The healthcare financing reform in Ukraine motivates local authorities to develop local medical strategies and implement new tools to improve medical care for city residents.
SITUATION
The city council deputies of Lviv decided to create three territorial medical associations (TMOs) by merging 9 medical institutions according to their activity profiles, in order to manage the institutions more effectively and provide better medical care to the city's residents.
To determine the development strategy for the TMOs and further the medical strategy for the city, the city leaders wanted to understand the current status of the institutions in terms of management, financial condition, and quality of medical care, as well as what strategic goals should be set for the newly created TMOs.
GOAL
Research the healthcare delivery system in medical institutions and identify ways to enhance the capacity of the newly created TMOs.
TASKS
In a short period of time, we had to gather information about the provision of medical care in 9 medical institutions in Lviv and analyze:
The management functions of the institution, including the system for collecting and storing medical information;
To determine the development strategy for the TMOs and further the medical strategy for the city, the city leaders wanted to understand the current status of the institutions in terms of management, financial condition, and quality of medical care, as well as what strategic goals should be set for the newly created TMOs;
Analysis of the quality of medical services based on defined indicators;
SWOT-analysis.
APPROACH
How did we do it?
Conducted in-depth interviews with the institutions' staff.
Based on the data, we prepared a report, which was discussed in strategic sessions with representatives of the institutions.
Analyzed statistical information and official documentation of the institutions.
Jointly prepared a SWOT analysis and developed strategic goals for the TMOs.
Based on the data, we prepared a report, which was discussed in strategic sessions with representatives of the institutions.
Situational analysis of
of medical institutions
of the city of Lviv
Quality
of medical
care
The financial
state of institutions
Management
capacity
of institutions
RESULTS
We analyzed the data and presented the results to the project team and representatives of the newly formed TMOs.
Identified the quality indicators of medical care that the TMOs should achieve by 2024.
Together, we developed joint recommendations and goals for the managerial and financial development of the institutions.
The results of our work were adopted in a session of the Lviv City Council as key goals for the TMOs by 2024.
Results of the analysis of medical institutions
Goals for the development of medical institutions in Lviv
The next step is the development of a comprehensive healthcare development strategy for Lviv.