The results of the rating assessment of the activities of medical organizations for 2019

Since 2019, the rating assessment of the activities of medical organizations, research institutes and scientific centers of the Republic of Kazakhstan is carried out in accordance with the updated methodological recommendation (hereinafter referred to as the Methodology), which includes the assessment of the activities of central regional hospitals, approved by the protocol of the expert council of the RCHRH No. 25 dated April 30, 19.

The rating assessment of the activities of medical organizations, scientific research institutes / scientific centers can be considered as one of the components of the process of managing the quality of medical care. On the one hand, such an assessment allows monitoring the performance of suppliers, and on the other hand, through informing consumers about the activities of suppliers, it motivates suppliers to continuously improve performance. In addition, it gives patients the opportunity to exercise their right to choose the attending physician and / or medical organization for treatment.

638 medical organizations took part in the rating assessment at the end of 2019, of which 17 research institutes / scientific centers, 111 hospitals for adults, 25 hospitals for children, 32 obstetrics organizations, 210 primary health care organizations, 65 dispensaries and 178 central regional hospitals.

Among 17 research institutes and research centers, the category of 5 stars in management included JSC Kazakh Research Institute of Oncology and Radiology, JSC National Center for Neurosurgery, JSC National Scientific Medical Center and JSC National Scientific Cardiac Surgery Center Clinical 5 stars.

The best out of 111 hospitals for adults in terms of clinical indicators were 42 city and 4 regional hospitals, according to management indicators, only 2 city organizations showed a 5-star result.

Only 4 city and 10 regional children's hospitals out of 25 earned the highest score in terms of clinical indicators, and no organization entered the 5-star category in terms of management indicators.

The leaders in clinical and management indicators among 32 maternity hospitals and perinatal centers were the "Regional Perinatal Center" of Aktobe region and "City Maternity Hospital No. 2" in Almaty. There are 11 city and 6 regional organizations among the leaders in terms of clinical indicators, and 1 regional and 3 city obstetric organizations according to management indicators.

Among 210 PHC organizations, 36 city polyclinics achieved the highest results in terms of management and 6 in terms of clinical indicators.

According to the ranking results, among 65 dispensaries, 6 organizations became the best in the management category, and only 3 in terms of clinical indicators.

According to the rating among central district hospitals, 37 (20.8%) out of 178 CRHs were named "five-star" in terms of clinical management indicators. Four stars in both categories were awarded to 27 district institutions (15.1%), while the rest of the organizations received from three to one stars.

In general, in terms of clinical indicators, the results of medical organizations in the ranking turned out to be better than the indicators of management - 381 (59.7%) institutions with a score of “4” and “5” versus 237 (37%).

Compared to last year, the assessment of the effectiveness of the management of medical organizations showed the following picture: in 2018, high indicators (4 and 5 stars) in the management category were reached by 277 medical organizations (38%) out of 724 evaluated, and in the new rating for 2019 from 638 organizations of this the level reached 237 MO (37%).

The quality of medical care is improving every year thanks to doctor-patient feedback. Thanks to sociological surveys and free access of patients to official pages on social networks to both the Ministry of Health and the Ministry of Health of the Republic of Kazakhstan, the healthcare system seeks to promptly eliminate and take measures to improve medical services.

The action plan for the implementation of the State Program for the Development of Healthcare of the Republic of Kazakhstan "Densaulyk" for 2016 - 2019 in order to modernize the national health care system focused on efficiency, financial growth includes the following indicator - The share of medical organizations with a high rating in terms of management level. According to the Methodology for calculating the GPRZ, this indicator at the end of 2019 is achieved and amounted to 8.7, with a planned value of 8.

The main factors that served to achieve a high rating in terms of management level are the active work of medical organizations in the implementation of medical information systems, the development of corporate governance, as well as the positive dynamics of indicators in comparison with 2018.

The results show that healthcare organizations have a high interest in rating and are striving for the top tier, as indicated by the upward shift in 2019.

In the course of the rating assessment of the activities of medical organizations, research institutes / scientific centers, a difference is noticeable in the number of participating organizations in the context of profiles.

The difference in terms of profiles is associated with the creation of multidisciplinary medical organizations by merging; since 2018, central district hospitals have also been included in the rating. In addition, there is an active interest in rating the private sector. In the reporting year, the number of private medical organizations participating in the rating was 100.

The implementation of the event continues.