Development and Replication of Effective Projects for the Organization of Medical Care by the Example of Mining Region Kuzbass

¹ Kemerovo State Medical University of the Ministry of Health of the Russian Federation, Head of the Department of Public Health and Health Care, 650029, 22a Voroshilova st., Kemerovo, Russia
² Regional Center for the Organization of Primary Health Care, Center Head
³ Kuzbass Clinical Psychiatric Hospital, Deputy Chief Physician, 650036, 41 Volgogradskaya st., Kemerovo, Russia

Abstract

The aim of the study is to develop technologies for operational management of processes and projects that increase the efficiency of medical organizations by replicating automated systems of “hyperresonant solutions” and monitoring achievements to improve activities aimed at improving the quality and availability of medical care. The object of researching the control mechanism is represented by 104 medical organizations of primary care, introducing lean technologies. The study of the current state of accessibility, satisfaction and quality of medical care was carried out by the method of direct observation and timing of receiving medical services by patients. To ensure the optimization of management on the basis of materials characterizing the current state of accessibility, satisfaction and quality of medical care, it was supposed to form a process model of the organization, including a classifier of activities. The use of a system analysis matrix, MS Excel tables and hyperlinks contributed to the definition of priorities and the development of improvement projects, which ensured the formation of management algorithm for the organization development.