Showing 4 results for Performance Indicators
Shirin Rezaei, Abbas Rahimi Foroushani, Mohammad Arab, Ebrahim Jaafaripooyan,
Volume 14, Issue 2 (9-2016)
Abstract
Background and Aim: A New Health Reform Plan consisting of seven programs was initiated in Iran in mid-May 2015 aiming to reduce the out-of-pocket payments, improve the public’s health, and promote the public health indicators. This study was conducted to determine the effect of the Plan on the performance indicators of Hamedan university hospitals.
Materials and Methods: In this longitudinal descriptive-analytical study, based on the interrupted time series design, data related to hospital performance indicators were collected from all (15) Hamedan University hospitals for a period of 15 months (7 months before, and 7 months after, the implementation of the Plan, with a one-month interval in between). The SPSS software was used for data analysis.
Results: The data indicated changes in all the performance indicators after the implementation of the Plan. The largest changes were in the number of emergency and selective surgeries and the smallest in the ratio of active to total beds. Further analysis of the data showed that, as compared to the same months in the previous year, only a small number of these changes (number of emergency surgical operations and the ratio of active to total beds) were statistically significant.
Conclusion: Based on the findings it can be concluded that changes have occurred in all the selected indicators as a result of implementation of the New Reform Plan, indicating that the Plan has affected favorably performance of the hospitals. However, the effects observed should be judged cautiously, considering the possible negative consequences such as induced demand and hospital workload increase in the long run.
Ali Mohammad Mosadeghrad, Seyed Shahabeddin Shahebrahimi, Mehdi Ghazanfari,
Volume 16, Issue 1 (6-2018)
Abstract
Background and Aim: Hospital accreditation is a systematic external evaluation of a hospital’s structures, processes and results (outputs/ outcome) by an independent professional accreditation body using pre-established optimum standards. This study aimed to examine the relationship between accreditation and hospital performance. In addition, the most important accreditation constructs affecting hospital performance were identified and ranked.
Materials and Methods: This descriptive, correlational and cross-sectional study was conducted using the data related to accreditation scores and nine performance indicators of 121 hospitals in 2014 and 123 hospitals in 2015 in Tehran province, Iran. Shannon entropy method was used for calculating the weights of the hospital indicators. Then, Feature Selection method in data mining was used to explore the relationship between accreditation scores and hospital indicators. Data were analyzed using IBM SPSS Modeler software. Analyses were carried out at the 0.05 significance level
Results: The mean of hospitals’ accreditation scores were 61.98% and 69.56% in 2014 and 2015 respectively. All performance indicators except the number of outpatients were increased in 2015 compared to 2014. There was no significant difference in the scores between 2014 and 2015 data. Hospitals’ accreditation scores were not associated with their performances. However, accreditation scores of leadership and management; accident and emergency; and procurement departments had the most effect on hospitals’ performance.
Conclusion: Accreditation was not correlated with hospital performance. Thus, improving accreditation system including standards, methods and surveyors and using quality management strategies in hospitals are necessary for improving hospital’ performance.
Hossein Dargahi, Alireza Darrudi, Mehrzad Rezaei Abgoli,
Volume 16, Issue 3 (12-2018)
Abstract
Background and Aim: All hospitals need to be monitored and continuously evaluated. Pabon Lasso graphical model assesses the efficiency of hospitals using a combination of their input data and performance indicators. The aim of this study was to determine the effects of Iran Health System Evolution Plan on Tehran University of Medical Sciences (TUMS) hospitals’ performance indicators using the Pabon Lasso model in 2016.
Materials and Methods: This was a descriptive-analytical and cross-sectional study including 8 general and specialized hospitals. The hospital input data and performance indicators were collected by permission of TUMS Vice-chancellor’s Office for Therapeutic Services. Chi-square and the two-sample T2 tests were used for data analysis, and hospital performance was assessed using the Pabon Lasso Model.
Results: The results showed that the number of TUMS hospitals located in zones 3 and 4 had increased after implementation of the Iran Health System Evolution Plan, which indicates improved efficiency of these hospitals, as confirmed by the chi-square test.
Conclusion: Based on the Pabon Lasso graphical model, it can be concluded that the performance indicators of the hospitals show improvements in performance after implementation of the Iran Health System Evolution Plan. The successful experience in the management of the hospitals in this study can act as a practical guide for managers of other hospitals throughout the country for better management.
Mohammad Khamarnia, Arezo Ali Nezhad Ranjbar, Mahdiyeh Bakhshi,
Volume 17, Issue 2 (9-2019)
Abstract
Background and Aim: Accreditation is one of the important measures in the evaluation of health services. Today, the issue of accreditation has been established with the aim of creating and promoting a safety culture and quality of patient care. The purpose of this study was to determine the effect of accreditation on key and performance indicators of public hospitals in Zahedan before and after its implementation.
Materials and Methods: This descriptive-analytic cross-sectional study was conducted in 1396 in governmental hospitals of Zahedan University of Medical Sciences (Khatam-ol-Anbia and Ali ibn Abi Talib, AS). All of the key indicators of hospital performance were evaluated two years before the implementation of the accreditation (years 1391-1392) and two years after the implementation of the accreditation (1394-1395) in these hospitals. Data was collected using a form designed for study purposes. Descriptive statistics, tables and descriptive charts were used to draw information.
Results: Based on the results of the study, the duration of stay of patients after the implementation of the accreditation scheme in hospitals has improved somewhat and decreased by 0.5 days to 4 days in 1395. The rate of cesarean delivery has risen from 49.2% in 1391 to 56.8 in 1395. The percentage of flat occupancy has risen to over 90 percent in 1395. The bed rotation distance was reduced by 31.1%, and releasing by personal desire in 1395 was 9% lower than in 1394. The personal satisfaction score of the emergency releasing by personal desire also dropped by 7%. It should be noted that there was no change in the net mortality index before and after the validation.
Conclusion: Accreditation has had a favorable impact on hospital performance indicators of course, the implementation of the healthcare reform plan may also have an impact on this. In general, the implementation of accreditation in the hospitals of the country can reduce the problems in this sector and provide more quality services to clients. Also, for better implementation of this program, emphasis on mortality and cesarean section rates can lead to improved hospital performance.
