Serway G D, Strum D W, Haug W F
Hosp Health Serv Adm. 1987 Aug;32(3):379-98.
This article explores the premise that the appropriateness and usefulness of typical hospital productivity measures have been affected by three changes in delivery: Organizational restructuring and other definition and data source changes that make full-time equivalent employee (FTE) measurements ambiguous. Transition to prospective payment (diagnosis-related groups). Increase in capitation (prepaid, at risk) programs. The effects of these changes on productivity management indicate the need for alternative productivity indicators. Several productivity measures that complement these changes in internal operations and the external hospital business environment are presented. These are based on an analysis of four hospitals within a multihospital system, and an illustration and interpretation of an array of measures, based on ten months of actual data, is provided. In conclusion, the recommendation is made for hospital management to collect an expanded set of productivity measures and review them in light of changing expense and revenue management schemes inherent in new payment modes.
本文探讨了这样一个前提，即典型的医院生产率衡量指标的适宜性和有用性受到了医疗服务提供方面的三个变化的影响：组织重组以及其他使全时当量员工（FTE）测量变得模糊的定义和数据源变化。向预期支付（诊断相关组）的转变。按人头付费（预付、有风险）项目的增加。这些变化对生产率管理的影响表明需要替代的生产率指标。本文介绍了一些补充内部运营和外部医院商业环境这些变化的生产率衡量指标。这些指标基于对一个多医院系统内四家医院的分析，并根据十个月的实际数据对一系列指标进行了说明和解释。总之，建议医院管理层收集一套更广泛的生产率衡量指标，并根据新支付模式中固有的费用和收入管理方案的变化对其进行审查。
