Functional matrix of administrative processes in medical organizations and expert assessment of their labor input

Aim. To assess the complexity of administrative-economic (auxiliary) business-processes in a medical organization based on functional work matrices.

Methods. Using the process approach, the composition of auxiliary business-processes of a medical organization was determined and functional matrices were developed. These included the designation of the work (of the components of the process), the frequency, and the performers of the process. The assessment of the complexity of processes and the components (of the work) was carried out using expert methods and a method of functional-cost analysis. Questioning of the members of the working groups on the development of functional matrices of processes was carried out to assess the complexity of each process and its components. The final grade was based on the calculation of the arithmetic mean except for answers that lay outside three standard deviations from the originally calculated arithmetic mean. The work was carried out in the The Clinical Hospital of the Federal Public Health Institution “The Medical Sanitary Unit of the Ministry of Internal Affairs of Russia for the city of Moscow”, Moscow, Russia, in 2017–2019.

Results. In the course of the research, 30 supporting business-processes were identified. For each auxiliary business-process, a functional matrix of the work was developed with an assessment of its labour intensiveness. This article provides a functional matrix for business-processes for the organization of internal meetings with an assessment of the labour-intensiveness of the work included in the business-processes, and the results of the assessment of the labour-intensiveness of all the identified business-processes (without working out the components of speci­fic works in detail).

Conclusion. A methodological processes approach using functional matrices of work and a functional-cost analysis expert method can be used to assess: the labour-intensiveness of a business-process; the appearance of the most labour-intensive areas of the work; the definition of the main directions for their optimisation. The main problem in studying methodological approaches in the daily practical work of medical organisations is their labour-intensiveness.