THE EXPERIENCE OF TRANSITION TO RISK-ORIENTED MODEL OF SYSTEM OF QUALITY MANAGEMENT IN MEDICAL ORGANIZATION

Introduction. During implementation of medical activity an uncertainty and increased risk are present. to manage these two conditions a single system of management is needed capable preventing negative risks even during period of planning. The article presents experience of medical organization of transition to risk-oriented model of quality management system in concordance to ISO 9001:2015. Material and methods. The study was carried out in quarter IV 2016-quarter I 2017 in the research institute of complex problems of cardio-vascular diseases (hereinafter referred to as the organization). In the capacity of study techniques audit, SWOT analysis and logical analysis were applied. Results. According to step-by-step transition to risk-oriented model of quality management system training of administrators and owners of processes was organized. The genuine methodology of risk evaluation was developed. The implemented audit established 11 risks through 14 processes and directions of activity of medical organization. Among causes of risks internal causes were mentioned in 90%, including human factor (half of cases) i.e. the personnel of organization. With purpose of management, all established risks were separated to critical and non-critical ones in functioning of institution. The percentage of risks of critical character made up to 26%. The application of SWOT analysis permitted to establish 80 factors of internal and external environment of the organization. The results of implemented activities concerning transition to the new risk-oriented model of quality management system permitted to revise the strategic map of achievement of targets of the management system of the organization subject to evaluation of risks and factors of internal and external environment of the organization. The outcome of implemented activity became a positive assessment of quality management system of the institution during external certification audit according requirements of standard ISO 9001:2015. Conclusion. The application of methodology of step-by-step transition to risk-oriented model of quality management system of medical organization made it possible to implement an in-depth analysis of strong and weak aspects, to identify risks, threats and possibilities oriented to achievement of strategic targets of organization.

Latukha O.A. The problem of the effectiveness of quality management in a medical organization: the international aspect. Vestnik Novosibirskogo gosudarstvennogo pedagogicheskogo universiteta. 2017; 7(1): 230-45. (in Russian)

Knyazyuk N.F. Modeling an integrated risk management system in a medical organization. Meditsinskiy al'manakh. 2011; (2): 9-13. (in Russian)

Zakharova E.V. The system for managing the quality of care at the regional level Menedzhment kachestva v sfere zdravookhraneniya i sotsial'nogo razvitiya. 2006; (1): 41-3. (in Russian)

Yurlova N.S., Skachok I.V. Management of risks. Vestnik NGIEI. 2014; (3): 95-8. (in Russian)

Golubinskiy Yu.M., Elistratova A.G., Piskunova V.A., Chernova E.S. Application of risk-oriented thinking in the new version of the standard ISO 9001: 2015. Izmerenie. Monitoring. Upravlenie. Kontrol'. 2016; (2): 21-7. (in Russian)

Golenshina O. Ideal company. Ukrainskiy strakhovoy klub. Available at: http://www.insurance-company.com.ua/index.php?option=com_content&view=article&catid=35%3Aarticles&id=61%3Aideal-comp&Itemid=55 (in Russian)

Smetanko A.V. Applied aspects of planning risk-based internal audit on key performance indicators. Vestnik Finansovogo universiteta. 2013; (3): 85-98. (in Russian)

Kulikov O.V. The impact of risks on the activities of the state medical organization. Zdravookhranenie. 2016; (3): 28-35. (in Russian)

Artamonova G.V., Kostomarova T.S., Kryuchkov D.V., Cherkass N.V. The effectiveness of the quality management system of the Research Institute of the CPSU of the RAMS in 2012. Quality policy and strategic goals for 2013. Kompleksnye problemy serdechno-sosudistykh zabolevaniy. 2013; 2(2): 51-7. (in Russian)

Kakovkina T.V. Risk-oriented approach in the practice of internal control and audit. Vse dlya bukhgaltera. 2014; (3): 36-40. (in Russian)