Integrated approach to the implementation of strategy in a sustainable developing healthcare organization.

O. A. Latukha, I. M. Son, Y. I. Bravve, A. V. Kalinichenko, Y. V. Khmelnitskaya, V. M. Chernyshev, K. S. Tolstova
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Abstract

Currently, strategic planning is the basis of the activities of many healthcare organizations. Building strategic goals and objectives structures the action plan and allows you to determine the degree of importance of the work being carried out relative to the organization’s policies. However, not all management methods and techniques lead to sustainable development of healthcare organizations. To achieve the strategic goals of an organization, an integrated approach is needed, which determined the relevance of this study. Purpose of the study is to determine and the description of an integrated approach to the implementation of strategic objectives in a sustainably developing healthcare organization providing primary health care to the urban population. Materials and methods. The study of the sustainable development of healthcare organizations was carried out from 2012 to 2023, and a sociological study of the opinions of the heads of healthcare organizations implementing a development strategy was carried out from 2012 to 2018. Results. A sociological survey of managers showed that 24,6% of healthcare organizations applying a development strategy do not achieve their indicators within 3 years. To increase the sustainability of the development of healthcare organizations, an integrated approach is required in combination with such management methods as: implementation of a quality management system; implementation of a sustainable development model; implementation of improvements; training staff on a long-term development strategy; analysis of process effectiveness, etc. To implement a sustainable development strategy in the healthcare organization, the following activities were developed and implemented: determining the long-term goals of the healthcare organization; determination of key performance indicators of the organization; identifying key processes to achieve long-term goals of the clinic; identification of key performance indicators for each process; determining the quality and quantity of resources that support key processes; on-the-job training of personnel; monitoring and analysis of key performance indicators; identifying departmental best practices; implementing organizational improvements and innovations; changing long-term goals and key performance indicators based on the internal needs of the organization. In general, over 6 years, the effectiveness of the organization’s strategy and policies increased by 5,9 times. Findings. Thus, to achieve sustainable growth in long-term development indicators, it is necessary not only to formulate strategic performance indicators, but also to ensure their implementation in all divisions of the healthcare organization, including administrative, economic and support services. To this end, it is necessary to involve staff in improving work efficiency through on-the-job training in the best practices for implementing project work to improve the activities of a healthcare organization. This integrated approach increases employee engagement and allows for sustainable development of the organization as a whole.
在可持续发展的医疗保健组织中实施战略的综合方法。
目前,战略规划是许多医疗保健组织活动的基础。建立战略目标和目的结构行动计划,并允许您确定相对于组织的政策进行的工作的重要性程度。然而,并不是所有的管理方法和技术都能导致医疗机构的可持续发展。为了实现组织的战略目标,需要一种综合的方法,这决定了本研究的相关性。该研究的目的是确定和描述在可持续发展的医疗保健组织中实施战略目标的综合方法,为城市人口提供初级卫生保健。材料和方法。2012 - 2023年开展医疗卫生机构可持续发展研究,2012 - 2018年开展医疗卫生机构负责人实施发展战略意见社会学研究。结果。一项针对管理人员的社会学调查显示,24.6%的实施发展战略的医疗保健组织在3年内未能实现其指标。为了提高医疗保健组织发展的可持续性,需要综合的方法与以下管理方法相结合:实施质量管理体系;实施可持续发展模式;改进措施的实施;就长远发展策略培训员工;过程有效性分析等。为了在医疗保健组织中实施可持续发展战略,制定并实施了以下活动:确定医疗保健组织的长期目标;确定组织的关键绩效指标;确定实现诊所长期目标的关键流程;确定每个过程的关键绩效指标;确定支持关键过程的资源的质量和数量;人员在职培训;监测和分析关键绩效指标;确定部门的最佳做法;实施组织改进和创新;根据组织的内部需求改变长期目标和关键绩效指标。总的来说,在6年的时间里,该组织的战略和政策的有效性提高了5.9倍。发现。因此,为了实现长期发展指标的可持续增长,不仅需要制定战略绩效指标,而且需要确保这些指标在保健组织的所有部门,包括行政、经济和支助服务部门得到实施。为此,有必要通过实施项目工作的最佳实践方面的在职培训,让员工参与到提高工作效率的工作中来,以改进医疗保健组织的活动。这种整合的方法提高了员工的敬业度,并允许整个组织的可持续发展。
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