[Increasing Complexity in Performance Delivery - Management Approach for Tertiary Care Centers].

Area of Science:

• Healthcare Management
• Hospital Administration
• Health Systems Engineering

Background:

• Increasing societal trends like individualization and female workforce participation, alongside hospital industry developments such as subspecialization, aging populations, and multimorbidity, significantly elevate management complexity in tertiary care.
• This escalating complexity poses challenges for both technical and system management within healthcare institutions.

Purpose of the Study:

• To outline a management approach for tertiary care centers aimed at reducing complexity.
• To identify essential tools and strategies for effective management in increasingly complex healthcare environments.

Main Methods:

• Reducing complexity by resolving therapeutic conflicts through digitization.
• Implementing a comprehensive quality paradigm encompassing patient experience, treatment outcomes, indication, and service quality.
• Utilizing integrated management to consolidate fragmented expertise via system design, functional strategies, and process management.

Main Results:

• Digitization, a holistic quality approach, and effective management are key to reducing complexity.
• System design and process management competence are vital for integrating specialized medical knowledge.
• Transforming interfaces into seamless processes enhances patient-friendly management.

Conclusions:

• Effective management strategies are essential for navigating the increasing complexity of tertiary care.
• A multi-faceted approach combining technological, quality, and organizational strategies is necessary for optimal hospital performance.
• Reducing complexity through integrated management leads to improved patient care and operational efficiency.