Application and effectiveness evaluation of the information system-based RBRVS performance allocation model in a digestive endoscopy center

Abstract

Objective: To improve work enthusiasm and medical service quality for gastrointestinal endoscopists. Taking the Resource Based Relative Valae Scale （RBRVS） performance allocation model as a reference, we used the informatization graphic workstation as a basis to construct and implement a performance appraisal system which is suitable for our Endoscopy Department. Subsequently, we assessed the application results of the performance reform. Methods: Based on the RBRVS theory, the informatization graphic workstation was used to automatically calculate physician workload and conduct quantitative assessment. One gastroscopy was used as the minimum workload unit and every endoscopic diagnosis and treatment was quantified into multiple gastroscopies according to different technical levels. Next, the actual value of each gastroscope was assessed based on different job titles. Then we compared the work efficiency before and after the reform. Results: Following informatization performance reform, the number of endoscopy examinations and number of surgeries significantly increased, while the length of hospital stay of gastrointestinal endoscopy patients was significantly shortened (P < 0.05). Conclusion: Informatization performance reform improves department work efficiency, reflects the labor value of gastrointestinal endoscopists. The principles of more work leading to more reward, equality, and fairness, and should be promoted.