2017 № 6 Communication system as an increasing efficiency factor of a large medical center
The approach of creation the common communication system as an increasing efficiency factor of a large medical center is presented. The definition of the communication system, its structure and main characteristics are provided on the example of the Tatarstan cancer center. The principles of Tatarstan cancer centers information space are described. Communication channels of healthcare organization are cited. Unique classification of the information that is used in information space of Tatarstan cancer center. Rules of information interaction and principles of a communication feedback are also described. The Product of a transparent system of communication is a clear and distinct information that is available to all stakeholders, the aim of transparent communication system construction is an efficient healthcare organization goal achievement; communication system in medical center has a number of distinctive features and depends on the organizational structure, regulations of information interaction of various healthcare organizations and characteristics of the formed communication channels, and characteristics of organizational culture
2019 № 4 The experience and results of lean manufacturing introduction in health care
The World Health Organization gives notice an increasing demand for medical service on the one hand and a tendency toward deterioration of financial conditions in the healthcare system on the other that is the cause of the main concern in modern medical management. The article is considerate feasibility of using principles and methods of lean production for the purposes of organizing practical healthcare. Analyzed the results of lean production implementation of over the past few decades, the main early successes achieved using the tools and methods of lean production, as well as the basic limitations of the application are evaluated. Special attention is given to potential roles of the leader of healthcare institutions in lean production adaptation as well as evaluating the success of a strategy. A deep analysis of modern economic indicators of lean production successful implemen- tation in medical clinics abroad is presented, the key points of the effective introduction of lean production are being updated. In additional to economic indicators, the impact of lean production implementation in medical organizations on reducing mortality rates, transmission of nosocomial infections, mortality from hospital infections, reducing waiting times for medical services (especially in the admission department) is estimated. The current task facing the health care system in the Russian Federation is updated. The main conclusion is made about a huge amount of positive results after introducing lean production, including the positive economic effect and the increase in the quality of medical care after the introduction of the principles and methods of lean production, and also the entity of lean production as a separate method of organizing processes.