Method of integrated management of a project-oriented medical institution

Vladlen V. Lepskyi
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Abstract

The complicated current state of the Ukrainian Healthcare System, the need to integrate it into the world market of medical services in accordance with international technologies, norms, requirements and standards, the industry’s transition to the project-portfolio-program management, and application of the value-oriented approach all require the development and implementation of new, high-quality mathematical and methodological tools for analysis and management of the development of project-oriented medical institutions (POMI). Integrated strategic management of the POMI sustainable development in the present-day conditions is a complex, multi-vector and multi-factor problem that requires constant analytical processing of a substantial amount of poorly structured data for operation of all objects of strategic management of POMI. The paper proposes a C4P method (projects – project – portfolios – programs – processes – strategy) for the strategic management of the POMI sustainable development. It requires an effective integrated analytical model that will allow for the use of all parameters of projects and management processes of the project-oriented medical institution with a focus on long-term sustainable development and effective functioning of a POMI. At the same time, it should ensure the value for the main stakeholders of POMIs, such as shareholders (owners), consumers of medical services (patients and society as an integrated consumer), medical and auxiliary staff of the POMI. The author has developed and proposed the OLAP modeling method using the formal conceptual analysis of indicators and measurements applied to the subject matter of the indicators of a POMI. It will promote effective management decisions and offer strategic goals of the POMI development based on the current state and expectations of the main stakeholders. The method also helps analyze whether the already approved (preliminary) strategic objectives are to be achieved and whether the POMI stakeholders’ expectations are to be satisfied based on the results of the current project activity.
项目型医疗机构的一体化管理方法
乌克兰医疗保健系统的复杂现状,根据国际技术、规范、要求和标准将其纳入世界医疗服务市场的需要,行业向项目组合计划管理的过渡,以及价值导向方法的应用,都需要开发和实施新的,高质量的数学和方法工具,用于分析和管理面向项目的医疗机构(POMI)的发展。在当今条件下,POMI可持续发展的综合战略管理是一个复杂的、多向量和多因素的问题,需要对大量结构不良的数据进行持续的分析处理,以实现POMI战略管理的所有目标。本文提出了项目-项目-项目组合-计划-过程-战略的战略管理方法。它需要一个有效的综合分析模型,允许使用项目的所有参数和面向项目的医疗机构的管理过程,重点是长期可持续发展和POMI的有效运作。同时,应确保医疗信息机构的主要利益相关者,如股东(所有者)、医疗服务的消费者(患者和社会作为一个综合消费者)、医疗信息机构的医疗辅助人员的价值。作者开发并提出了OLAP建模方法,使用对指标的正式概念分析和测量方法应用于POMI指标的主题。它将促进有效的管理决策,并根据当前状态和主要利益相关者的期望提供POMI发展的战略目标。该方法还有助于分析已批准的(初步的)战略目标是否能够实现,以及基于当前项目活动的结果,POMI干系人的期望是否能够得到满足。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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