EXPERIENCE OF DIGITAL TRANSFORMATION OF THE QUALITY MANAGEMENT SYSTEM OF THE TREATMENT AND DIAGNOSTIC PROCESS

Highlights

Digital transformation is a prerequisite for the development of a modern healthcare system. The introduction of digital technologies into the quality management system (QMS) of the therapeutic and diagnostic process (TDP) plays an important role in ensuring the quality and safety of medical activities.

Resume

Aim. To form, implement and evaluate the features of the information management system for TDP in the provision of high-tech medical care (HMC) (using the example of the Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases” (NII KPSSZ).

Methods. Methods of analysis and synthesis, logical, systematic approaches, databases of the Russian Science Citation Index, Google Scholar, Pubmed search engines are used. A SWOT analysis was conducted, 13 respondents (managers) were interviewed.

Results. NII KPSSZ has implemented digital technologies in all stages of the management of the medical care (MC) process. At the patient selection stage, a contact center using IP telephony capabilities is being developed (the number of calls has increased 5.5 times in 3 years). The main stages of inpatient medical care are implemented through the medical information system (MIS), which is part of the unified information system of Kuzbass, the use of telemedicine technologies on a digital platform at the federal level and a regional centralized subsystem (2023 – 242, 2024 – 2 472 consultations). The completion of treatment, the transfer of statistical information about the patient, and payment for the provision of medical care are carried out through the unified state health information system. The improvement of the TDP QMS provides its own digital developments: software (software) that allows developing algorithms for the actions of medical personnel in various clinical situations (more than 30 documents); a module in the IIA for registering undesirable events; an automated risk management system, the process of conducting internal audits; control of the execution of orders through the “Events and Solutions” software.

Conclusion. The study demonstrates the experience of digital transformation of the QMS of the federal center that provides TDP. To increase the efficiency of the institution's functioning, it is advisable to form a digital TDP management model. The use of strategic analysis tools makes it possible to determine the development directions of digital transformation.

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