Leader's competencies. Approaches to effective management of medical organization

2021 ◽  
pp. 61-65
Author(s):  
A. V. Emanuel ◽  
O. R. Shvabskiy ◽  
A. V. Averyanova ◽  
M. S. Maskin

Due to the increasing demands on the heads of medical organizations in terms of ensuring the proper quality of medical care, there is a need to pay more and more attention to the leadership qualities of not only the direct head of the institution. It is equally important to form the leader’s competencies among managers at any level: deputy chief medical oficer, head of the medical department, head nurses, and technical service manager.

2019 ◽  
Vol 1 (15) ◽  
pp. 53-56
Author(s):  
D. V. Melik-Guseinov ◽  
V. Emanuel ◽  
L. A. Khodyreva ◽  
P. S. Turzin ◽  
A. Emanuel

The problem of assessing and improving the quality of medical care in a medical organization is considered. Analyzed the management of medical organization processes. A scheme for managing these processes, a list of regulatory documents, types and methods for monitoring the effectiveness of their implementation are presented. Formed groups of criteria used to assess the quality of the medical organization. It is argued that the introduction of a quality management system for the provision of medical care in a medical organization increases the efficiency of its activities.


2021 ◽  
pp. 50-60
Author(s):  
Irina Evgenievna Misko ◽  
Larisa Arkadyevna Karaseva

The aim of the study is to determine the value of the quality of working life as a stimulus for the growth of the efficiency of nursing personnel. Results. On the basis of the development of the system of the quality of working life, the fundamental conditions have been formulated that ensure a more complete realization of labor potential, without which it is impossible to maintain a high and stable level of production and ensure the required quality of medical care. Conclusion. The labor collective of a medical organization is a social group of interaction and mutual assistance, in which conditions are created in which a specialist can develop as a person in cultural, national, moral and everyday aspects. The personnel policy of the top management of a medical organization is developing in accordance with the Concept for the development of healthcare and medical science in the Russian Federation.


2021 ◽  
pp. 37-44
Author(s):  
T. V. Pozdeeva ◽  
◽  
N. V. Pchelina ◽  

The study of the patient’s temporary losses when receiving medical services in an outpatient clinic and their minimization contribute to an increase in patient satisfaction with the quality of medical care. Objective of the stud y: to assess the temporary losses of patients when visiting outpatient clinics of the city municipality. Methods and materials. The temporary losses of patients were studied by analyzing route maps compiled using a special technique. The analysis of the questionnaires made it possible to assess the patient’s satisfaction with the conditions of providing medical services, the information received in the healthcare institution and the attitude of the nursing staff to the visitor. Statistical processing of the results was carried out using the programs Statistica 5.0 and Microsoft Office Excel. Results. As a result of the conducted research, significant time costs of patients were identified when receiving medical care in polyclinics of the district center: when visiting a district doctor, a registry, a treatment room and a laboratory, which directly affected the results of assessing their satisfaction with the temporary criteria for visiting a medical organization. Scope of the results. The data obtained during the study can be used as basic information when developing measures to optimize key processes in outpatient health care institutions.


2016 ◽  
Vol 21 (3) ◽  
Author(s):  
MILITARU CONSTANTIN ◽  
VOINESCU LEONARDO

A medical service, as a public service, is composed of a provider represented by the medical staff and a framework that carries out their work. Therefore, a qualitative management of services must be taken into account, on the one hand by the quality of care itself, and on the other hand by how the resource material is managed throughout the services provided.<strong> </strong>Fortunately, quality and risk management systems concepts are becoming <a title="" href="file:///I:/revista/JESR%2021-3-2015/408%20Militaru%20Constantin%20_R4%20vf.doc#_ftn1">[1]</a>more widely used in their speech, by the responsible with those services at European and national level. A quality medical service can be attained through a rigorous and effective management of the quality of medical care itself, and through increased quality of human resources and materials involved and ensuring health and reduce the risks of treatment/ care patients. The authors present in brief a model of risk assessments and risk classification in a medical unit.<div><br clear="all" /><hr align="left" size="1" width="33%" /><div><p> </p></div></div>


2019 ◽  
Vol 6 (1) ◽  
pp. 119-131
Author(s):  
A. V. Panov ◽  
T. Yu. Bykovskaya

The article pertains the main problems faced by manufacturers and consumers of paid medical services. The increase in the volume of paid medical care prevails in the fields of dentistry, diagnostics and cosmetology. Of course, the expansion of voluntary medical insurance in almost all areas of medicine, further digitalization and gradual development of commercial outpatient care will be promising areas in the domestic health care. After all, currently every fourth outpatient medical organization is private owned. In this regard, taking into account the foreign and domestic experience of modernization of the medical services market, the paper comprehensively analyzes the trends in the development of commercial medicine within the legal, organizational and socio-economic regulation of the health care industry. Marketing tools to optimize the system of paid services are presented. The key role of mechanisms of public-private interaction in health care management is proved. Integrative approaches to the problems of introduction and development of paid medical services, considered in this study, will allow to systematize and to adjust the extra-budgetary activities of medical organizations while simultaneously increasing the availability and quality of medical care in Russia.


2021 ◽  
Vol 1 (41) ◽  
pp. 93-98
Author(s):  
Askhat Zhakibaev ◽  
◽  
Arailym Beisbekova ◽  

The aim: To develop recommendations aimed at optimizing the work of the Shymkent city multidisciplinary hospital by studying the main performance indicators. Methods.The research was carried out according to the traditional scheme and included the classical stages: drawing up a plan and program, collecting material, processing and analyzing it. Results. To improve the quality of medical care, targeted measures are being implemented. Thus, the design capacity of Primary Healthcare: polyclinic – 500 people per shift, actual attendance – 703 people per shift. The hospital has 330 beds. However, the rate of bed coverage per 10 000 people is low at 28.4. The overall incidence has decreased, and in 2019 it was 75 652. It was found that the number of visits to doctors has increased, thus, this figure in 2019 reached 66.5%. It was found that the volume of provision of free medicines increased and reached 47 420. The indicator of provision with medical technical means as a whole also increased and amounted to 82%. Conclusions. A set of measures aimed at improving the hospital's activities using the existing organizational structure will allow us to respond in a timely manner to changes in all areas of the hospital's activities, and the KPI system will help assess the effectiveness of managerial actions in the field of quality management to improve the quality of medical care and improve the weaknesses of healthcare facilities. Keywords: medical organization, medical care, KPI system.


2020 ◽  
Vol 15 (4) ◽  
pp. 283-289
Author(s):  
Oleg Lisovskii ◽  
◽  
Alexandr Gostimskii ◽  
Ivan Lisitsa ◽  
Anna Zavyalova ◽  
...  

The article presents the possibilities of implementing the priority project “New model of medical organization providing primary health care” aimed at increasing the accessibility and satisfaction of patients with the quality of medical care. An example of an outpatient dietary consultation shows the resources for detecting medical losses and ways of optimizing the activities of medical personnel using the tools of lean technologies. The article reflects the experience of the Training Centre for lean technologies in health care of the Saint Petersburg State pediatric medical university, created in 2018 with the aim of training medical workers of different specialties to use tools of economical production in conditions of simulated clinic. The conduct of business games and “The Factories of Processes” makes it possible to reconstruct the work of the individual office or the entire polyclinic. The possibility of standardization of medical processes, use of check-lists in the work and organization of each cabinet, introduction of the system “5S” and identification of medical losses with subsequent optimization of the initial reception is presented. In this work “The Process Factory” “The optimization of the appointment of a doctor-specialist” is presented, allowing to make a detailed analysis of the duration and structure of the reception, to perform the mapping of medical processes and to use visual management, considering the efficiency, Safety and quality of the doctor’s work. The acquired skills in simulated conditions help to implement this methodology and effectively use the tools of lean technologies in practice.


2020 ◽  
Vol 2020 (3) ◽  
pp. 36-44
Author(s):  
Maksim Taranik ◽  
Georgy Kopanitsa

The article deals with the problem of forming managerial decisions in the provision of medical care. High-quality management of the processes of a medical organization has a positive effect on the most important goal - the quality of medical care. To obtain an improved clinical result, it is necessary to monitor the process of medical care and formulate management and corrective actions during its implementation. To solve this problem, the article proposes to use an approach using a decision support system. The main components of the system are the international data storage standard ISO 13606, Mamdani fuzzy logic apparatus, case analysis. The implemented approach has shown its effectiveness after being introduced into a medical organization that carries out surgical treatment under the compulsory medical insurance program.


2015 ◽  
Vol 21 (3) ◽  
pp. 43-50
Author(s):  
CONSTANTIN MILITARU ◽  
LEONARDO VOINESCU

A medical service, as a public service, is composed of a provider represented by the medical staff and a framework that carries out their work. Therefore, a qualitative management of services must be taken into account, on the one hand by the quality of care itself, and on the other hand by how the resource material is managed throughout the services provided. Fortunately, quality and risk management systems concepts are becoming more widely used in their speech, by the responsible with those services at European and national level. A quality medical service can be attained through a rigorous and effective management of the quality of medical care itself, and through increased quality of human resources and materials involved and ensuring health and reduce the risks of treatment/ care patients. The authors present in brief a model of risk assessments and risk classification in a medical unit.


Author(s):  
A.S. Yashchenko ◽  

The most important part of the modern health care system is nursing. Nurses are a huge human resource with real potential opportunities in the context of modernizing the domestic healthcare. This article presents the results of a survey of nurses of the regional narcological dispensary. Analysis of a time-based study of the main types of functional responsibilities of outpatient nurses in the dispensary Department. This study may affect organizational activities of a specialized drug treatment nurse. The purpose of this study is to improve the organization of the nursing activities in a medical organization that provides specialized medical care. Proper organization of the nurses’ work contributes to high involvement in the treatment process, improving the quality of medical care, and motivation for active professional development. Effective professional activity of the nursing staff is aimed to meeting the needs of patients in affordable and acceptable medical care.


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