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