitizing, and janitorial services to the residents of St. T omas, St. John, and the British Virgin Islands. The company was voted Best Cleaning Service in the U.S. Virgin Islands 2012-2017. Its services include: Carpet & Upholstery Cleaning Emergency Cleaning Window Cleaning, Floor Care Services Clean & Sanitize Restrooms Trash Removal Service Residential Cleaning Interior Cleaning For Any Size Yacht Construction Clean Up Detailed Housekeeping Fire Restoration Pressure Washer Cleaning Initial/One Shot Cleaning Install Paper & Soap Dispensers Move In -Move Out Cleaning Swimming Pool Chemicals Pre/Post Party Clean Up Kitchen and Hood ...... www.abcvi.com and priorities. That’s an ongoing process, because you’re always constrained by budgets, and it’s difficult to make changes very quickly, especially when you’re a public sector organization. Change has to be incremental. So, it’s more of a shift to a more efficient and effective structure.” A major goal is to redevelop and restructure the quality department to ensure that everything is delivered according to a standard in the areas of patient safety, environment of care, risk management, and infection control. It all ties together with the accreditation – improving quality and effectiveness of the organization. One change that Dr. Georges believes will improve the organization’s effectiveness c ncerns its information systems. “We are transitioning our information systems to a new more efficient product,” he notes. “That transition process is very intense and takes a lot of effort from the organization. It’s being done in phases – Phase One is finance and HR; Phase Two is clinical; Phase Three is additional products, such as cost accounting, etc. So, the main focus, this year, is getting Phase One completed and then starting towards Phase Two.” Dr. Georges would also like to see changes in the Authority’s reimbursement structure: “In terms of our recurrent budget, most of that comes from the National Health Insurance, which was created by regulation under the Social Security Act that requires all legal residents to pay into the National Health Insurance system. Providers are then paid on a per service basis. However the BVIHSA is paid on a global budget with the balance of the operating budget coming from co-pays. The thinking is that the Authority will try to transition, on some levels, to a fee for service model, once we’ve finished the information system and are able to generate the appropriate data.” Some public health goods, like immunization and child health, should probably still stay on a global budget or capitation-