The Internal Guide for the Elaboration and Updating of Administrative Manuals and / or Normative Documents of the INCMNSZ consists of defining the main characteristics for the elaboration of the organization manuals, procedures and normative documents for the internal functioning of the Institute, for what is considered a fundamental activity for strengthening the organic-functional scheme of organizations; in such a way that the different hierarchical levels established in each of the areas are identified, identifying the congruence of their actions, avoiding duplication in the functions they perform and facilitating the provision of health services with quality, safety, effectiveness, attention focused on the patient, opportunity, efficiency and equity.