Upload File

the masterclass strategy ◦ what is it? ◦ influencing ◦ ahp strategy standard clinical...

  • Home
  • Documents
  • The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and
61
Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and action planning Audit Patient and Public involvement Staffing and new roles Use of Time Process Mapping Business Case Development Marketing Introduction to AHP Management Quality matrix

Upload: oscar-whittlesey

Post on 01-Apr-2015

219 views

Category:

Documents


2 download

Report

TRANSCRIPT

Page 1: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Strategy◦ What is it?◦ Influencing◦ AHP strategy standard

Clinical Governance◦ Elements of CG◦ Risk management◦ Evaluation and action

planning Audit Patient and Public

involvement

Staffing and new roles Use of Time Process Mapping Business Case

Development Marketing Introduction to AHP

Management Quality matrix

Page 2: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

A plan of action designed to achieve a particular goal ◦National◦Regional/Local◦Service specific

Your role

Page 3: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Influence others to get results Are you trying to influence one person or a group?

What is your hierarchical relationship with them?

How capable/knowledgeable are they?

How well do you know each other? What are their priorities?

Page 4: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

ME

Physio OT Social Work Pharmacy

DGM

CEO

AH Network

National AH Group

Family

Elderly care working group

Community care strategy group

Page 5: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Draw an organogram Who do you influence? How do you influence them? Who influences you? What influence do you have? What could work better?

Page 6: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

1. Common vision2. Awareness of others3. Awareness of key people4. Data and information use5. Making others feel valued6. Presentation impact7. Negotiating/bargaining

Page 7: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Each table to develop ideas of how to use each influencing strategy in your work

Write on a flip chart to stick up

Page 8: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

The service has a documented strategy which is reviewed and updated annually.

Page 9: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and
Page 10: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

1.1 Does your organisation have a strategy?

1.2 Have you an up - to - date strategy for your service?

1.3 Is there a ‘value statement’ that is shared by staff in your service?

1.4 Service mission statement/vision; is this agreed and documented?

1.5 Is your strategy linked to: National, Regional Local?

1.6 Service portfolio – the range of services you provide is this documented?

Page 11: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

1.7 Major goals/objectives for your service; are these documented?

1.8 Do you have service strategies 1.9 Is the overall contribution of your service (from the patients’ perspective) documented?

1.10 Do you undertake an annual service review, and document findings?

1.11 Do you have organisational charts?

1.12 Do you produce a service annual report?

Page 12: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Work with a partner from the same service or on your own

Use the evaluation matrix Evaluate the components Summary and actions to go on

post –its to be stuck on the wall when completed

Page 13: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and
Page 14: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Clinical governance is  the system through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care, by creating an environment in which clinical excellence will flourish

(Department of Health1998)

Page 15: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

1. Clinical effectiveness2. Risk management3. Patient experience4. Communication5. Resource effectiveness6. Strategic effectiveness7. Learning effectiveness 

Page 16: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Systems awarenessTeamworkCommunicationOwnershipLeadershipManagement

Page 17: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Risk is the combination of the likelihood of an event and its consequences

Risks may have benefits as well as threats to an organisation's business

Risk Management is a continuous process by which risks are recognised and managed

Do you have a risk register?

Page 18: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and
Page 19: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

What is Clinical audit? Who has done it? Who gets support? Have you used audit? What do you do with the results? How do you feed it back into practice?

Have you identified training needs? What have your services done?

Page 20: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Make a list of audits for your service. Prioritise:◦Organisational requirement◦Professional requirement◦Service development◦Service review◦Personal development

Make a list of audits for your service. Prioritise:◦Organisational requirement◦Professional requirement◦Service development◦Service review◦Personal development

Page 21: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Do you include patients/service users in service development and evaluation?

Do you have a service lead for this?

What have you tried? Was it useful?

Page 22: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and
Page 23: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Each table work together to complete the task set for you on one of the Clinical Governance strands.

Fill in one flip chart sheet and stick it on the wall

Page 24: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

45 minutes

Page 25: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and
Page 26: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

In an average 54 hour week what percentage of time does a leader spend on work planning reflecting and thinking?

◦A) 7.5%

◦B) 13%

◦C) 18.5%

◦D) 28%Source NHI 2007

Page 27: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

In an average 54 hour week how many hours does a leader spend in meetings?◦A) 12

◦B) 27

◦C) 38

◦D) 45

Source NHI 2007

Page 28: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

In this time the leader attended 26 meetings, how many started on time?

◦A) 4

◦B) 7

◦C)11

◦D) 16Source NHI 2007

Page 29: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

What percentage of people actively contributed/participated in the meeting◦A) 65%

◦B) 52%

◦C) 42%

◦D) 36%Source NHI 2007

Page 30: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

INPATIENTS TEAM EASTBOURNE

46.06%

5.11%

0.91%

0.65%

3.02%

3.94%

13.33%

4.89%

0.22%

2.61%

0.94%

5.52%

1.73%

0.80%

1.32%

0.33%

0.11%

3.90%

3.06%

1.56%

FACE CONTACT IND

FACE TO FACE GRP

TEL CONTACTS

WARD ROUNDS

CASE CONFERENCE

STUDY LEAVE

LIAISON

ADMIN

MANAGEMENT

HOME VISITS

TRAVEL

CLINICS

MTGS

IN SERVICE TRNG

TEACHING PHYSIOS

TEACHING STUDENTS

TEACHING HEALTH PROF

TEACHING PUBLIC

CLIN. SUPERVISION

OTHER

How you and your staff spend their time?

Page 31: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

8A 7 6 5 3

OTHER

CLIN. SUPERVISION

TEACHING PUBLIC

TEACHING HEALTH PROF

TEACHING STUDENTS

TEACHING PHYSIOS

IN SERVICE TRNG

MTGS

CLINICS

TRAVEL

HOME VISITS

MANAGEMENT

ADMIN

LIAISON

STUDY LEAVE

CASE CONFERENCE

WARD ROUNDS

TEL CONTACTS

FACE TO FACE GRP

FACE CONTACT IND

Page 32: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Ageing workforce More expensive workforce Changing individuals’ needs Changing educational opportunities Variety of providers Need to:

◦ retain staff◦ develop staff◦ work differently

Page 33: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Working at a highly specialised level within the boundary of the profession

Core Professional Practice

Page 34: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Working at specialist level within and beyond the boundary of their profession

Training Regulation

Core Professional Practice

Extended Practice

Page 35: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Write a list- what would it achieveHow would you progress this?

Write a list- what would it achieveHow would you progress this?

Page 36: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Puts a spotlight on waste Streamlines work processes Defines and standardises the steps and sequence

Promotes understanding Builds consensus Key ‘tool’ for work re-design

Page 37: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Physiotherapy Out-Patients - Management of Referral for OP appointment DRAFT ‘TO BE’ PROCESS

Sen

ior

Phy

sio

Phy

sio

Rec

eptio

n Yes

No

No

Date stamp and prioritisation stamp referral letter/card

Is this urgent appointment?

File routine requests in waiting list drawer in date

order

Referral from Esperance

Complete prioritisation stamp with type of

appointment/speciality and prioritise as urgent or routine

Referral from Consultant

Referral from Occupational

Health

Is referral from out of area?

Put in tray for Senior Physio to

check

Patient rings for appt

Pick up referrals from tray

Referral from Horder Centre

Referral from out of area

Patient rings for appt

Referral from GP

Is this a respiratory appt requested by

consultant?

Hand back to Reception staff

File referral in relevant filing

drawer

Referral from IP Physio (card in traty)

Register referral on Tiara (checking

other episodes etc)

This is an additional step, but does not change

management of referral – prioritised and letter sent as

for rest of process

YesNo

Send standard letter (from Tiara) to GP asking for reply if

they do not agree to referral

Send standard letter (from Tiara) asking

patient to make choice appointment (letter sent

within 1-2 days)

Send choice appointment letters

to calculated number of NP

assessment slots

Self-referralSelf-referral

Page 38: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

1. Are there any wasteful handovers?2. Are there any bottlenecks?3. Could some tasks be carried out by one person

instead of several?4. Are tasks carried out for our benefit or the

patient's?5. Could some tasks that are performed in another

process be performed here?6. Are the people who work in the process allowed to

make decisions?7. Which tasks help to achieve the purpose and

which ones create waste?8. Is there any duplication of work?9. How much rework is being carried out?

Page 39: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Decide which service you need to review◦Are there problems?◦Do you think it could function better?◦Are there potential gains to be made?◦Are there non value steps in the service?

Invite the key people- give them sufficient notice

Don’t assume you know!

Page 40: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Let’s see

how far we get!

Let’s see

how far we get!

Page 41: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and
Page 42: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Introduction Background/context Proposed service Links to local /national priorities Predicted capacity Benefits to patients/

organisation/stakeholders Cost-benefit

Page 43: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Service evaluation Predicted outcomes Governance arrangements Risks of doing it or not Lead- in time Financial impact statement Summary

Page 44: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Use the headings in the template…..

Start a force field analysis

Use the headings in the template…..

Start a force field analysis

Page 45: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and
Page 46: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Source DH 2006

Patient/Public

NationalTargets/drivers

Reviewing service

provision

Deciding priorities

Designing services

Shaping the service structure

Managing demand

Referrals,Individual needs

assessment,Patient choice re treatment

Managing performance,

quality, outcomes

Seek public and

patient views

Needs assessment

Page 47: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and
Page 48: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Understand the ‘politics’ Get to know those who ‘buy’ your services

Make a clear business case Show how your proposal adds value Use information and data Show the likely impact

Page 49: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Preparation Know your service

◦SWOT analysis◦Staffing and expertise◦Current service specification

Identify your “selling” points Branding Finance

Page 50: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Needs analysis◦Population, users and public health

Know your competitorsWho can help you? InformationCommunicationPublicity

Page 51: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Name of competitorYour assessment of their Strengths and weaknesses

Areas of direct competition Impact on your service

Page 52: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Unique selling points

Key stakeholders internal/external

Stakeholder Interest and Influence

Page 53: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Interest

Low

Influence

Voluntary SectorPatientsProfessional Bodies

MedicineSurgeryWomen’s HealthGPsPurchasersComplaints

Support ServicesDept.HealthEmployersSHASocial ServicesRegulatorHuman Resources

CEOExec TeamContract DeptFinance Dept

Low High

High

Page 54: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Make a List

Make a List

Page 55: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

1. Strategy 2. Activity3. Patient

experience4. Finance5. Staff resource

effectiveness6. Staff

management and development

7. Information and metrics

8. Leadership and management development

9. Clinical excellence10.Communications and

marketing11.Service improvement

and re-design12.Risk management13.Corporate

governance14.Key performance

indicators

Page 56: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Strategy Clinical governance New roles Process mapping Business case

development Marketing Introduction to AHP

management quality matrix

Page 57: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Write down the first thing you are going to improve

Write down the first thing you are going to improve

Page 58: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Any Questionsor further Discussion

Page 59: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

Will be made available to you

Page 60: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

www.jjconsulting.org.uk

Page 61: The Masterclass Strategy ◦ What is it? ◦ Influencing ◦ AHP strategy standard Clinical Governance ◦ Elements of CG ◦ Risk management ◦ Evaluation and

AHP Experiment15

The Q Jumper Factor Masterclass - Amazon S3 · The Q Jumper Factor Masterclass Week 2. ... Strategies & Tools (CV, LinkedIn, Strategy) The Tools •Strategic Immigrant’s V •Features

CHAPTER 3 MAINTENANCE STRATEGY SELECTION ...shodhganga.inflibnet.ac.in/.../10603/26420/8/08_chapter3.pdf31 CHAPTER 3 MAINTENANCE STRATEGY SELECTION USING AHP AND FAHP 3.1 INTRODUCTION

COMPETITIVE STRATEGY DECISION MAKING BASED ON THE FIVE FORCES ANALYSIS WITH AHP/ANP APPROACH

Ahp Analysis

Crisis Communications Strategy 2016 AHP Convene Canada Conference Presentation

Ahp calculations

AHP Out-Patient Services Capacity and Demand Management Masterclass Robert Jones Fiona Jenkins 3rd December 2010

Metodo AHP (AHP) Metodo AHP (AHP)

successful introduction. Participants in the Masterclass will learn what are the key components of an Artificial Intelligence Strategy and the required resources. The Masterclass

Human Resources Business Partner Strategy Masterclass

AHP Textbook

A Comparative Study of AHP and Fuzzy AHP Method for

AHP Out-Patient Services Capacity and Demand Management Masterclass

AHP Bilberry

AHP Process

Strategy execution masterclass Kuwait, May 2012, Jeroen De Flander

Content Strategy Masterclass

Positive Risk Taking in Dementia Promoting Excellence in Dementia ENHANCED LEVEL Masterclass Christine Steele AHP Dementia Consultant Ruth Mantle Alzheimer

Local Industrial Strategy masterclass inclusive growth Growth LIS Masterclass... · Mercure Manchester Piccadilly Hotel. Housekeeping Emergency procedures Please familiarise yourself

AHP Brochure

Ahp presentation

Ahp Lecture

2016 International Conference MASTERCLASS 2016 CONFERENCE... · 2016 International Conference & MASTERCLASS ... Strategy innovation, corporate reputation and Leadership development

Affordable Housing Program (AHP) 2017 Competition ...fhlbsf.com/resource-center/forms/ahp/2017 AHP Sample Application... · Affordable Housing Program (AHP) 2017 Competition Reference

AHP Finale

Modul S7 AHP for Product Strategy

4 Keys to Alignment Masterclass Lesson One Keys... · 2021. 5. 13. · AN UNSTUCK MASTERCLASS Welcome to 4 Keys to Align Your Strategy and Your Team An Unstuck Masterclass Your team

AHP Superdecision

The Content Strategy MasterClass...The Content Strategy MasterClass How to Make $80,000 to $200,000 per Year As a Content Strategist

AHP-TOPSIS multi-criteria model: a strategy to evaluate

ANALYTIC HIERARCHY PROCESS MATRIX ABOUT AHP. The AHP Matrix

Revista AHP

AHP brochure1

AHP Hidrogeologia