Performance management Domains

Today, management of performance is core burden inside any healthcare institution that, simply because you do not know where you should look and with whom talk should be. The performance of any system from privately opinion more valuable than the systems itself, it means I care to build system easily to manage. If you have checked all healthcare problems nowadays, from first glance easily going to find out that most of them result from modest or may be poor management to different aspect of performance variable according to used management model and pattern. Most of authorize politicians and healthcare professionals focusing more on the system construction and business model process and incoming revenues produced by this system; I mean finances but they neglect building the system from beginning is to achieve core of values could service and reflect our society welfare. For sure not all politicians work near people and society benefits, sometimes there are a lot of poison beneath honey. Anyway; the process of performance assessment branched and takes more time to be understandable even for professionals. In that post we enumerate certain terms describe sharply where the professional should look and handle

Care quality: it is measure of the receivable patient care and this is the first indicator for services determination coherent rate, would see through the level of regression and holes in services pattern. This domain actually highlights on clinical content and introduced care to certain group of patients. Care quality is heterogeneous measurement that means probably there are many lied measures within. As mentioned the quality process of care is considered branched improvement network; some of them as:

Structure; including structure of hospital, polyclinic and other infrastrudture and fit features for medical services. as known well more simplier structure leading to better management  and early mistakes detection.

Process;  describe the process of services provision and what the rganization does in order to give the patient good values as clinical staying, immunization, radiography, kind of surgery ...etc

Outcome; refer to measurable health status of person f group of people. Outcome quality is determined according to the level of improvement, patient (s) could be received

Underuse; it is common among health providers, and refer to lack of necessary services should be provided such as mammography for women over 50 years and lack of some flu strains vaccinations.

Overuse; that show poor management unites, including wasteful, ineffective test and expensive unproven medicines. Because of behind pharmaceutical business and millions spent for promotion and marketing, that for sure leading to overuse from medical prescribers.

Misuse; refer to most of medical errors and assessment mistakes, as inappropriate surgery, test wrong results, adverse drug interactions ..etc.

Utilization/Cost/Efficiency; actually all together in one longitudinal axis, if the efficiency of introduced service going well and much fit patient needs. Subsequently, cost would be more less and adaptable of society living standards. Utilization is the Maximum benefit unite got by the same cost of similar value, and that measured among different providers in different countries.

There are a number of utilization measures that are already in widespread use. They include:

Ø  Inpatient days per 1,000 or admissions per 1,000 for defined populations (e.g., managed care plan members);

Ø  Length of stay;

Ø  Cost or charge per admission (or adjusted admission);

Ø  Bed occupancy rate;

Ø  Cost per member per month;

Ø  ER visit rate.

In next post, we going to discuss the satisfaction and how it carry effect on the other operation unites. I wish you all healthJ