Hospital Performance Management Research Articles

The use of dashboards and performance management in public hospitals: the case of Togo

The use of dashboards and performance management in public hospitals: the case of Togo

Performance Management and the Specificities of Public Hospitals

The aim of this article is to describe the specific features of public hospitals that hamper performance measurement. We conducted a literature review of several theses and articles, which enabled us to describe the specificities of public hospitals and their impact on hospital performance measurement and management systems.

Determinants of digital twin adoption in hospital operation management

The hospital is one of the commercial buildings with the most complex and challenging operational management stage, and digital twin has been an important tool to improve the efficiency and quality of hospital operation management (HOM). As the largest developing country in the world, China has realized the potential of digital twin adoption in HOM, but the existing studies lack the systematic analysis of the determinants and the clarifying of their interrelationship. To fill these knowledge gaps, this paper employed Technology-Organization-Environment framework to sort out 12 determinants, and used DEMATEL-ISM method to analyze the interrelationships of determinants. The results showed that government policy was the determinant with the highest centrality degree and had the highest positive causality degree, while reliability was had lowest negative causality degree. User requirement was the only determinant at the root level, while the other three determinants under the environment dimension were at the deep and middle levels. The determinants under organizational dimension were located in the middle level and shallow level, and the determinants under technical dimension were all located in shallow level. Finally, three implications were put forward, including investigating user requirements for digital twin, leveraging support in the external environment and improving adoption readiness within the hospital. This study would not only enrich the academic framework in the field of HOM, but also provide the guidance for adopting digital twin in HOM in China and other similar economies around the world.

Retracted: Design of Hospital Operation Management System Based on Business-Finance Integration.

[This retracts the article DOI: 10.1155/2022/8426044.].

The Application of Operations Research Information System Tools in Hospital Operations Management in Developing Nations

Hospital services in the developing world are always overwhelmed due to scarce resources compared to the demand from the public. Operations Research provides a set of tools that are very useful in the optimization of resources, hence providing a highly needed service in assuring that, the resources are optimally utilized to save lives and provide better healthcare services. This paper reviews applications of Operations Research information system tools(ORIST) in hospital operations to find ORIST status in developing nations like the East African Region.This study used a systematic literature review method and thematic analysis. Results revealed that there is a lot of OR work about hospital operations in the developing world. However, little has been reported from East Africa. A proposal is presented about research opportunities on hospital operations in East African regions by grouping applications into four areas namely; planning, management, medical practice and prevention. The paper concludes by inviting all stakeholders to cooperate and provide the necessary support to Operations-Research practitioners.

Key forces compelling the monitoring of hospital performance: An exploratory study

AbstractPerformance management in the public sector is both multifaceted and convoluted. This is particularly pertinent in hospitals, which are complex institutional organizations. Our paper explores the key drivers compelling Irish public acute‐care hospitals to monitor their performance. The context of our study is located against the unique historical backdrop of the Irish health service, whose evolution over time reflects religious control, underfunding by the State and reliance on a decentralized structure up until the early 2000s. This study was conducted during 2009–2010, in the aftermath of the financial crisis of 2008–2009. Interviews were conducted with members of the hospital executive management team, comprising clinical and nonclinical senior managers, using the framework of Kelly et al. (2015) to explore and analyze respondent perspectives. We propose that a combination of key forces, emanating from new public management, the institutional environment, and its constituent elements spurs hospitals to monitor their performance. The confluence of these forces reveals a perceived change in the institutional logic underpinning hospital performance management. This change involved the substitution of autonomous clinical decision‐making for a more team‐based managerial logic whereby clinicians engaged as part of a multidisciplinary executive unit and accepted responsibility for hospital performance. This paper contributes to the literature on performance management in public services and, more specifically, builds on and addresses the paucity of research on Irish acute‐care hospitals.

Pengaruh Informasi Akuntansi Manajemen Dan Sistem Penghargaan Terhadap Kinerja Rumah Sakit (Studi Empiris Pada Rumah Sakit Umum Daerah Arga Makmur)

This study aims to determine the effect of: (1) management accounting information on hospital performance (2) reward system on hospital performance (3) management accounting information and reward system simultaneously on hospital performance.
 The type of research used in this research is quantitative. The population of this study were all employees of the Arga Makmur Regional General Hospital. The sampling technique used in this study was the purposive sampling technique with a total sample of 40 people. Data collection techniques using a questionnaire. The data analysis technique used to answer the hypothesis is multiple regression.
 Based on the results of the research conducted, it shows that there is an effect of management accounting information and system rewards on Hospital Performance. From the results of the coefficient of determination, it can be seen that the Adjusted R square is 0.442. This shows that management accounting information and reward systems affect hospital performance by 44.2% while the remaining 55.8% can be explained by other factors not examined in this study.

S-56-4: ESTABLISHING A NEPHROLOGY-LED AMBULATORY BLOOD PRESSURE MONITORING SERVICE IN SINGAPORE

Objective: The prevalence of hypertension in Singapore is increasing, and 64.3% of patients with hypertension are not able to meet treatment targets. Management of hypertension in patients with chronic kidney disease (CKD) and end stage kidney disease (ESKD) is challenging due to higher risk of resistant and masked hypertension, autonomic dysfunction, and blood pressure fluctuations related to intermittent haemodialysis (HD) treatment. Ambulatory blood pressure monitoring (ABPM) is the gold standard for diagnosis and management of hypertension and can provide better insight into patients blood pressure patterns and response to treatment. ABPM for a 24-hour period is an established service with the Cardiology department at our hospital. However, access remains limited, and utilizing another departments resources increases costs and may be a burden for our patients. Our aim was to develop a nephrologist-led ABPM service to increase accessibility and utilization of ABPM in our department and provide the option of 48-hour ABPM for patients on haemodialysis to be able to track blood pressure trends on both dialysis and non-dialysis days. Design & methods: We procured a Schiller BR-102 ambulatory blood pressure monitor with battery compatibility ensured to be able to run for 48 hours. Other factors in machine selection were portability, and ease of use of machine interface and reporting software. Two cuff sizes were obtained to increase utility for patients of different body habitus. The device underwent a review by hospital operations management team for meeting standards for safety and patient data protection. Scheduling and nursing workflows were established Nurses were trained in pre and post procedure checks with the aid of a nursing checklist, and a patient log was drafted for listing timing of medications, haemodialysis, and sleep and wake times. A patient information sheet was also created with a phone hotline to call during office hours in the event of complications. The service was then integrated into the electronic health reporting system. Reporting guidelines were adapted from the 2019 HOPE Asia Networks expert panel consensus guidelines for ABPM in Asia (2019). Results: Pilot studies were run on two healthy subjects to ensure the process flowed smoothly and that the machine was in working order., Recruiting of patients for ABPM service is ongoing. Conclusions: Establishing an ABPM service in our nephrology practice is feasible and will facilitate improved management of hypertension in our complex patient population.

Discussion on the Application of Management Accounting in Hospital Operation Management

Discussion on the Application of Management Accounting in Hospital Operation Management

Analysis on the Influencing Factors and Training Strategies of Young Talents in Hospitals under the Background of Big Data

Under the background of big data, young talents in hospitals across my country are constantly striving to exert their personal scientific research and technical capabilities in terms of scientific research performance. At the same time, it also exposed many problems that need to be solved urgently. Under the background of the new era, each hospital needs to exert and increase its training in terms of scientific research and technology research and the use of young talents. By building a scientific platform and establishing an effective scientific research performance evaluation management system, the backbone of outstanding young medical talents can be realized. In the context of big data, this paper studies and analyzes the influencing factors of hospital young talent scientific research and performance management. After the preliminary data collection work, the chi-square verification was carried out on the survey data of young medical scientific research talents. It is confirmed that the research conclusions based on big data have certain basis for improving the scientific research management level of each hospital based on the research conclusions, thus providing a certain theoretical basis for enhancing the scientific research performance of young talents in the hospital.

Design of Hospital Operation Management System Based on Business-Finance Integration.

In order to meet the requirements of the medical reform on the informatization construction of hospital operation management, a new and refined management system is established for the hospital, which integrates and analyzes the daily management data, realizes the unification of “capital flow and business flow,” and enhances the management's understanding of people, management of the planning use, and coordination and control of various comprehensive resources of finance and materials. In this study, by creating a new type of comprehensive operation management platform for the hospital, and by establishing a whole new set of operation management decision-making system, the hospital can effectively and unifiedly manage the business related to people, finance, and materials, so that the multifaceted business data can be effectively managed. Interoperability and sharing, with cost accounting as the center, enhance the management's intuitive understanding of the operation of various aspects of the hospital and provide strong support for the management of planning, coordination, resource allocation, comprehensive analysis, etc., forming financial management categories and logistics. There are four management categories: management category, human resource management category, business analysis, and decision-making category; the ultimate realization of the optimization of hospital resources and operation mode, the decision-making system aiming at the comprehensive management of hospital personnel, finance, and materials, that is, the comprehensive operation management of the hospital system. The system can provide a strong guarantee for the stable, safe, and healthy economic operation of the hospital and improve the information construction and sustainable development of the hospital. Ultimately, the purpose of improving the comprehensive operation management of the hospital, realizing the refined management, enhancing the core competitiveness of the hospital, and finally realizing the integration of business and finance is achieved.

Building a Performance Management System for Hospitals Based on Diagnosis-Related Group (DRG) Payment

With the deepening of the national medical and health system reform, various supporting reform measures are being promoted. The reform of medical insurance payment methods is an important part of the process, and payment through diagnosis-related groups (DRGs) will gradually become the main way for medical insurance to pay medical institutions. According to the analysis of the impact of DRG payment on hospital performance management, this research examines the construction and implementation of the internal performance management system (IPMS) based on DRG payment in hospitals. The IPMS based on DRG payment includes four elements: organizational management system, assessment system, communication and feedback system, and information support system. In addition, this study explores how IPMS can be implemented in hospitals, including the preparation before implementation, key points to be grasped during implementation, and considerations to be focused on.

Homogeneity and Best Practice Analyses in Hospital Performance Management: An Analytical Framework

Performance modeling of hospitals using data envelopment analysis (DEA) has received steadily increasing attention in the literature. As part of the traditional DEA framework, hospitals are generally assumed to be functionally similar and therefore homogenous. Accordingly, any identified inefficiency is supposedly due to the inefficient use of inputs to produce outputs. However, the disparities in DEA efficiency scores may be a result of the inherent heterogeneity of hospitals. Additionally, traditional DEA models lack predictive capabilities despite having been frequently used as a benchmarking tool in the literature. To address these concerns, this study proposes a framework for analyzing hospital performance by combining two complementary modeling approaches. Specifically, we employ a self-organizing map artificial neural network (SOM-ANN) to conduct a cluster analysis and a multilayer perceptron ANN (MLP-ANN) to perform a heterogeneity analysis and a best practice analysis. The applicability of the integrated framework is empirically shown by an implementation to a large dataset containing more than 1,100 hospitals in Germany. The framework enables a decision-maker not only to predict the best performance but also to explore whether the differences in relative efficiency scores are ascribable to the heterogeneity of hospitals.

The enhancement of the employer branding strategies of Polish hospitals through the detection of features which determine employer attractiveness: a multidimensional perspective

BackgroundPolish healthcare providers already struggle with a deficiency concerning human resources, especially with regard to doctors and nurses. Because of this, effective HRM interventions should be taken in order to attract and retain medical personnel. Employer branding is one such intervention because it not only results in improving the organization's reputation as an employer but also improving HRM practices. However, to create an effective employer branding strategy, a contextual approach should be taken. Because of this, the aim of the study is to assess the importance of various factors influencing medical personnel’s perception of a hospital’s attractiveness as an employer.MethodsThe study was performed among 285 hospitals in Poland assuming a confidence level of 0.95. In each hospital, five respondents took part in the survey. The first cohort of respondents named ‘Directors’ consisted of hospital directors or employees authorized by them, mostly HR specialists. The other four groups were: ‘Hybrid Doctors Managers’ (individuals who had the roles of both doctor and manager); ‘Hybrid Nurses Managers’ (having the roles of both manager and nurse); ‘Physicians’; ‘Nurses’. Due to the ordinal nature of the data, the chi-square test of independence was used and the V-Cramer coefficient was determined. To indicate significant discrepancies between the responses of the respondents’ cohorts, the Kruskal–Wallis rank test was conducted.Results and discussionVarious groups of respondents perceive hospital attractiveness as an employer differently. While the opinions of medical personnel are more or less homogeneous, the cohort of employees responsible for HRM are less consistent with regard to their perception of hospital attractiveness. Additionally, ‘Directors’ highlight tangible factors determining hospital desirability. Moreover, their hierarchy of the top five factors influencing EB clearly exposes their quantitative orientation towards hospital performance management. Medical personnel hierarchies of the determinants expose qualitative orientation. Excluding country-dependent factors, such as regularity of remuneration payment, the professionals value such determinants as a nice work atmosphere, cooperation with colleagues (specialists), good working conditions and, most importantly, employment stability. The last determinant results from generational and gender tendencies (feminization), and yet it stands in contradiction with a tendency of flexible employment implemented in most developed countries due to a lack of medical personnel.ConclusionsThe results showed the importance of adapting employer branding strategies to the medical professional groups (doctors and nurses). This is because their perception of employers’ attractiveness differ. In addition, elements of the profession genotypes play an important role in how the physicians and nurses value various factors creating the employers’ attractiveness. The research also revealed the fact that top managers or HR specialists can wrongly identify the hospitals attractiveness since they are more quantitatively than qualitatively oriented. For this reason, they may implement inefficient EB strategies.

The Performance Management Design in Public Hospitals: A Case Study

Abstract In response to the growing pressure on public budgets, many countries introduced various private-sector-inspired management practices to improve the performance of publicly funded health systems. Regardless, the non-negligible share of health-care spending is still considered wasteful, and the search for efficiency gains in healthcare is still relevant. The relevance even increases in the context of events related to the outbreak of the coronavirus disease in 2020, presenting new challenges for performance management in hospitals. Considering the gaps between the environmental settings of various countries, a finding of one universal theory of effective hospital management is unlikely. The contextual examination of hospital management on the national level and knowledge-sharing is then a more suitable approach to aid the practitioners in search of the most appropriate mix of management practices. This study employed a mixed methodological approach to examine individual aspects of performance management from the hospital management’s perspective to identify the areas of potential efficiency gains. The core research phase consisted of on-site visits in three public hospitals taking place since September 2019 with the respondents from various management levels and both clinicians and non-clinicians. During an approximately hour-long session the respondents were asked to fill out the questionnaire examining the aspects of the performance management system employed in their institution (e.g., the scope of measurement, reliability of data, communication of results, engagement of management) and interviewed to examine the rationale of provided responses. The on-site research stage resulted in 87 complete data sets further analyzed using statistical analysis with results interpreted using commentaries and rationales obtained from interviews. The findings were similar among all examined institutions and mostly consistent with similarly natured studies. While the performance measurement appeared to reflect the clinical performance better than the organizational one, it is also perceived as inadequate to the complexity of service. The management seemed to consider performance management for operational purposes rather than being incentive-oriented or exploratory, in line with the perceived lack of connection between the performance measurement and the organizational strategy. Combined with poor communication of performance management principles, this discrepancy appears to contribute to the potential tension between the hospital and clinical management in setting priorities between the economic performance and the quality of care. Overall, these findings should provide insight into aspects influencing performance management employed in public hospitals in the Czech Republic and present the evidence for the discussion of potential efficiency gains in practice.

Design of Fetal Health Classification Model for Hospital Operation Management

Design of Fetal Health Classification Model for Hospital Operation Management

Improving hospital operations management to reduce ineffective medical appointments

The main objective of this study is to meet management aspirations by promoting waste reduction and consequently improving patients` experience in a Portuguese public hospital. These aspirations in...

KITRO: technology solutions to reduce food waste in Asia-Pacific hospitality and restaurants

ABSTRACT This teaching case addresses sustainable hospitality in Asia-Pacific, specifically practices to reduce food waste. Hospitality and foodservice firms often require a third party to manage the introduction of sustainable practices. KITRO is a Swiss start-up developing waste management systems. In this notional case, KITRO plans to enter the Asia-Pacific market to expand their business. The teaching case offers opportunities to address the growing importance of sustainability and the steps towards introducing sustainable practices in Asia. The KITRO case can be used in undergraduate and postgraduate courses in the subjects of sustainability, innovation, strategy, sustainable entrepreneurship or hospitality operations management.

Medical Supplier Selection with a Group Decision-Making Method Based on Incomplete Probabilistic Linguistic Preference Relations

In hospital operation management, the medical supplier selection is a significant problem in which experts’ domain knowledge plays a critical role in selecting medical suppliers. The probabilistic linguistic preference relation (PLPR) whose elements are probabilistic linguistic term sets (PLTSs) is an effective tool to express experts’ preferences on alternatives based on pairwise comparisons. Due to the lack of knowledge of experts and the limit information of alternatives, some preference information may be missing and thus the incomplete PLPR (InPLPR) is constructed. In this study, a group decision-making (GDM) method with InPLPRs is proposed to deal with a practical medical supplier selection problem. To achieve this goal, we first propose a method to check whether an InPLPR is acceptable. Then, a procedure is developed to complete the acceptable InPLPR based on the property of additive consistency and a social strategy is proposed to complete the unacceptable InPLPR. Afterward, a GDM model based on InPLPRs is constructed in which the aggregation phase and exploitation phase are conducted by the probabilistic linguistic weighted averaging (PLWA) operator. Besides, an approach for calculating the weights of experts is proposed considering the characteristics of InPLPRs. Finally, we illustrate the proposed GDM model by a practical case about the medical supplier selection. A comparative analysis is presented to demonstrate the advantages of our method.

Tackling the Performance Regime Paradox: A Problem‐Solving Approach Engages Professional Goal‐Based Learning

AbstractPublic performance regimes are bedeviled by a paradox: they must engage the specialized knowledge of professionals who often perceive those very regimes as a threat to their autonomy. The authors use a mixed‐method analysis of performance management in Danish hospitals, with separate data for managers and frontline professionals, to offer two insights into this challenge. First, the study shows that managerial behavior—in the form of performance information use—matters to the way frontline professionals engage in goal‐based learning. Second, it shows that the way managers use performance data matters. When managers use data in ways that reinforce the perception of performance management as an externally imposed tool of control, professionals withdraw effort. However, when managers use data in ways that solve organizational problems, professionals engage in goal‐based learning. The threat to professional values that performance regimes pose can therefore be mitigated by managers using data in ways that complements those values.