Persaud D David
Author Affiliation: School of Health Administration, Dalhousie University, Halifax, Nova Scotia, Canada.
Health Care Manag (Frederick). 2019 Jan/Mar;38(1):82-88. doi: 10.1097/HCM.0000000000000250.
The purpose of this article is to detail a system for the design of performance measures that will be used to assess the achievement of a health care organization's strategic goals and its need for change. The article begins by emphasizing the importance of accountability and the need for the presence of a dynamic learning culture that is premised on a foundation of accountability, continuous improvement, learning, and innovation. This is followed by describing the importance of utilizing an interdisciplinary team with physician and patient involvement to guide the design and implementation of the performance measurement system. The goals of the system are then outlined and followed by a description of the process for the determination of the framework, scope, domains, measures, and reporting mechanisms for displaying the performance measures. Lastly, guidelines for the design of valid, reliable, and cost-effective performance measures are discussed with the aim of maximizing their utility by health care professionals, managers, and administrators.
本文的目的是详细介绍一个用于设计绩效衡量指标的系统，该系统将用于评估医疗保健组织战略目标的实现情况及其变革需求。文章开篇强调了问责制的重要性以及建立以问责制、持续改进、学习和创新为基础的动态学习文化的必要性。接下来描述了利用跨学科团队并让医生和患者参与其中以指导绩效衡量系统设计和实施的重要性。然后概述了该系统的目标，接着描述了确定绩效衡量指标的框架、范围、领域、指标以及报告机制的过程。最后讨论了设计有效、可靠且具有成本效益的绩效衡量指标的指导方针，目的是使医疗保健专业人员、管理人员和行政人员能够最大限度地利用这些指标。
