Micro-Level Performance: Clinicians, Teams, Departments

Micro-level performance is called sometimes details measurement because it closely touch the micro elements and work details for each working unites including the team members and labour force. Clinic details the first corner more considered to be highlighted that because of being direct platform supposed to meet the patients. Working teams and their skills as well as their working pattern and achievement attitude toward the end receiver, whereby they got awaited and expected services and medication. Also the construction of departments and what they have from devices and labour and how much fit for emergency cases and outbreaks.

They still use conventional methodologies of treatment or there are some innovative techniques in order to save the time and effort. If the Macro-level performance is for policy makers and leaders, Micro-level is field measurement deals directly with patient and value receiver. Moreover, being successful to handle and manage the whole on ground teams, clinics, and associated departments, that simply means you have to get the certain objects designed and measured by Macro-level.

The mission here owns different insights with modified figures with work pathways proved that measurement concepts more than ever before. The medical workers supposed to deal and to be in front with variable mindset and almost all society categories without any excuse not to provide proper services. Seriously; doing public work in medical scope is not ever easy matter and need savvy, cheerful soul. Below some examples on how Micro-level performance could work teams, clinics and departments:

Ø  Assessing individual or small group-level performance against best practices or key organizational objectives

Ø  Evaluating the impact of local process innovations and/or guidelines

Ø  Locally organizing and displaying information to improve knowledge access

Ø  Improving the management of patients presenting for care

Ø  Improving communication channels among providers

Ø  Reducing variability in clinical care

Clearly, all work and services related closely to the value should be delivered to receiver and working to improve the service quality under the main determined strategy drawn. As a fact; Service, worker attitudes and task achievements giving the system trust and credibility, the opposite put the system chart inferiorly. The foremost; one of the most constructive features from technology, opening new knowledge and communication bridges. That has facilitated the process of data sharing between patient and health workers regardless distances and place of living. The question is communication is important in medical clinics; actually most of current and past problems were setting up because of communication deficit with poor link channel especially in holidays and remote areas.

Ultimately; follow up with nurses are crucial to determine the awareness between patient toward his/her illness and how far they own responsiveness and obedient to health instructions with medications. People used to afraid of unknown, once you explain your medication way and how they going to get a lot of benefits from being obedient to follow up rules. Subsequently; they are showing less resistance toward any changes or new innovative medication technique. I wish you all healthJ

Macro-Level Performance: Purchasers, Plans, and Populations

The term of Macro-level performance measures the whole system performance or major system unites as hospitals. Policy leaders and professional medical workers are widely users to this indicator. Therefore, that measurement gives the system designer properly clear picture about the results and possible mistakes as well as referring to the pattern setback and weakness location. The healthcare system Macro-level determines the macro system elements with no details deeply mention. In other meaning; they draw the whole system operating unites deferring the details of each for Micro-level.

For sure, health leader and planner cares more about view of system and nature of system as well plus how far reach globalization. As a side information to the reader; there is no many sort of systems; all healthcare systems categorised into three main categories; public, privately & semi-public. It means names are different but the same main unites. Some systems are extended according to populations and target objects from the system; moreover some countries take the same unites with little modification to be more compatible with their needs and market segments there. In order to declaring the uses of Macro-level performance and distinguished from any other measurements; MLP use typically for:

Ø  Assessment of organizational performance against key strategic objectives

Ø  Determination of executive and management incentive compensation

Ø  Capital allocation decisions

Ø  Setting strategic planning goals and direction

Ø  Interacting with regulatory and accreditation agencies or bond rating agencies

Ø  Comparing performance of similar operating units (e.g., hospitals or nursing homes) within large systems

Ø  Aligning operating unit goals and priorities with overall system goals and priorities

Ø  Aligning system priorities with purchaser priorities

Ø  Setting system-wide priorities for QI and CQI initiatives

Theses formerly mentioned point summarize the core role of this amazing measurement to cover most of setbacks and help medical professionals to study the system from macro overview setting to see the pathway of the work to where. Macro-measures of performance are typically not used for:

Ø  Assessing effectiveness of individual CQI initiatives;

Ø  Calculation of the incentive compensation for individual clinicians or first-line managers (part of the incentive may be linked to overall system or large operating unit performance, but individual “line workers” are too far removed from overall system performance to have incentives pay calculated completely at that level.)

Ø  Assessing impact of local technology enhancements or other types of capital improvements;

Ø  Interacting with small local purchasers, community groups, or other stakeholder groups;

Ø  Evaluation the impact of local innovations, demonstration projects, or community-level initiatives where the system is only one of several health care organizations in the community.

The process of understanding the medical systems and differences most interesting if you have owned the will to know the sorts, differences, features of each. The performance impact for each unite put up the evaluator in certain position than other, it means who works directly with technical platform not the same or working with system unite planning, all different skills and work pattern. I wish you all healthJ

Financial domain

Money is most powerful weapon throughout decades, used in our life as backbone although many economists proved that it is real derivative of commodity as gold. Anyway; finances is last domain could be examined in process of performance measurement. In past; due to little volume of money in most of countries, that leaded to simpler working system particularly in healthcare moreover that would be effectively productive among medical workers and patients. After noticeable increment in GDB of most countries, thus; working systems got more complicated and branched in order to overcome the numbers of populations and also different kind of medical services have appeared, with supposing to be introduced at the same time. Digitalize our finances systems actually provide with many benefits on different work arena but none can deny mistakes in between and frauds appeared lately. We do not accuse anyone; but just enumerate solitary facts. Working with finance systems in hospitals and insurance firms give you heavy evaluation experience about provided services to the public and if those matching with expenses versus needs or there is necessary somehow to correct our budgets to follow the right road.

As usual nothing right would be happened without mistakes in front but the clue here how to prove the mistake with closed systems?!. At first glance; if we want to do highlighting on the working financial systems operated by most of medical service providers we need also to know more about health funding and how the whole cycle running on. In simplified notes; we have three main components of any healthcare system finances; payer/ received, insurance & health provider.

 In order to received your medical services; you firstly need to have medical insurance and whether private or public controlled by the receiver (patient). Medical insurance percent differs according to country you live; and in some country you must buy one privately if you have not the public conditions to join as US. Insurance firms funding of the medical processes and receiving their funds from health ministry and other medical social institutions, names also are different but the general strategy of work same. The public institutions collect the money from public and employers according to legal percent formerly mentioned but if you buy private insurance you have to pay services you are going to receive according to chosen insurance package. As normal; any investment should measure the coming revenue after work process been completed. The same in healthcare; we need to create revenues to exaggerate the investment and enhance the process of innovation methodologies within. In finances, we care more about revenues and expenses and how to create different productive benefits and keep the core work as it is.

Many of providers in order to create additional revenues neglect the patient burden may indirectly happen with negative feedback toward whole process or services available. The astute mind should keep in account the patient load and segment potentiality before create useless values or products. People become more and more sensitive for any change with their health delivery system; means they can accept or resist rapidly what you introduce. What reflect my talk there are many countries care more about create and fill the market with different sort of services and neglected the potentiality of patient acceptance then they discovered big depression with most of services because simply they provide services lack of real need and value.

Cycle of finance is clear if you check your expenses and revenue daily with direct avoidance overload burden on budget through excess expenses or your patients through additional services they are not actually need. Avoid aside expenses and focusing on the core necessary ones is the main crucial prescription. In case of excess revenues with some seasons; it would be better to create some investment for future on small scale give your entity additional favourable revenues that; will help in case of deprivation and depression time and also protect your labour from escaping as result of finance shortage. I wish you all healthJ

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