Integrated approach to the implementation of strategy in a sustainable developing healthcare organization.
Authors:   Novosibirsk State Medical University, Latukha O. A. , Son I. M. ,   Russian Medical Academy of Continuous Professional Education, Bravve Y. I. ,   Novosibirsk State Medical University, Kalinichenko A. V. ,   Novosibirsk State Medical University,   Clinical Consultative and Diagnostic Polyclinic No. 27, Khmelnitskaya Y. V. ,   Novosibirsk State Medical University, Chernyshev V. M. ,   Novosibirsk State Medical University, Tolstova K. S. ,   Novosibirsk State Medical University
Published: November 2023

Currently, strategic planning is the basis of the activities of many healthcare organizations. Building strategic goals and objectives structures the action plan and allows you to determine the degree of importance of the work being carried out relative to the organization’s policies. However, not all management methods and techniques lead to sustainable development of healthcare organizations. To achieve the strategic goals of an organization, an integrated approach is needed, which determined the relevance of this study. Purpose of the study is to determine and the description of an integrated approach to the implementation of strategic objectives in a sustainably developing healthcare organization providing primary health care to the urban population. Materials and methods. The study of the sustainable development of healthcare organizations was carried out from 2012 to 2023, and a sociological study of the opinions of the heads of healthcare organizations implementing a development strategy was carried out from 2012 to 2018. Results. A sociological survey of managers showed that 24,6% of healthcare organizations applying a development strategy do not achieve their indicators within 3 years. To increase the sustainability of the development of healthcare organizations, an integrated approach is required in combination with such management methods as: implementation of a quality management system; implementation of a sustainable development model; implementation of improvements; training staff on a long-term development strategy; analysis of process effectiveness, etc. To implement a sustainable development strategy in the healthcare organization, the following activities were developed and implemented: determining the long-term goals of the healthcare organization; determination of key performance indicators of the organization; identifying key processes to achieve long-term goals of the clinic; identification of key performance indicators for each process; determining the quality and quantity of resources that support key processes; on-the-job training of personnel; monitoring and analysis of key performance indicators; identifying departmental best practices; implementing organizational improvements and innovations; changing long-term goals and key performance indicators based on the internal needs of the organization. In general, over 6 years, the effectiveness of the organization’s strategy and policies increased by 5,9 times. Findings. Thus, to achieve sustainable growth in long-term development indicators, it is necessary not only to formulate strategic performance indicators, but also to ensure their implementation in all divisions of the healthcare organization, including administrative, economic and support services. To this end, it is necessary to involve staff in improving work efficiency through on-the-job training in the best practices for implementing project work to improve the activities of a healthcare organization. This integrated approach increases employee engagement and allows for sustainable development of the organization as a whole.