Modeling a Process-Oriented System for Ensuring the Guality of Medical Services in the Arctic zone of the Russian Federation

Purpose: the main goal is to simulate a process-oriented system for ensuring the quality of medical services in health care facilities in the Arctic zone of the Russian Federation. To achieve this goal, the following tasks were solved: formulated the main aspects of process-oriented quality assurance services in health care; a model was built for the implementation of a process-oriented system for ensuring the quality of services in the conditions of the Arctic territories; developed guidelines for the practical implementation of a process-oriented system to ensure the quality of medical services in the Arctic regions of the Russian Federation.

Methods: this article is based on an interdisciplinary concept of ensuring the quality of medical services provided in relation to the specifics of the functioning and development of treatment-and-prophylactic organizations based on a process-oriented approach.

Results: the most important direction of development of the national economy is to ensure an adequate level of quality of medical services provided in health care organizations and in the formation of patient-oriented service for end users (patients), which is especially important for the Arctic zone of the Russian Federation. The article analyzes foreign sources regarding the use of a process-oriented approach to the issues of ensuring the quality of medical services provided. Also in this publication a model of process-oriented quality assurance of medical services in the conditions of the Arctic territories of the Russian Federation is formed. Practical recommendations for the effective use of process-oriented mechanisms ensuring the quality of medical services in the Arctic regions of the Russian Federation have been developed.

Conclusions and Relevance: the materials presented in the article show the special role of the health care system in social and economic processes. The proposed model of ensuring the quality of medical services is recommended for use not only in the represented region, it could be effective for all organizations in the field of health care, regardless of the form of ownership and organizational-legal form, as well as territorial location. Research conducted in this article represents the development of scientific ideas about modern technologies to ensure the quality of medical services in a regional perspective. The practical application of its results will improve the procedures for managing the quality of services, organizing business processes of basic medical activities, including the production of medical services, as well as their service characteristics in relation to healthcare, taking into account current economic and social trends, and as a result ensure their sustainable development.

1. Orlov I.A. Arkhangelsk region: realities and development prospects. Analiticheskiy vestnik Soveta Federatsii FS RF = Analytical Bulletin of the Council of Federation of the Federal Assembly of the Russian Federation. 2017; 14(671):3-24. Available from: https://council.gov.ru/media/files/ACiXtQuVVUvRWnykmEsrXE753D0GNqqz.pdf (Accessed 11th March 2019) (in Russ.)

2. Svetlichnaya T.G., Tsyganova O.A., Borchaninova L.E. Consumption of medical services: medical and sociological analysis. Arkhangelsk: Due to the Northern Sea Institute, 2011. 185 p. Available from: https://elibrary.ru/item.asp?id=19557704 (Accessed 11th March 2019) (in Russ.)

3. Kovač N. Quality Management In Health Care – Contributing To Patient Safety And Efficiency Of Business Operation. Interdisciplinary Management Research., Josip Juraj Strossmayer University of Osijek, Faculty of Economics. Croatia. 2014; 10:670–683. Available from: https://ideas.repec.org/a/osi/journl/v10y2014p670-683.html (Accessed 11th March 2019) (in Eng.)

4. Tošić B., Ruso J., Filipović J. Quality management in health care: concepts, principles and standards. In: 3rd International Conference on Quality of Life. Center for Quality, Faculty of Engineering, University of Kragujevac. 2018. P. 193–200. Available from: https://www.researchgate.net/publication/315837627_Quality_management_in_health_care (Accessed 11th March 2019) (in Eng.)

5. Yelubayeva M., Kabduyeva G., Živitere M. Process-oriented approach in a quality management to medical services. Proceedings of the 15th International Scientific Conference Information Technologies and Management. ISMA University, Latvia. 2017. P. 162–163. Available from: https://www.isma.lv/FILES/SCIENCE/IT&M2017_THESES/03_MDM/23_IT&M2017_Yelubayeva.pdf (Accessed 11th March 2019) (in Eng.)

6. Vos L, Chalmers S.E., Dückers M.L., Groenewegen P.P., Wagner C.,van Merode G.G. Towards an organisationwide process-oriented organisation of care: a literature review. Implementation Science. 2011; 6(8):8. DOI: https://doi.org/10.1186/1748-5908-6-8 (in Eng.)

7. Gonçalves P.D., Hagenbeek M.L., Vissers J. Hospital processorientation from an operations management perspective: Developmentof a measurement to oland practical testing in three ophthalmic practices. BMC Health Services Research. 13(1):475. DOI: https://doi.org/10.1186/1472-6963-13-475 (in Eng.)

8. Cánovas-Segura B. F., Oliboni B. A. Process-Oriented Approach for Supporting Clinical Decisions for Infection Management. In: 2017 IEEE International Conferenceon Health care Informatics (ICHI) IEEE Computer Society Press, P. 91–100. DOI: https://doi.org/10.109/ICHI.2017.73 (in Eng.)

9. Barzdins J., Konstante R., Mitenbergs U., Taube M. Transition to hospital processorientation: The case of regional hospitals in Latvia. Journal of Hospital Administration. 2016; 5(2):15–22. DOI: https://doi.org/10.5430/jha.v5n2p15 (in Eng.)

10. Kray A.G. Formation of a mechanism for managing economic security of Russian engineering companies. Management of economic systems. 2014; (12(72)):60. (in Russ.)

11. Nordsieck F. Betriebsorganization. Lehre und Technik. Stuttgart, Poeschel, 1961. (in Eng.)

12. Kondratyev V.V., Kuznetsov M.N. Show business processes. Moscow, Eksmo, 2008. 480 p. (in Russ.).

13. Hammer M., Champi J. Reengineering the Corporation: A Manifesto for Business Revolution. Harper Business; Revised, Updated edition (October 10, 2006). 272 p. (in Eng.)

14. Ermakova S.E., Kiseleva I.V., Evdokimova E.G. Evaluation of the performance of a health care organization through the analysis of financial indicators and success in working with clients. Rossiyskoye predprinimatel'stvo = Russian Journal of Entrepreneurship. 2015; 16(10):1517–1524 (in Russ.)

15. Guliev Y.I., Belyshev D.V., Mikheev A.E. Business Process Modeling in Healthcare Organizations: Process classification. Vrach I informatsionnyye tekhnologii = Doctor and information technology. 2015; (4):6–13 (in Russ.)

16. Belyshev D.V., Guliev Y.I., Malykh V.L. Business Process Modeling in Healthcare Organizations. Vrach I informatsionnyye tekhnologii = Doctor and information technology. 2014; (5):78–90 (in Russ.)

17. Repin V.V., Eliferov V.G. Process approach to management. Business process modeling. Moscow, RIA "Standarty I kachestvo", 2006. 404 p. (in Russ.)

18. Jeston J., Nelis J. Business Process Management: Practical Guidelines to Successful Implementations. Routledge, 2008. 500 p. (in Eng.)

19. Eliferov V.G., Repin V.V. Business processes: Regulation and management. Moscow, Infra-M, 2005. 404 p. (in Russ.)

20. Rother M., Shook J. Learning To See – Value Stream Mapping to Create Value and Eliminate Muda. Brookline, Massachusetts: Lean Enterprise Institute, 1999. 112 р. (in Eng.)

21. Dranove D., Kessler D., McClellan M., Satterthwaite M. The Effects of 'Report Cards' on Health Care Providers. Boston, MA: NBER. Available from: https://www.nber.org/papers/w8697.pdf (Accessed 11th March 2019) (in Eng.)

22. Rampersad H.K. Total Performance Scorecard: Redefining Management to Achieve Performance with Integrity. Butterworth-Heinemann, 2003, 332 p. (in Eng.)