Study On Performance Evaluation System Based On Balanced Public Hospitals

Background:Comprehensive reform of public hospitals is an important task to deepen the medical and health system reform. Since 2010 the national contact pilot cities start reform of public hospitals, the pilot cities and actively explore and reform made significant progress, but there are still some of the more prominent contradictions and problems, such as public hospitals profit mechanism needs to be broken, external governance and internal management level to be promotion, in line with industry characteristics of the personnel and compensation system to be sound, structure and layout to be optimized, and reasonable medical order has not yet formed, the people and other medical burden is still heavy. Clearly requires the establishment of a modern hospital management system, improve the corporate governance structure and governance mechanism, management system, operation mechanism, the service price adjustment, Medicare payments, personnel management, income distribution reform as a key task. Require health planning administrative department of public hospitals or specialized management agencies to develop performance evaluation system, highlighting the functional orientation, its duties, cost control, operational performance, financial management, cost control and social satisfaction assessment indicators. And will further strengthen the Medicare payment and monitoring role in the establishment of DRGs based, capitation fee, paid by the service unit and other complex payment methods, gradually reduce by project cost. ENCOURAGING according to diagnosis-related groups (DRGs) payment, guidance and supervision play a regulatory role in various types of health insurance for medical services and cost effective to control medical costs, health insurance medical institutions will gradually extend to the regulation of medical service personnel supervision of medical services. In this context, how scientific and rational evaluation of hospital performance management, hospital medical insurance management performance, achieve efficient allocation of resources and rational utilization, improve hospital internal control mechanisms, improve service levels, improve service capabilities, improve service quality, improve service efficiency, improve customer satisfaction, it has become a concern hospital administrators and problems to be solved.Objective:Based on the Balanced Scorecard theory, based on the Balanced Scorecard performance management system in a city hospital for Chinese medicine, and empirical research in health insurance implementation of performance management, combining research results, analysis of key issues in the implementation process and difficult issues, in order to be able to provide a reference for future research.Methods:A widely accessible and abroad performance management, performance evaluation, hospital performance, medical insurance management, balanced scorecard and other related theories of papers, monographs, understanding of hospital performance management, performance management of health insurance in order to identify relevant areas inadequate research, the starting point of this study sought to determine the purpose, content and meaning. And access to relevant theoretical literature, this study conducted theoretical foundation. By necessity for performance management Balanced Scorecard application TCM hospitals in a city, the applicability and advantages of the Balanced Scorecard to analyze, build a city hospital for Chinese medicine indicator system based on the Balanced Scorecard performance management theory for the rational evaluation performance management and analysis provide the basis for a City Chinese Medicine Hospital. Chinese Medicine Hospital, a city rich in empirical research for the study, the analysis of the needs of the hospital medical insurance performance management, based on the Balanced Scorecard theory, combined with the hospital medical insurance management features, manage content and rules, the application of expert consultation, the selection has clinical experience, experience in hospital management and hospital management, health care policy experts to conduct research work investigating two rounds of consultation; determining BSC indexes in different dimensions using the analytic hierarchy process, the relative weight of the different indicators of weight, and to test its weight logical consistency. Construction includes medical costs, Medicare patients, health care management and learning and development of medical insurance Performance Evaluation System in four areas of the hospital, and to evaluate the effect of its implementation.Results:Through two rounds of consultation Delphi constructed including learning and development, processes, customers, finance four dimensions of health care based on Chinese medicine hospitals in a city BSC performance evaluation system, in which learning and development dimension has six indicators; process dimension has six indicators; customer dimension has six indicators; financial dimension has eight indicators. Chinese Medicine Hospital, a city-based health insurance from an application performance evaluation system was hospital Medicare BSC performance management point of view, the hospital’s patient satisfaction has improved significantly, the level of research and teaching has made great improvement in Chinese medicine characteristics and advantages of further play.Conclusion:The Balanced Scorecard is a very effective management tool, used in hospital performance management is feasible; build hospital performance management evaluation system is a process of iterative cycle; BSC strategic theory and the Hospital Effective implementation of the strategy is connected. By driving between the four dimensions, the establishment of a reasonable target system, a comprehensive system to manage. In the Medicare hospital performance management evaluation system includes the main elements of the Medicare hospital management objectives, it is possible for the main features of the hospital medical insurance management intuitive reflection. Medicare Management Performance Based Evaluation Index System in the index selection process, try to select the hierarchy, concise, high sensitivity, easy to operate, it is possible for the hospital medical insurance to fully reflect.