IMPLEMENTATION OF QUALITY VALIDATION INDICATORS IN HEALTHCARE.

Accordingly, the purpose of the actions taken by the state services in the field of health care is mainly to avoid the negative consequences of healthcare services. Despite advances in modern medicine, millions of people around the world die each year as a result of medical errors, and patient safety remains a relevant and topical issue. Various regulations, guidelines, laws, standards and guidelines, effects of evidence-based medicine and Best Practice provided to improve patient safety. Data about medical errors show that 50-70.2% damage can be reduced with a systemic and sophisticated approach to patient safety. Like the rest of the world, providing high-quality healthcare services is one of the most significant and problematic issues in the healthcare system of Georgia. Despite the competitive environment in the healthcare market, there are no fundamental shifts in terms of quality assurance. There are several difficulties with the management and quality control of healthcare facilities. Unfortunately working on quality assurance, management and improvement is not a priority; For avoiding undesirable consequences, preventive measures are not considered as an essential approach; The directive standards and quality indicators almost are not created and what exists are sufficient. Effective interrelationships have not been achieved between critical components of quality assurance, such as technical competence, accessibility, efficiency, safety, effectiveness, continuity, etc. The structural units of the quality management system in the healthcare facilities are mainly focused on making the medical documentation under the norms required by the legislation. Methods for monitoring, measuring, analyzing and evaluating of the quality management system have not been well organized. In case of discrepancies, Instead of defensive measures to prevent the recurrence of the same defect, the main forces are directed to correct the unit cases and achieve compliance with the established norms. Establishment of a quality control system for healthcare organizations, development and implementation of quality indicators, and considering for continuous improvement requires a specific and multifaceted approach.

IMPROVEMENT OF QUALITY STANDARDS IN HOSPITAL CARE IN GEORGIA. PROBLEMS AND PROSPECTIVES.

Health systems provide health actions-activities to improve or maintain health. These actions take place in the context of and are influenced by political, cultural, social, and institutional factors. Demographic and socioeconomic makeup, including genetics and personal resources, affect the health status of individuals seeking care. Access to the health care system is required to obtain the care that maintains or improves health, but simple access is not enough; the system's capacities must be applied skillfully. Thus, quality means optimizing material inputs and practitioner skills to produce health. As the Institute of Medicine defines it, quality is "the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge." Globally, there is an acute shortage of human resources for health (HRH), and low-income countries bear the highest burden. This shortage has not only considerably constrained the achievement of health-related development goals but also impeded accelerated progress towards universal health coverage (UHC). Like any other low-income country, Georgia is experiencing a health workforce shortage, particularly in specialized healthcare workers to cater to the rapidly growing need for specialized health care (MOH Training Needs Assessment report (2015). The efficient use of the existing health workforce, including task shifting, is under consideration as a short-term stopgap measure. At the same time, deliberate efforts are being put on retention policies and increased production of HRH. The results of the analysis confirmed the essential leadership and managerial competencies for public hospital managers in Georgia. These competencies include Policy development and implementation, strategy development and orientation; plan-making; human resource management; financial management; equipment and infrastructure management, information management, risk and disaster management, self-management; quality management; investigation, supervision, monitoring and evaluation, ethics and knowledge. There are necessary competencies. Managers have to fulfill their tasks effectively and use them as a basis to develop competency-based training for the current management taskforce and preparing future hospital managers. This kind of study was limited before starting short and long term (including Master program Health Management and Administration) educational programs in different regions of Georgia. Thus, it should be further studied to gain an overall and clear picture of leadership and managerial competencies for hospital public managers. Taking into account the labor market flows in Georgia, to train and inspire a new generation of Health Administration professionals in global network atmosphere, provide broad knowledge, skills and expertise that is needed to undertake leadership roles in addressing critical issues of Health Administration at the national and global level is an urgent need. For this purpose, the elaboration and implementation of student-centered and competence-oriented Georgian-USA Collaborative Master Program in Health Administration with our future activities will be a relevant approach.