Alam Ashar
Indus Hospital and Health Network, Karachi, Pakistan
BMJ Lead. 2023 Jan 3;7(3). doi: 10.1136/leader-2021-000568.
The hospital performance measurement is critical for any institute to identify its areas of improvement and take appropriate corrective and preventive actions. However, to design a framework that is globally acceptable has always been a challenging task. The developed countries have formulated a few models but that cannot be implemented in the developing world without understanding their context. In this paper, we are sharing our process of sifting through the numerous frameworks and models to come up with an approach that works for Indus Hospital and Health Network. We also intend to highlight the leadership thought process and challenges in coming up with and implementing our approach. Our framework is based on including volume measures to the traditional value in healthcare measures of cost-effectiveness and quality. Moreover, our measurements were done at specialty or medical condition level in various types of services offered at our hospital. We have implemented this framework in our tertiary care hospital and deem that this model has given us the liberty to design key performance indicators according to specialties, services and medical conditions being dealt in our various facilities. We hope our experience will give healthcare leaders in similar settings ideas of how best to implement hospital performance indicators based on their own circumstances.
医院绩效评估对于任何机构确定其改进领域并采取适当的纠正和预防措施都至关重要。然而，设计一个全球通用的框架一直是一项具有挑战性的任务。发达国家已经制定了一些模型，但如果不了解发展中国家的背景情况，这些模型就无法在发展中国家实施。在本文中，我们将分享我们筛选众多框架和模型的过程，以得出一种适用于印度河医院及健康网络的方法。我们还打算强调在提出和实施我们的方法过程中的领导思维过程和挑战。我们的框架基于在传统的医疗成本效益和质量衡量标准中纳入数量指标。此外，我们的评估是在我院提供的各类服务的专科或病症层面进行的。我们已经在我们的三级医院实施了这个框架，并认为这个模型使我们能够根据我们各个机构所处理的专科、服务和病症来设计关键绩效指标。我们希望我们的经验能为类似环境中的医疗领导者提供思路，让他们知道如何根据自身情况最好地实施医院绩效指标。
