Health Facility Managers Research Articles

Acoustic comfort in health care facilities: Perspective of FGI-Facility Guidelines Institute

Acoustic comfort is a welcome concept for the design and management of healthcare facilities, potentially providing methods to address acoustic environment deficiencies revealed by experience and by the Affordable Care Act’s CAHPS® Hospital Survey, on which the noise question historically performs worst yielding public disclosure and financial penalties to hospitals. One possible vehicle for introducing quantified acoustic comfort into buildings is the healthcare design guidelines published by the Facility Guidelines Institute (FGI), which are adopted as building code in a majority of the United States, provide reference standards for the Leadership in Energy and Environmental Design (LEED) Rating System and the International Green Construction Code, and are cited in 87 countries. For acceptance into the FGI guidelines, “acoustic comfort” requires a formal definition accepted by standards organizations and clinical research, which is free from conflicts of interest based on research conducted by recognized third-party organizations on the physiological and psychological effects of noise on humans, particularly those with compromised health, like patients in hospitals and skilled nursing facilities. FGI encourages proposals from the public, particularly valuing advice from members of professional societies, and relies on the research community to provide evidence-based support for all acoustics topics.

‘The false reporter will get a praise and the one who reported truth will be discouraged’: a qualitative study on intentional data falsification by frontline maternal and newborn healthcare workers in two regions in Ethiopia

IntroductionHealth Management Information Systems (HMIS) are vital to ensure accountability and for making decisions including for tracking the Sustainable Development Goals. The Ethiopia Health Sector Transformation Plan II includes preventing...

Foreign experience of anti-crisis management of medical institutions

The main components of the crisis management system of medical institutions were highlighted. Crisis situations will be understood as the inability of medical institutions to provide the population with medical services on time due to lack of various resources.
 As a result of catastrophes, natural disasters, armed conflicts, crisis situations arise when medical institutions are not able to fully provide the population with medical services, there is a lack of funding, human and material resources. Ukraine is no exception, as the armed conflict in the East in 2014 and Russia's full-scale invasion of Ukraine confirmed the lack of sufficient labor, logistical resources and financial support to provide quality medical care to the population. In such conditions, there is a need to develop tools, means of overcoming crisis situations in healthcare facilities.
 The aim of the article is to systematize the recommendations for Ukraine on the formation of a system of crisis management of healthcare facilities.
 Materials and methods of the research. The basis for the study were provided by private clinics for analysis documents of financial and economic reporting for the pre- and post-crisis periods, as well as scientific works of famous Ukrainian and foreign scientists. The research used methods of analysis, comparison, medical and statistical method and system.
 The result of the study was an analysis of the state of funding for healthcare facilities in Ukraine and a comparative analysis with the state of funding for such facilities in other developed countries such as Italy, Germany, Sweden, France.
 Conclusions. The main components of the system of anti-crisis management of medical institutions in crisis conditions are: effective leadership, which is provided by managers and management staff; human resources; equal access to basic medicines, vaccines and technologies of guaranteed quality, safety, efficiency; a functioning health information system has been established; financing of healthcare institutions and their financial protection in case of crisis; the process of providing quality, safe and efficient medical services with minimal expenditure of resources. In most European countries, the basic functions of healthcare management (prioritization, financing, service delivery, supply planning, quality control) are decentralized and carried out at the level of regional or local authorities, or regional health insurance funds or trusts

Proposed Solutions to Address the Challenges of Medical Waste Management in Health Facilities in Kamukunji Sub-County, Nairobi City County, Kenya

Medical waste management in Kenya has been greatly affected by the country's elevated production levels. The majority of medical facilities do not have an extensive medical waste management system, or if they do, they do not handle waste thoroughly, and therefore is detrimental to humans and the environment. This research focuses on health facilities’ management of medical waste in Kamukunji sub-county, assessing the specific problems of medical waste management in that area. This was a study focusing on healthcare workers, their working conditions and habits. This study was an analytical cross-sectional study design. Multistage sampling methods for the selection of 10 health facilities and 141 study participants. The R square was 0.746, indicating that medical waste management was harmed by a lack of funding, insufficient logistics, a lack of disposal sites, and a lack of understanding. This demonstrated a 74.6 percent variance in healthcare waste management due to a lack of funding, insufficient logistical supply, a lack of disposal site, and a lack of awareness. The remaining 25.4% implies that there were additional issues affecting the healthcare waste management systems of the ten health facilities evaluated. By explicitly identifying a given color with a certain category and its accompanying hazard, segregation aids to make waste processing safer. During the research period, Pumwani Maternity Hospital generated the most medical waste (80Kg) and Bahati Health Center generated the least (15Kg). The study concludes that periodic updates in medical waste management are necessary, as is refresher training for healthcare professionals and waste handlers. Additionally, it is advised that each health care facility have a safe and hygienic system in place for the handling, segregation, c collection, storage, transportation, treatment, and disposal of medical waste. All health facilities in Kenya, the study states, should adhere to the National Policy on Injection Safety and Medical Waste Management (2007). The 2007 strategy aims to emphasize the need of advocating for both the support and execution necessary to adequately manage healthcare waste. Keywords: Medical waste generation, health risks, medical waste management solutions, challenges of medical waste management, health facilities

A Comparison of Hospital Area Measurement in Germany, Canada, Australia, and the United States: Part 1.

Objectives:This article compares national standards for area measurements of healthcare facilities in four countries and examines the risks and differences that can arise when comparing building areas of healthcare facilities internationally.Background:In the planning and management of healthcare facilities, the utilization and comparison of building floor areas plays a major role. Differences in terminology, classification, and methodology help to reduce planning and cost risks when applied on a local and national level. The proper allocation of building floor space is vital in the design of room programs, determination of floor space, construction costs, and operating costs.Methods:Each of the four hospital area measurement standards is compared to discern similarities and differences.Results:Most countries use a three-tier system of hospital area measurement: building gross area, department gross area, and department net area. Few differences were found between country standards for department area, though the German standards do not fully address this tier. Variation is found in whether a country includes certain functions in the hospital area—such as research space, shell space, or central energy plants—which can have a significant impact on the overall hospital area.Conclusions:This article informs further development of individual country standards and highlights principles to consider for international hospital area comparison.

Health facility management and primary health care performance in Uganda

BackgroundPrimary health care is a critical foundation of high-quality health systems. Health facility management has been studied in high-income countries, but there are significant measurement gaps about facility management and primary health care performance in low and middle-income countries. A primary health care facility management evaluation tool (PRIME-Tool) was initially piloted in Ghana where better facility management was associated with higher performance on select primary health care outcomes such as essential drug availability, trust in providers, ease of following a provider’s advice, and overall patient-reported quality rating. In this study, we sought to understand health facility management within Uganda's decentralized primary health care system.MethodsWe administered and analyzed a cross-sectional household and health facility survey conducted in Uganda in 2019, assessing facility management using the PRIME-Tool.ResultsBetter facility management was associated with better essential drug availability but not better performance on measures of stocking equipment. Facilities with better PRIME-Tool management scores trended towards better performance on a number of experiential quality measures. We found significant disparities in the management performance of primary health care facilities. In particular, patients with greater wealth and education and those living in urban areas sought care at facilities that performed better on management. Private facilities and hospitals performed better on the management index than public facilities and health centers and clinics.ConclusionsThese results suggest that investments in stronger facility management in Uganda may strengthen key aspects of facility readiness such as essential drug availability and potentially could affect experiential quality of care. Nevertheless, the stark disparities demonstrate that Uganda policymakers need to target investments strategically in order to improve primary health care equitably across socioeconomic status and geography. Moreover, other low and middle-income countries may benefit from the use of the PRIME-Tool to rapidly assess facility management with the goal of understanding and improving primary health care performance.

Challenges and Suggestions to Promote Maternal Service Provision and Utilization Under the Free Maternal Health Policy in Ghana: Perspectives of Health Directors and Facility Managers

INTRODUCTIONTo promote service uptake and reduce maternal deaths, a policy was implemented under Ghana’s National Health Insurance Scheme in 2008. This study explored the benefits and limitations of the policy, health system challenges, and community-level challenges resulting in suggestions to mitigate the challenges.METHODSThe study design was cross-sectional, utilizing qualitative data collection. It was carried out in the Kassena-Nankana East Municipality, Ghana, involving in-depth interviews (IDIs) with directors of Ghana Health Service and facility managers. A total of eight IDIs were conducted. Data were transcribed, read, and analyzed based on themes which were presented using key quotes.RESULTSThe policy promoted the use of services. Nonetheless, challenges existed as a result of limited service coverage, inadequate human resources and infrastructure, lack of medications and equipment, lack of transport, and the influence of religion, culture, and family members. There was a need to strategize so that women with a low socioeconomic status would receive service over those of a high socioeconomic status. Other suggestions included the inclusion of family planning services, accreditation of private facilities, provision of a shift system for specialists to move to rural areas, and provision of incentives for health personnel in rural areas. It was also suggested that health personnel make known their challenges as well as to provide education on women’s rights and service expectations. The provision of transport vouchers to women as well as alternative arrangements to be made with private transport owners were also suggested.CONCLUSIONImplementing the suggestions may improve service provision and utilization leading to the reduction of maternal deaths and contributing towards achieving universal health coverage.

To call or not to call: exploring the validity of telephone interviews to derive maternal self-reports of experiences with facility childbirth care in northern Nigeria

BackgroundTo institutionalise respectful maternity care, frequent data on the experience of childbirth care is needed by health facility staff and managers. Telephone interviews have been proposed as a low-cost alternative...

Odpowiedzialność prawna lekarza za zakażenie się pacjenta SARS-CoV-2

The coronavirus epidemic, lasting from the end of 2019, which quickly gained proportions and the status of a pandemic, has changed the reality in health care for a long time, not only radically testing the endurance of medical personnel and the efficiency of the health system, but also forcing its significant and immediate rearrangement. In the period of the greatest number of infections, in view of disease outbreaks in healthcare facilities, a decision to limit access to health care services both in a timely justified for health reasons (postponement of scheduled admissions) and in a medically optimal form (telephone medical advice) could expose a patient to negative health effects, even though it was epidemiologically justified. The choice between epidemiological risks and patient’s exposure to health consequences due to failure to provide a health care service on time or form was burdening managers of healthcare facilities and their medical personnel. In the light of the above, a decision to provide a health care service as part of hospitalisation was inherently associated with an increased risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection during a hospital stay, which justifies the legal analysis of the possibility of classifying SARS-CoV-2 infection as hospital-acquired infections and all legal consequences related to them.

Participation in primary health care through community-level health committees in Sub-Saharan Africa: a qualitative synthesis

BackgroundHealth committees are key mechanisms for enabling participation of community members in decision-making on matters related to their health. This paper aims to establish an in-depth understanding of how community members participate in primary health care through health committees in sub-Saharan Africa (SSA).MethodsWe searched peer-reviewed English articles published between 2010 and 2019 in MEDLINE, Popline and CINAHL databases. Articles were eligible if they involved health committees in SSA. Our search yielded 279 articles and 7 duplicates were removed. We further excluded 255 articles following a review of titles and abstracts by two authors. Seventeen abstracts were eligible for full text review. After reviewing the full-text, we further excluded two articles that did not explicitly describe the role of health committees in community participation. We therefore included 15 articles in this review. Two authors extracted data on how health committees contributed to community participation in SSA using a conceptual framework for assessing community participation in health. We derived our themes from five process indicators in this framework, namely, leadership, management and planning, resource mobilization from external sources, monitoring and evaluation and women involvement.FindingsWe found that health committees work well in voicing communities’ concerns about the quality of care provided by health facility staff, day-to-day management of health facilities and mobilizing financial and non-financial resources for health activities and projects. Health committees held health workers accountable by monitoring absenteeism, quality of services and expenditures in health facilities. Health committees lacked legitimacy because selection procedures were often not transparent and participatory. Committee members were left out in planning and budgeting processes by health workers, who perceived them as insufficiently educated and trained to take part in planning. Most health committees were male-dominated, thus limiting participation by women.ConclusionHealth committees contribute to community participation through holding primary health workers accountable, voicing their communities’ concern and mobilizing resources for health activities and projects. Decision makers, health managers and advocates need to fundamentally rethink how health committees are selected, empowered and supported to implement their roles and responsibilities.

Prevalence of depression among heart failure inpatients and its associated socio-demographic factors: implications for personal-and family-based treatment management in health facilities in Vietnam.

Our objective is to identify the prevalence of depression among inpatients with heart failure (HF), and to ascertain the factors associated with the depression from a wide spectrum of sociodemographic variables. We conducted a hospital-based cross-sectional survey of prospectively collected data in inpatients with a diagnosis of HF at Vietnam National Heart Institute, Bach Mai Hospital (Hanoi, Vietnam) from July 2020 to July 2021. A sample size of 128 inpatients with HF was finally included. Primary outcome variable was depression ICD-10. The mean age was 62.34 (SD = 14.76). The sex ratio was 66 males to 62 females. The overall prevalence of depression ICD-10 was 46.88% among HF inpatients. The proportion of the depressed patients fluctuated between 37.21% and 83.33% by NYHA heart failure classification. Compared to the depressive prevalence among patients with NYHA class II, the odds were 8.43 times higher for those with NYHA class IV (OR univariate 8.43; 95% CI 1.63-43.46). Patient's age was significantly associated with increased prevalence of depression (OR multivariate 1.07; 95% CI 1.003-1.14). It was significantly higher odds of depression in HF patients who felt sadness after a diagnosis of an illness (OR multivariate 18.02, 95% CI: 4.21-77.08). Individuals with higher household economic status were less likely to be diagnosed with depression compared to those with lower household economic status (OR multivariate 0.15, 95% CI: 0.02-0.92). The odds of depression were significantly higher in HF patients who reported family conflict (OR multivariate 23.45, 95% CI: 1.29-423.55), and in those having the loss of a close family member (OR multivariate 38.62, 95% CI: 1.41-1055.98). The prevalence of depression by ICD-10 was relatively high. Age of patient, sadness after a diagnosis of an illness, household economic status, family conflict and loss of a close family member were significantly associated with the depression among HF inpatients. Present results suggest a need for a disease management program addressing both psychological and HF aspects with the aim of improving health outcomes for the inpatients in Vietnam health facilities.

Disrespect and abusive maternity care and associated factors in the labor and delivery wards of public health facilities in Assosa Zone, Ethiopia

Background: Disrespect & abuse during maternity care significantly affects a woman's decision to look for service and the quality of care she receives. Yet, its burden is not well identified in the developing regions of Ethiopia, specifically in the study area. Methods: Facility-based cross-sectional study design was employed. A total of 437 sampled mothers who attended labor and delivery wards of public health facilities of the Assosa zone were recruited using a systematic random sampling method. Data were collected using a semi-structured interviewer-administered questionnaire. Results: The overall prevalence of D&A was 350 (82.4%). The most reported types of D&A were non?consented care (68.0%), non-confidentiality (35.5%), and physical harm (33.6%). Conclusions: The prevalence of D&A was high. Hence, health facility managers, professionals, and other development partners should aim to make healthcare facilities more client-centered and attuned to the community's needs for safe maternity care. Keywords: Disrespect; Abusive care; Mistreatment; Childbirth; Maternity care.

Inventory Management Practices in Private Healthcare Facilities in Nairobi County

Universal health coverage (UHC) is an integral part of the United Nations sustainable development goals. The private sector plays a prominent role in achieving UHC, being the primary source of essential medicines for many people. However, many private healthcare facilities in low‐ and middle‐income countries (LMICs) have insufficient stocks of essential medicines. Simultaneously, these same facilities carry excessive quantities of other drugs, leading to obsolescence. This suggests poor inventory control. To propose potential remedies it is vital to fully understand the underlying causes. In semi‐structured interviews with managers of private healthcare facilities in Nairobi, we asked them about their (1) inventory control systems, (2) inventory control skills, (3) time/human resource constraints, (4) budget constraints, (5) motivations for inventory control, and (6) suppliers. Our results suggest that the problems are driven by resource limitations (budget and time/human resources), managerial issues (relating to skills and systems), and market mechanisms that limit overage and underage costs. Unavailability at the supplier level and motivations for inventory control are relatively minor issues. We posit that the key causes are interlinked and stem from wider issues in the market and regulatory environment. Our results challenge prevalent beliefs about medicine supply chains in LMICs and lead to novel hypotheses. Testing these hypotheses could improve our understanding of inventory management in private healthcare facilities and aid progress in achieving UHC.

Audit of Clinical Care for Women with Preeclampsia or Eclampsia and Perinatal Outcome in Ethiopia: Second National EmONC Survey.

BackgroundPreeclampsia and eclampsia contribute to maternal and perinatal morbidity and mortality, especially in developing countries. However, the evidence on clinical practice in the management of preeclampsia/eclampsia and perinatal outcomes is limited. Therefore, the aim of this study was to assess clinical care and perinatal outcomes for women with preeclampsia/eclampsia admitted to health facilities in Ethiopia.MethodsThis study used the 2016 Emergency Obstetric and Newborn Care survey, which included 3804 health facilities. The last two cases of women with preeclampsia/eclampsia who were admitted for birth in each participating health facility were selected and their medical records were reviewed. Descriptive analyses by health facility type, location and management authority were conducted. A chi-squared test was used to test for differences.ResultsOut of the 3804 health-care facilities across the country, we could review a total of 959 medical records of women with preeclampsia or eclampsia. Of all cases, 90% (863) were hospitalised in public health facilities, 542 (56.6%) were admitted at health centre/clinics and 638 (66.3%) were in urban health facilities. A substantial proportion of maternal and newborn information was missing from their medical records. Of the 553 records that recorded perinatal outcomes, the proportion of perinatal mortality prior to discharge was 16.3% (95% CI: 13.4%, 19.6%). A significant perinatal death was recorded among mothers admitted to hospitals (P < 0.01), maternal age 15–24 (P < 0.04), facilities in urban areas (P < 0.01), referred cases (P < 0.007), high systolic and diastolic blood pressure (P < 0.001), unconscious and experience seizure (P < 0.001), newborn with morbidity (P < 0.001), and women who spent more hours before giving birth (P < 0.002).Conclusions and RecommendationsHigh perinatal mortality in health facilities was reported and care toward mothers with preeclampsia/eclampsia was limited. Strengthening the health facility readiness to respond for management with data registration and reporting system needs to be improved for evidence-based decision-making on perinatal and maternal health.

Management of Health Facilities Medical Waste on Lombok Island, West Nusa Tenggara Province

Background: one of the effects or impacts arising from the implementation of health service activities is the emergence of medical waste. Medical waste generated can be at high risk of causing negative side effects for health if not handled properly. In Indonesia itself, it has implemented regulations related to medical waste management in health facilities listed in the region-based medical waste management program. Lombok Island, West Nusa Tenggara Province is one of the target areas in this program, however, there are still some shortcomings in the implementation of medical waste management and disposal so it still poses a high health risk. Method: The method used is qualitative, with the collection of literature sources that meet the criteria for analysis. Objective: To determine developments in the management and disposal of medical waste on the island of Lombok, West Nusa Tenggara. Results: From the results of 3 literature reviews, it is shown that not one hundred percent of the management and disposal of medical waste in health facilities on the island of Lombok has been carried out in accordance with government recommendations. Regarding the separation of medical and non-medical waste, sharps waste and general waste are still not appropriate. Disposal of medical waste is not in accordance with the specified quality standard threshold. Conclusion: Medical waste management at Lombok Island Health Facilities needs to get further attention related to sorting to proper management and disposal.

Facility level factors that determine consistent delivery of essential newborn care at health centers in Ethiopia

BackgroundEssential newborn care (ENC) is a package of interventions which should be provided for every newborn baby regardless of body size or place of delivery immediately after birth and should be continued for at least the seven days that follows. Even though Ethiopia has endorsed the implementation of ENC, as other many counties, it has been challenged. This study was conducted to measure the level of essential newborn care practice and identify health facility level attributes for consistent delivery of ENC services by health care providers.MethodsThis study employed a retrospective cross-sectional study design in 425 facilities. Descriptive statistics were formulated and presented in tables. Binary logistic regression was employed to assess the statistical association between the outcome variable and the independent variables. All variables with p < 0.2 in the bivariate analysis were identified as candidate variables. Then, multiple logistic regression analysis was performed using candidate variables to determine statistically significant predictors of the consistent delivery of ENC by adjusting for possible confounders.ResultsA total of 273, (64.2%), of facilities demonstrated consistent delivery of ENC. Five factors—availability of essential obstetrics drugs in delivery rooms, high community score card (CSC) performances, availability of maternity waiting homes, consistent partograph use, and availability of women-friendly delivery services were included in the model. The strongest predictor of consistent delivery of essential newborn care (CD-ENC) was consistent partograph use, recording an odds ratio of 2.66 (AOR = 2.66, 95%CI: 1.71, 4.13). Similarly, providing women-friendly services was strongly associated with increased likelihood of exhibiting CD-ENC. Furthermore, facilities with essential obstetric drugs had 1.88 (AOR = 1.88, 95%CI: 1.15, 3.08) times higher odds of exhibiting consistent delivery of ENC.ConclusionThe delivery of essential newborn care depends on both health provider and facility manager actions and availability of platforms to streamline relationships between the clients and health facility management.

Determination of Business Intelligence and Analytics-Based Healthcare Facility Management Key Performance Indicators

The use of digital technologies such as Internet of Things (IoT) and smart meters induces a huge data stack in facility management (FM). However, the use of data analysis techniques has remained limited to converting available data into information within activities performed in FM. In this context, business intelligence and analytics (BI&amp;A) techniques can provide a promising opportunity to elaborate facility performance and discover measurable new FM key performance indicators (KPIs) since existing KPIs are too crude to discover actual performance of facilities. Beside this, there is no comprehensive study that covers BI&amp;A activities and their importance level for healthcare FM. Therefore, this study aims to identify healthcare FM KPIs and their importance levels for the Turkish healthcare FM industry with the use of the AHP integrated PROMETHEE method. As a result of the study, ninety-eight healthcare FM KPIs, which are categorized under six categories, were found. The comparison of the findings with the literature review showed that there are some similarities and differences between countries’ FM healthcare ranks. Within this context, differences between countries can be related to the consideration of limited FM KPIs in the existing studies. Therefore, the proposed FM KPIs under this study are very comprehensive and detailed to measure and discover healthcare FM performance. This study can help professionals perform more detailed building performance analyses in FM. Additionally, findings from this study will pave the way for new developments in FM software and effective use of available data to enable lean FM processes in healthcare facilities.

Update and Acceleration of Health Care Using Artificial Intelligence in Medical Treatments and Diagnostics

AbstractResearchers support the growth of artificial intelligence and similar methods in health and medical care for the purpose of continuously improving processes. By focusing on the growth on data analytics, statistics, applied mathematics, and computer methods including machine learning, the future of health-care methods will change. The development of computerized methods and the growth of data systems produce ample materials for artificial intelligence to develop and to bring physician assistance programs to enable continuous improvement resulting in superior health and medical care. This includes applications in intensive care as well as diagnostic therapies. The focus is on examples in the use of the promising developments in data science methods, the accumulation of medical and research data. With quality and continuous improvement in process control applications where one determines the usefulness of data analytics, there are great possibilities of change in the improvement in medical applications as well as the management of medical and health-care treatment and diagnostic facilities.&#x0D;

The patient as an aggressor

Abstract Despite the development of medicine, acts of violence against health care professionals, are a current, frequent and widespread phenomenon. In Poland, many health care staff are entitled by law to legal protection provided for public officials. Therefore, criminal offenses against them are more severely punished. In the years 2018-2019, research was carried out on acts of aggression that had been experienced by a group of 249 health care staff in health care facilities in the Świętokrzyskie Voivodeship. Just slightly more than 7.5% of the respondents indicated that they had not experienced aggression, which only confirms the scale of the problem. Therefore, managers of health care facilities should use all possible means to limit the extent of attacks and prevent their possible consequences..

ANALYSIS OF INNOVATIVE DEVELOPMENT OF HEALTHCARE INSTITUTIONS AS A FUNCTION OF THE MANAGEMENT OF THEIR SYSTEMIC DEVELOPMENT

The article investigates the problems of innovative development of enterprises in modern conditions of management and competition. The urgency of improving the innovative management of health care facilities is indicated. It is concluded that the current methodological approaches to the analysis of innovation activities of enterprises are insufficient and they need further improvement. The purpose of the article is to substantiate the new methodological and applied principles of analyzing the innovative activities of health care institutions in the context of improving control as a function of management of their further development. Leading methods of evaluation of innovation activity, innovation potential and innovative development of enterprises are generalized. The components and indicators of evaluation of innovative development of health care institutions are determined. An algorithm for comprehensive assessment of innovative development of health care facilities has been developed. The peculiarities of the management of innovative development of health care institutions have been identified, among which the risk of making a wrong management decision is increased; availability of a differentiated institutional and legal basis for regulating the innovation sphere for enterprises providing medical services; strategic focus of enterprises on the development of service and product innovations; limited state support for innovation; the presence of risks of leakage of information containing trade secrets. The applied significance of the research results lies in the qualitative and thorough analysis of innovation activity, and, consequently, the adoption of more informed management decisions for their further development. The scientific novelty of the research results is the further development of methods for analyzing the innovative development of health care facilities as one of the basic functions of their management.