Development of a Model of the System of Organizational Development of Treatment and Diagnostic Processes of a Multidisciplinary Hospital

The most important factor in improving the quality of medical services at present is the continuous improvement of all aspects of the activities of a medical organization, which determines the appropriateness of using modern approaches to organizational development in medical institutions with their appropriate adaptation. The paper presents the results of the analysis of 16 known models of organizational development, as well as the performance indicators of the Kaidzen proposal system at 19 Russian and foreign enterprises in various industries. An analysis of the authors’ long-term experience of working with small groups on standardization of treatment and diagnostic processes at the N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department was conducted, which confirmed the assumption that medical personnel of all categories have a large number of ideas for improving the organization’s work and are willing to participate in their implementation. The article presents the author’s model of the system of organizational development of treatment and diagnostic processes of a multidisciplinary hospital, which is based on the concept of personnel orientation and the basic principles developed by the authors. In the part of the model detailing, a developed system of classification features is presented, which allows determining the belonging of a proposal for improvement to a certain group or class, as well as the approach proposed by the authors to sorting proposals at various stages of working with them. The paper presents the results of testing the described approach using the example of proposals for improvement formulated by a pilot group of nurses of the operating unit of the N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department. Conclusions are made on the possibilities of applying the presented research results for medical organizations, as well as promising areas for the development of the presented approach.