Management in health care
  • 2017 № 5 The integration of the systems of internal control of the quality and safety of medical activity and quality management of medical organizations

    For example, regarding the system of quality management large dental enterprises in conformity to national standard of Russian Federation GOST R ISO 9001–2015 «quality management System. Requirements» shown the possibility and feasibility of the integration of the system of internal control of the quality and safety of medical activities in specific internal standards and the documents of QMS of the medical organization. The integration of the two systems will allow to avoid the duplication of monitoring procedures and its documenting, will provide a more detailed study of the internal control procedures of the quality and safety of medical activities by binding them to the production processes in medical organizations

    Authors: Viktorov V. N. [3]

    Tags: integration2 internal control7 quality and safety of medical activities9 quality management system8

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  • 2017 № 2 A three-tier model of management of large state dental Association

    Presents a three-level model of the system of management of large state dental Association built on the basis of a combination of linear-functional and divisional guidelines. The structure and specific mechanisms of functioning of the units strategic, tactical and operational levels, with a vertical subordination and the cycle: planning – implementation – control – improvement. A distinctive feature of the levels of strategic and tactical management is the addition of block execution solutions – branch network of enterprises, continuously operating educational level, including the effective management of School resources and School quality the quality management System of enterprises. Ring operational management includes all structural units of enterprises, data, indicators and operation parameters which come in a comprehensive system of weekly monitoring, forming a set of actual data about medical operation clinics enterprises, financial and economic condition of the clinic, the medical support materials, tools and medicine, repair, construction and engineering works. Analysis of the obtained data allows managers to quickly in the field if necessary to develop corrective solutions.

    Authors: Viktorov V. N. [3]

    Tags: management levels1 medical organization management system1 structure and governance arrangements1

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  • 2017 № 1 The experience of forming public dental service in a regional centre

    The experience of formation of public dental service by combining dental clinics in the city with a population of over 400 thousand people in a single institution. Centralization has allowed to consolidate and flexible use of financial and material resources to optimize the management, improve the work efficiency of all services, further systematic and phased development of large-scale enterprises. Today it is a medical organization consisting of nine competitive branches-clinics that meet modern requirements for design, engineering, technology and staffing. The Association provides a full range of dental services in the compulsory health insurance system, LCA and cost accounting, quality assured, safety and comfort. Multifunctional structure of the Association, formed working relationships with regional and national academic and academic medical centers created the preconditions for the formation and further development of the clinic of the dental cluster in the region. Currently, the resource potential of enterprises has reached such a level that allows continuing the reference to centralization, to move to the next stage of its implementation – the policy of «centralized decentralization» – to the enterprises network dental micropolygons walking distance, as well as the development and implementation of major social projects in the field of prevention of dental diseases in children and adolescents.

    Authors: Viktorov V. N. [3]

    Tags: centralization3 competitive progress1 concentration of resources1 effective1 stomatologic services in step-by-step availability1 the state stomatologic service1

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