A new approach to human resource management in hospitals

A new approach to human resource management in hospitals

Official handover of human resource tools © GIZ/Sina Winkel

On May 7 Kyrgyzstan moved one step closer to a fundamental change in the way work is organized and staff are recruited in hospitals. At a meeting in Bishkek, members of a Ministry of Health working group presented the results of their work to develop tools and approaches to human resource management for the new Perinatal Center of the National Center for Maternity and Child Welfare, which is currently under construction.

For the first time in Kyrgyzstan, a systematic approach has been taken to determine how tasks will be distributed among teams, and which competencies are required to carry out those tasks. As a result, personnel will be recruited and selected on the basis of verified competencies and skills for positions which have clearly defined job descriptions. This will help to ensure that the services provided at the Center are of the highest quality, thereby contributing to saving the lives of women with severe pregnancy-related complications and premature or critically-ill babies.

The GIZ Promotion of Perinatal Health in Kyrgyzstan project, which works with the Ministry of Health to build the expertise of health workers who provide perinatal care services, has been providing technical support to the working group. Sandra Blackaby, a human resources professional with extensive international experience, has been supporting the working group in her capacity as an integrated expert at the National Center for Maternity and Child Welfare and the Ministry of Health. Blackaby’s position is organized through the Center for International Migration and Development (CIM).

High-quality, patient-centered care requires multidisciplinary teamwork

Women who are undergoing high-risk pregnancies and premature babies with low birth weight require specialized care in strict accordance with clinical standards. To successfully deliver this care, health facilities need to be staffed by the correct number and mix of clinical personnel, each with the right competencies, who can work as an integrated team to manage complex cases. Within these teams, each person’s role and responsibilities should be clearly defined.

Dr Kamchybek Uzаkbaev, left    © GIZ/Sina Winkel

This approach is currently lacking in most Kyrgyz hospitals. At present, there is no standard approach to reviewing the work of a team as a whole, developing job descriptions and competencies to support that work, and assessing candidates’ actual skills (as opposed to their formal qualifications). Human resource management systems, including support for career development, are also lacking. This negatively affects health workers’ motivation and performance, and indirectly influences the quality of care.

The establishment of the new Perinatal Center presents an opportunity to do things differently. On behalf of the Ministry of Health, Dr Kamchybek Uzakbaev, the Director of the National Center for Maternal and Child Health, expressed his appreciation to the members of the working group for their diligence. ‘We place great importance upon this new Perinatal Center,’ he said, ‘and human resources are central to this. Without the right people in place, it won’t work.’  

A revolution in human resources

Tools and resources   © GIZ/Sina Winkel

Over the past 18 months, the 10-member working group – comprising clinicians, lawyers and representatives of the hospital association – has systematically tackled the human resource framework for the new institution. It has mapped out roles and responsibilities in the new Perinatal Center, and how these roles work together to provide patient-centered care. It has developed job descriptions for both clinical and non-clinical positions and set up a ‘competency catalogue’ – divided into leadership, clinical, professional, core and basic competencies – required for each position.

To enable a fair and objective recruitment process, the working group also developed assessment tools, including a directory of competency-based interview questions, which will allow the panel to determine how well a candidate fulfills the competencies required of a given position.

After the meeting, Cholpon Asambaeva, the GIZ advisor responsible for the project’s work on human resources, reflected on the significance of introducing a competitive selection process via the new Perinatal Center. ‘If the approach proposed by the working group is adopted, this will ensure fairness, transparency and objectivity in the hiring process. The criteria which should count – knowledge, skills and experience – will count,’ she said. "What’s going on now is a kind of revolution’.

Sandra Blackaby, the human resources expert who has accompanied the process, added: ‘The Perinatal Center provides an opportunity for the Kyrgyz healthcare system to view human resources from a fresh perspective, because the structure is being built from scratch,’ she said. ‘We can implement new human resource approaches that not only serve the Perinatal Center, but which can be adapted to other perinatal care facilities as well.’

May 2019

Access Type: front
Page [18]
Module: /var/www/user845751/data/www/giz-health.kg/modules/news/index.php
Language: en
Identity: NULL

URL Params [1]
Blocks List [8]
Installed Packages Empty array
Configuration Params [177]
Constants List [26]
Initialized Classes List [6]

$_POST Empty array
$_FILES Empty array
$_GET Empty array

PHP version: 7.2.33
$_SERVER [45]
$_COOKIE Empty array
Info [news]
Hooks loaded, but weren't executed [2]

Hooks List

(4) phpCoreBeforePageDisplay [1]
(3) smartyFrontAfterHeadSection [1]
(1) smartyFrontFinalize [1]
Hooks [10/25]
1.1.62 ms
SET NAMES 'utf8mb4'
2.0.26 ms
SET sql_mode = ''
3.3.77 ms
SELECT `code`, `id`, `title`, `locale`, `date_format`, `time_format`, `direction ...
4.5.48 ms
SELECT `name` `key`, `value`, `type`, `options` FROM `sbr421_config` WHERE name ...
5.0.71 ms
SET time_zone = '+6:00'
6.8.58 ms
SELECT `key`, `value` FROM `sbr421_language` WHERE `code` = 'en' AND `category` ...
7.1.12 ms
SELECT `name`, `code`, `type`, `module`, `filename`, `pages` FROM `sbr421_hooks` ...
8.0.78 ms
SELECT cc.name `key`, cc.value, cc.type, c.type config_type, c.options conf ...
9.4.34 ms
SELECT p.`id`, p.`name`, p.`alias`, p.`action`, p.`module`, p.`filename`, p.`par ...
10.0.45 ms
SELECT `name`, `url`, `title` FROM `sbr421_modules` WHERE `type` = 'package' AN ...
11.4.83 ms
SELECT `name`, `alias` 
   FROM `sbr421_pages`
12.2.64 ms
SELECT `name`, `menu`, `movable` 
   FROM `sbr421_positions`
13.0.88 ms
SELECT `object` `name`, `access` FROM `sbr421_objects_pages` WHERE (`object_type ...
14.1.13 ms
SELECT * FROM `sbr421_blocks` WHERE `status` = 'active' AND `module` IN ('', 'k ...
15.1.52 ms
SELECT `object` FROM `sbr421_objects_pages` WHERE `object_type` = 'blocks' && ` ...
16.0.94 ms
   FROM `sbr421_acl_objects`
17.0.95 ms
SELECT * FROM `sbr421_acl_privileges` WHERE (`type` = 'user' AND `type_id` = '0 ...
18.0.5 ms
SELECT `alias`, `custom_url`, `name` FROM `sbr421_pages` WHERE `status` = 'acti ...
19.0.36 ms
SELECT `name`, `parent` 
   FROM `sbr421_pages`
20.3.33 ms
SELECT * FROM `sbr421_news` WHERE `id` = 23 LIMIT 0, 1
21.0.78 ms
SELECT `item`, `id`, `module`, `instantiable`, `payable`, `searchable`, `table_n ...
22.3.32 ms
SELECT name FROM `sbr421_fields` WHERE `status` = 'active' AND `item` = 'news' ...
23.0.42 ms
SELECT name FROM `sbr421_fields` WHERE `status` = 'active' AND `item` = 'news' ...
24.1.05 ms
SELECT name FROM `sbr421_fields` WHERE `status` = 'active' AND `item` = 'news' ...
25.2.31 ms
SELECT f.* FROM `sbr421_fields` f LEFT JOIN `sbr421_fields_pages` fp ON (fp.f ...
26.0.96 ms
SELECT * FROM `sbr421_members` WHERE `id` = '1' AND `status` = 'active' LIMIT 0 ...
27.0.35 ms
SELECT name FROM `sbr421_fields` WHERE `status` = 'active' AND `item` = 'member ...
28.0.35 ms
SELECT name FROM `sbr421_fields` WHERE `status` = 'active' AND `item` = 'member ...
29.0.87 ms
SELECT f.* FROM `sbr421_fields` f LEFT JOIN `sbr421_fields_pages` fp ON (fp.f ...
30.1.17 ms
SELECT COUNT(*) FROM `sbr421_online` WHERE `session_id` = 'a80d73406aee17c62c2d ...
31.0.37 ms
INSERT INTO `sbr421_online` SET `status` = 'active', `page` = 'https://giz-healt ...
32.0.87 ms
SELECT * FROM `sbr421_portfolio_categs` WHERE `status` = 'active' and `level` = ...
33.0.69 ms
SELECT * FROM `sbr421_slider` WHERE `status` = 'active' ORDER BY `order`
34.0.85 ms
SELECT * FROM `sbr421_slider_block_options` WHERE 1 = 1
35.0.71 ms
SELECT * FROM `sbr421_currencies` WHERE `default` = 1 LIMIT 0, 1
36.0.64 ms
SELECT `code`, `id`, `title`, `locale`, `date_format`, `time_format`, `direction ...
Sql [Queries: 36]
Real time render: 0.16525
Math time render: 0.1642
Memory usage: 8.00Mb(8 388 608b)
2. class - Loading class iaDb
Rendering time: 3.07 ms (0.00307 s)
Memory usage: 2.00Mb (2 097 152)
3. class - Loading class iaSanitize
Rendering time: 4.98 ms (0.00805 s)
Memory usage: 2.00Mb (2 097 152)
4. class - Loading class iaValidate
Rendering time: 0.46 ms (0.00851 s)
Memory usage: 2.00Mb (2 097 152)
5. class - Loading class iaLanguage
Rendering time: 0.21 ms (0.00872 s)
Memory usage: 2.00Mb (2 097 152)
6. class - Loading class iaUsers
Rendering time: 4.48 ms (0.0132 s)
Memory usage: 2.00Mb (2 097 152)
7. class - Loading class iaView
Rendering time: 2.06 ms (0.01526 s)
Memory usage: 2.00Mb (2 097 152)
8. class - Loading class iaCache
Rendering time: 2.95 ms (0.01821 s)
Memory usage: 2.00Mb (2 097 152)
9. core - Basic Classes Initialized
Rendering time: 0.55 ms (0.01876 s)
Memory usage: 2.00Mb (2 097 152)
11. config - Cached Configuration Loaded
Rendering time: 6.63 ms (0.02539 s)
Memory usage: 2.00Mb (2 097 152)
12. core - Configuration Loaded
Rendering time: 0.96 ms (0.02635 s)
Memory usage: 2.00Mb (2 097 152)
14. core - Hooks Loaded
Rendering time: 11.73 ms (0.03808 s)
Memory usage: 2.00Mb (2 097 152)
15. class - Loading class iaUtil
Rendering time: 6.06 ms (0.04414 s)
Memory usage: 2.00Mb (2 097 152)
16. class - Loading class iaSmarty
Rendering time: 1 ms (0.04514 s)
Memory usage: 2.00Mb (2 097 152)
17. main - beforeSmartyFuncInit
memory up: 50%
Rendering time: 9.95 ms (0.05509 s)
Memory usage: 4.00Mb (4 194 304)
18. main - afterSmartyFuncInit
Rendering time: 0.15 ms (0.05524 s)
Memory usage: 4.00Mb (4 194 304)
19. class - Loading class iaBreadcrumb
Rendering time: 0.13 ms (0.05537 s)
Memory usage: 4.00Mb (4 194 304)
20. class - Loading class iaPage
Rendering time: 0.57 ms (0.05594 s)
Memory usage: 4.00Mb (4 194 304)
21. class - Loading class iaAcl
Rendering time: 11.63 ms (0.06757 s)
Memory usage: 4.00Mb (4 194 304)
22. class - Loading class iaNews
Rendering time: 8.06 ms (0.07563 s)
Memory usage: 4.00Mb (4 194 304)
23. class - Loading class iaItem
Rendering time: 3.74 ms (0.07937 s)
Memory usage: 4.00Mb (4 194 304)
24. class - Loading class iaField
Rendering time: 1.59 ms (0.08096 s)
Memory usage: 4.00Mb (4 194 304)
25. hook - phpCoreBeforePageDisplay
Rendering time: 15.05 ms (0.09601 s)
Memory usage: 4.00Mb (4 194 304)
26. class - Loading class iaCategories
Rendering time: 0.52 ms (0.09653 s)
Memory usage: 4.00Mb (4 194 304)
27. class - Loading class iaSlider
Rendering time: 1.79 ms (0.09832 s)
Memory usage: 4.00Mb (4 194 304)
28. smarty - smartyFrontBeforeHeadSection
Rendering time: 7.15 ms (0.10547 s)
Memory usage: 4.00Mb (4 194 304)
29. smarty - smartyFrontAfterHeadSection
Rendering time: 0.36 ms (0.10583 s)
Memory usage: 4.00Mb (4 194 304)
30. smarty - smartyFrontBeforeBreadcrumb
memory up: 50%
Rendering time: 55.69 ms (0.16152 s)
Memory usage: 8.00Mb (8 388 608)
31. smarty - smartyFrontBeforeNotifications
Rendering time: 1.62 ms (0.16314 s)
Memory usage: 8.00Mb (8 388 608)
32. smarty - smartyFrontBeforeMainContent
Rendering time: 0.31 ms (0.16345 s)
Memory usage: 8.00Mb (8 388 608)
34. smarty - smartyFrontBeforeFooterLinks
Rendering time: 0.58 ms (0.16403 s)
Memory usage: 8.00Mb (8 388 608)
35. smarty - smartyFrontAfterFooterLinks
Rendering time: 0.17 ms (0.1642 s)
Memory usage: 8.00Mb (8 388 608)
Timer [Time: 0.16525] [Mem.: 8.00Mb]
tmp/front_giz-health/9eaebf9b08cdf52740751314a2457eb6f1bde113.file.index.tpl.php on line [41]95671
Original image usage: news_rsz_dsc_2127.jpg
Debug [1]