Transformation | Корпоративный фонд "University Medical Center"

Transformation

On the transformation of the “University Medical Center” Corporate Fund into the Academic Medical Center.

According to the strategic goal of the Nazarbayev University, UMC is part of the Nazarbayev University Integrated Academic Health System (NU Medicine), the purpose of which is to promote healthcare in Kazakhstan through the integration of clinical, educational and research activities.

In fulfillment of UMC’s Strategic and Operational Plans for 2019-2023, and guided by the recommendations of its strategic partner, the University of Pittsburgh Medical Center (UPMC), the transformation of UMC into an Academic Medical Center is underway.

The creation of the Academic Medical Center is intended to make UMC a center of excellence, developing a patient-centered system of care with synergy between research, education, and clinical activities.

The National Research Center for Maternal and Child Health and the Republican Diagnostic Center are combined into a single UMC clinical base, including an inpatient and outpatient departments.

Since January 1, 2021, all clinical units of UMC are based on the principles of the Clinical Academic Department, combining inpatient and outpatient care by profile Clinical academic departments function on the basis of the trinity, performing both innovative clinical tasks, educational programs, and implementing scientific research.

The mechanism of “dual appointment” of employees of UMC, Nazarbayev University and its subsidiaries (both at the level of management, and in clinical, educational and scientific activities) is also applied to intensify the processes of integration. For example, NUSOM associate professors are involved in leading positions in pediatrics, obstetrics and gynecology, clinical laboratory diagnostics and pathology.

In total, UMC has established and operates 7 clinical academic departments:

1) Department of Pediatrics; director – Dimitri Poddighe (Associate Professor of NUSOM);

2) Department of Women’s Health; director – Bapayeva G.B., doctor of medical sciences, doctor of the highest category in the specialty “Obstetrics and Gynecology” (UMC specialist);

3) Department of Laboratory Medicine, Pathology and Genetics; director – Matthew Tanko (Associate Professor of NUSOM);

4) Department of Anesthesiology and Intensive Care; director – Ibrayev T.Y., doctor of the highest category in the specialty “Anesthesiology and Intensive Care”;

5) Department of Radiology and Nuclear Medicine; director – Dautov T.B., doctor of medical sciences, doctor of the highest category in the specialty “Radiation diagnostics”;

6) Department of Internal Medicine; director – Nabiyev A. N., candidate of medical sciences, doctor of the highest qualification category in the specialty “Public health”;

7) Department of Surgery; Director – Djenalayev D.B., doctor of medical sciences, doctor of the highest category in the specialty “Pediatric surgery”.

The CADs are designed to ensure the integration processes of clinical, educational and scientific activities in the CAD. The structural functional unit in the CAD is the divisions – “programs”, created in the areas of clinical activity of the CAD. The program manager will ensure the implementation of measures aimed at integrating the clinic, education and science.

Accordingly, UMC staff are involved in the clinical education of NUSOM medical students and collaborative clinical and scientific research.

UMC is a platform for conducting joint research projects and clinical trials with NUSOM and NU. By consolidating clinical trial capabilities, a joint NUSOM / UMC unit has been established, and a website under the umbrella of the Virtual Center for Translational Research has been created.

The UMC nursing service has been centralized, with nursing staff from physician-run departments allocated to an independent service. Processes have been initiated to transfer to the Nursing Service the functions of managing the clinical base of the UMC, as well as the physician functions to the nurses.

On the basis of NUSOM, various capacity-building programs for UMC nursing staff are regularly implemented. For example, a 5-month Professional Development Program (PDP) has been offered since 2016 and an accelerated 2-year Bachelor of Applied Nursing program for UMC nurses since 2017.

UMC is a unique platform for the development of scientific and educational potential of Kazakhstan. Thus, UMC trains students of NUSOM, residents of NUSOM programs (3 specialties), as well as national residency programs (11 specialties).

In addition, educational programs of advanced training for specialists of regional medical organizations, including nurses, are implemented, in which more than 1,000 specialists are trained annually.  Master classes are held involving leading specialists from foreign universities and clinics.

In general, the creation of an integrated academic health care system at Nazarbayev University will contribute to

 training of highly specialized competitive health care personnel through the introduction of advanced educational technologies;

effective clinical activity based on international standards of quality and patient safety; development of research potential in health care.

In the future, the transfer of the acquired experience to other medical organizations of the country will significantly improve the quality of training of medical personnel and increase the competitiveness of medicine in Kazakhstan at the international level.

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UMC collaboration with University of Pittsburgh Medical Center

Since 2018, the “Nazarbayev University” Autonomous organization of education (hereinafter referred to as the University), together with University of Pittsburgh Medical Center (UPMC), began cooperation on the transformation of “University Medical Center” Corporate Fund (UMC) into the Academic Medical Center.

UPMC is one of the leading Academic Medical Centers in the USA and its development experience will certainly be very useful for creating such a center at the University based on UMC.

In the United States, as the competitiveness of the national and global economies increases, the emphasis in the field of healthcare is shifting more and more towards public health and economically viable treatment. These changes have led to the transformation of the healthcare model from a fragmented into a systemic, aimed at a coordinated, value-oriented model.

The Academic Medical Center (AMC) is a solution for all components of the value system in the field of healthcare, namely: high quality, positive treatment results, reduced costs and improved access to medical care. AMC is characterized as an institution that performs the threefold task of training, research and medical work. AMC includes one or several academic clinics and a school of medicine and is a center for training medical students and medical training for residents, undergraduates, and doctoral students. In addition, in order to improve medical care, AMC receives patients from the hospital system for conducting scientific and / or commercial studies in humans in compliance with the strictest international ethical rules.

At AMC, the scope of services where the patient can receive various directions within the hospital throughout the course of treatment is expanding. Moreover, representatives of numerous multidisciplinary groups, taking into account the results of the most relevant studies, thereby reducing the discrepancies in the clinical practice of various medical institutions and individual doctors, as well as developing treatment algorithms based on data analysis and the achievements of evidence-based medicine, make decisions. Due to the fact that medical education and training are an integral part of AMC services, a culture of continuous education and research is being formed, which creates a favorable atmosphere for innovation and progress.

The advantages of the AMC model are also convincing from the point of view of the healthcare system. Resources that are more powerful provide the opportunity for diversified development and elimination of the risk associated with dependence on a small number of services offered. The larger scale of the system will help to reduce costs in the procurement of supplies, technologies and services of suppliers. AMC provides an opportunity to solve many of the existing health problems in advance.

In 2018, specialists from the University, UMC and UPMC worked on a new UMC Strategic plan for the period 2019-2023, a draft for roadmap implementation, discussed the creation of clinical academic departments, preparation of residency programs in basic clinical specialties (therapy, surgery, obstetrics and gynecology, pediatrics), improving the activities of the nursing service.

In 2019 UPMC has collaborates with the University and UMC in improving and strengthening the corporate governance system, including the development and updating of corporate governance policies, in the implementation of a new organizational structure for UMC, which centralizes certain functions to optimize cost reduction and increase efficiency. With the support of UPMC, quality improvement and standardization of the UMC personnel management function are planned. UPMC will also develop a financial strategy for UMC, which will allow it to become a financially sustainable organization.

In 2020, due to the epidemiological situation in the country and in the world regarding the coronavirus COVID-19 and the measures taken by the Government of the Republic of Kazakhstan to contain the spread of infection, cooperation with UPMC was carried out in an online format.

So, during 2020:

• support for the development of UMC Clinical Academic Departments continued. UPMC has identified mentors with qualifications corresponding to the directors of the Clinical Academic Departments of Pediatrics and Women’s Health. Virtual forums were held between UPMC topic experts and UMC colleagues; • an assessment was made of UMC’s readiness for co-management and co-branding. UPMC developed a vision for future co-management with UMC based on UMC’s self-assessment and identified initial recommendations and priorities for co-management and co-branding.

 Cooperation with UPMC in order to transform UMC into an academic medical center, close to the best world standards, will continue after the lifting of all restrictive measures.

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