Medical organization management processes optimization through prototyping algorithms definition

Azis V. Akhokhova; Ахохова А. В.; Aksana M. Kardangusheva; Кардангушева А. М.; Madina H. Tlakadugova; Тлакадугова М. Х.; Liana T. Khokonova; Хоконова Л. Т.; Asiyat M. Gazaeva; Газаева А. М.; Azamat A. Kardanov; Карданов А. А.; Albina A. Pshukova; Пшукова А. А.

doi:10.22363/2313-0245-2025-29-2-246-264

Medical organization management processes optimization through prototyping algorithms definition

Authors: Akhokhova A.V.¹^,2, Kardangusheva A.M.¹, Tlakadugova M.H.¹, Khokonova L.T.¹, Gazaeva A.M.¹, Kardanov A.A.¹, Pshukova A.A.¹
Affiliations:
1. Kabardino-Balkarian State University named after H.M. Berbekov
2. Limited liability company Firm «SEM»
Issue: Vol 29, No 2 (2025): CARDIOLOGY
Pages: 246-264
Section: SOCIAL HEALTH AND HEALTH PROTECTION
URL: https://journals.rudn.ru/medicine/article/view/45197
DOI: https://doi.org/10.22363/2313-0245-2025-29-2-246-264
EDN: https://elibrary.ru/ZIIQQE
ID: 45197

Cite item

Full Text

Abstract
Full Text
About the authors
References
Supplementary files
Statistics

Abstract

Relevance. In today’s competitive environment, project management can ensure higher speed and quality of achieving strategic goals set for the healthcare industry at minimal cost and risk. Due to the need to implement regional projects with higher speed and quality, the problems of algorithmization of project management processes become relevant. The aim of the study was to find a prototype model for managing the processes of a medical organization project, built on formalized data of the functional components of the project and algorithms obtained during stage-by-stage modeling of the system. Materials and Methods. The research materials included scientific developments, manuals and works of Russian and foreign authors devoted to the economic and mathematical model of decision support in organizations of various types, the adaptive abilities of medical organizations implementing national projects in healthcare. Results and Discussion. The complex multi-level system of project implementation in the healthcare industry, the instability of the external environment and the diversity of stakeholder needs require finding an algorithm for the implementation of management processes. As part of the research question, in the process of constructing, formalizing the operation of the system, its elements, the presentation of data on the prototype of the medical organization project is iteratively refined — in accordance with the data, the algorithms are simultaneously refined. To build a model of a prototype of management processes in a medical organization in the region for the purpose of subsequent digitalization, it is necessary to formalize the variables, determine in accordance with the size of the range of values that this variable can take, for subsequent effective algorithmization of management processes. The authors consistently correlated the stages of project management processes with the classification characteristics of models to establish the stages of their construction and modeling of the working model of the project prototype. Conclusion. Having established an optimal (effective) prototype of the project’s management processes, it can be immediately integrated into the project environment of a medical organization using machine learning methods.

Keywords

project management, prototype model of management processes, implementation of regional projects, algorithmization of management processes, digitalization, machine learning

Full Text

Fig. 1. Clarification of the fundamental structures of a medical organization within the framework of the influence of legislative restrictions ("zero approximation")

Fig. 2. Clarification of the management processes of the medical organization project within the framework of the influence of legislative restrictions ("first approximation")

Fig. 3. Finding the levels of detail for the project element(s) limited by a set of data related to the implementation of project tasks ("second approximation")

Table 1
Finding a working prototype model based on correlation and analysis of the properties of management processes and algorithms within the framework of the implementation of the management stages of a regional medical organization project

№ п/п	Этапы процессов управления проектом/ Stages of Project Management Processes	Наименование символов/ Name of symbols	Изображение символа/описание изображения символа/ Symbol image/symbol image description	Управленческие процессы, с точки зрения отнесения классификации модели/ Management processes, from the point of view of classifying the model	Основные этапы построения моделей/ Main stages of building models	Рабочая модель прототипа проекта/ *Working model of the project prototype*
	1	2	3	4	5	6
1	Целеполагание/ Goal setting	Процесс/ Process		Приближенное подобие модели объекта (стохастическая и динамическая)/ Approximate similarity of the object model (stochastic and dynamic)	Содержательное описание моделируемого объекта/ Content description of the modeled object	…
2	Определение ситуации/ Definitionsituations	Принятие решений/ Making decisions		Модель объекта является аналоговой (непрерывной) и реальной/ The object model is analog (continuous) and real	Формализация операций/ Formalization of operations	…
3	Выявление проблемы/ Identifying the problem	Модификация/ Modification		Наглядные модели объекта/ Visual object models	Проверка адекватности модели/ Checking the adequacy of the model	…
4	Управленческое решение/ Management decision	Предопределенный процесс/ Predefined Process		Гипотетическое моделирование объекта/ Hypothetical modeling of the object	Корректировка модели/ Model adjustment	…
5	Типы процессов управления/ Types of management processes	Передача данных/ Data transfer		Математическое моделирование объекта/ Mathematical modeling of the object	Оптимизация модели/ Model optimization	…
		Прерывание/ Interrupt
		Соединитель/ Connector
6	Системы (проблемная область)/ Systems (problem area)Объект моделирования/ Simulation objectЦелевое назначение моделей/ Purpose of modelsТребования к моделям/ Model requirementsФормы представления моделей/ Model representation formsВид описания моделей/ Model description typeХарактер реализации моделей/ The nature of the implementation of modelsМетод исследования/ Research method			Комбинированное моделирование: Методы машинного обучения + Имитационное моделирование объекта/ Combined modeling: Machine learning methods + Object simulation	Построение концептуальной модели системы и ее формализация/ Construction of a conceptual model of the system and its formalization; Алгоритмизация модели системы и ее машинная реализация/ Algorithmization of the system model and its machine implementation; Получение и интерпретация результатов моделирования системы/ Obtaining and interpreting system simulation results

Тable 2
Finding prototypes of management processes by comparing the requirements for the model of the processes of functioning of the project system and elements of the organizational structure of the project

Функциональное наполнение формализованных процессов модели проекта/ Functional content of formalized processes of the project model	Требования, предъявляемые к модели процессов функционирования системы проекта для создания его прототипа/ Requirements for the process model of the functioning of the project system for creating its prototype [10]						Прототип/ Prototype
	Полнота модели/ Model completeness	Гибкость модели/ Model flexibility	Длительность разработки/ Development duration	Структура модели (блочность)/ Model structure (block structure)	Информационное обеспечение/ Information Support	Эксперимент с моделью/ Experiment with the model	Прототип/ Prototype
Первый этап проекта. Инициация/The first stage of the project. Initiation
Разработка целей проекта, с помощью определения:/ Developing project goals by defining:
элементы организационной структуры проекта:/ *elements of the project organizational structure*:
операционное ядро организации/ operating core of the organization	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	Содержательное описание моделируемого объекта/ Content description of the modeled object
стратегическая вершина/ strategic pinnacle	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	Содержательное описание моделируемого объекта/ Content description of the modeled object
средняя линия/ middle line	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	Содержательное описание моделируемого объекта/ Content description of the modeled object
техноструктура/ technostructure	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	Содержательное описание моделируемого объекта/ Content description of the modeled object
вспомогательный персонал/ support staff	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	Содержательное описание моделируемого объекта/ Content description of the modeled object
идеология/ideology	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	оценка процессов/process assessment	Содержательное описание моделируемого объекта/ Content description of the modeled object
Критерии оценки/ Criteria for evaluation	выявления скрытых взаимодействий, тестирования зависимостей, выявления слабых сторон, предупреждение случайностей/ identifying hidden interactions, testing dependencies, identifying weaknesses, preventing accidents

Fig.4. Conceptual filling with project processes in a medical organization, taking into account the properties of systematicity, elements of management activities in the unity of the goals of their functioning (feedback loops)

About the authors

Azis V. Akhokhova

Kabardino-Balkarian State University named after H.M. Berbekov; Limited liability company Firm «SEM»

Author for correspondence.
Email: Aza_stih@mail.ru
ORCID iD: 0000-0003-2370-9701
SPIN-code: 8076-6544
Nalchik, Russian Federation