Study On The Performance Evaluation Of Public Hospitals Based On Excellent Performance Principle

With the advancement of medical system reform, the dominant position of public hospitals in the medical service system, governmental and public welfare of clear legal attribute recognition is higher and higher. The running efficiency of public hospital affects the operation efficiency and quality of health care industry, influence on the efficiency and quality to provide medical services for the people. Therefore, the establishments of public hospital performance evaluation system plays an important role, in promoting the hospital quality management, enhancing the competitiveness of the hospital, improving the hospital’s ability to serve the society, and realizing the service object, hospital and society tripartite win-win situation.PurposeNew reform in our country started in2009, and reform of public hospitals is one of the key content of the reform scheme in the new reform. Public hospitals are faced with the challenges include several aspects. One is under the market economy, the public hospital to face the impact of foreign capital, private capital into the medical market. On the one hand, to maintain its public welfare in the case of insufficient government input; the doctor-patient relationship is nervous, patient expectations continue to increase, and to choose the hospital and the doctor is free. Another aspect is from the hospital staff values and challenges of working pressure. As the main body of our country medical service system, the reform of public hospitals is good or not directly related to the success or failure of reform. In the face of challenge, establishing scientific and reasonable public hospital performance evaluation system can enhance the level of hospital management performance management and direct health care reform.While abroad on the theory and practice of hospital performance evaluation is rich in content and comprehensive system, is also worthy of reference, its application background and the theoretical system of our country is different. The hospital is not all the public properties, commonweal, equity and social responsibility is not enough, so it can’t be simply copied. From the domestic research materials, the current performance evaluation system of research system is randomness, and we pay close attention to quantitative indicators, lacking of qualitative indicators process research, and commonality of evaluation index system. In addition, the performance evaluation system is more and more attention to fair and public welfare, especially public hospital performance evaluation. And its social function is inseparable; you should put a fair and public in the first place. It is necessary to decide the most effective performance model or the overall evaluation system from the hospital development strategy. The development strategy of public hospital should be in the environment of market economy firstly, keeping the principle of public welfare and sophistication, unified floor worker thought, strengthen the whole process of management, improving the physical quality of the whole nation and people’s health, making the hospital forever in people’s satisfaction.With the development of quality management standards and performance evaluation method, evaluation organization and evaluation way increase gradually, and hospital enlargers choice of evaluation standard and evaluation system.\"Performance excellence model\" is the detailed rules for the implementation of total quality management standard, and on the basis of performance evaluation criterion, including the supervision of the quality management of process, the performance management evaluation of the results, the contribution of emphasis on quality performance and system integration, the system of management thinking, customer-focused concept and the principle of sustainable development, extending the content of the social responsibility, and it is considered the management quality of international standards.On the basis of performance excellence principle, evaluation becomes competition platform in the operation of enterprises and organizations around the world and, and this is the trend of development. As a part of the hospital, to research and explore a set of accord with China’s national conditions and health law of development of performance evaluation methods, to promote the reform of public hospitals, to improve the quality of hospital services, and to promote the healthy development of medical and health institutions hospital in China, has a practical significance reference to the international criterion and the hospital management evaluation method.ContentBased on comparative study of hospital performance management at home and abroad and theoretical framework of performance evaluation as a foundation, in the viewpoint of system, based on the whole, the hospital process is a complex system and hospital performance evaluation can be analyzed by the theory of systems engineering. Drawing lessons from foreign theories and methods based on excellence performance standards to improve the management system and the domestic enterprises experience to implement guidelines, and the different of the connotation and denotation of difference from other quality standards, the thesis demonstrate excellent performance criteria for hospital performance evaluation of the feasibility and significance of our country.By understanding the core values of excellence performance standards, the thesis puts forward the design principle of index system; draws up elementary index system of alternative in the framework of performance excellence, filters through expert consultation to primary index, and determines the index weight of the final index system. Learning the basic information of Qingdao general hospital; Analyzing of the research hospital financial index to reduce the number of evaluation index and information overlaps; Field surveying of hospital employee and patient satisfaction of demand and influence in the process of medical service quality to look up most contribution to meet the demand of patients and complete the hospital quality control process to guide the work of the hospital departments; the thesis evaluates hospital comprehensive based on established evaluation index system, verifies the value of the performance evaluation to the sample hospitals, and provides reference and basis for the reform of the administrative department of public healthResults1. The thesis systematically studies the development and research status of hospital performance evaluation in our country aiming at the problems of hospital performance evaluation, introduces system theory idea in hospital performance evaluation, and put forward the feasibility of the import and learning performance excellence model reference foreign hospitals and domestic excellent enterprise performance excellence mode experience.2. According to the evaluation framework of performance excellence criteria, the thesis builds the tertiary hospital performance evaluation index system, analyzes ten factors of the hospital financial status with factor analysis method, extracts the four variables, and potential equation of hospital financial index comprehensive evaluation model is established between the hospital rankings. It effectively reduces the number of evaluation index, eliminates information overlap between indicators, lighten the load of the evaluation. By research of1800outpatient and inpatient,360doctors and nurses’satisfaction, the thesis analyzes the data. With QFD tools the thesis analyzes patient satisfaction, and by constructing\"medical process control\" and\"medical quality control\" two levels of quality house, it embers the patient satisfaction demand of whole medical process and find the measures of most contribution to meet the demand of patients, so as to improve the hospital quality control process. It discusses the comprehensive evaluation method with linguistic assessment information in the hospital application of excellence performance evaluation, and studies the whole performance of hospitals in the empirical analysis.3. From the perspective of the overall evaluation results of the hospital, the research find nine hospital performance evaluation level in\"medium\" and\"high\",\"medium\" slightly higher than the industry average. Hospital ratings are higher\"measurement, analysis, and knowledge management,\"\"process management\", the\"employees\" and\"customer and market\" in the primary indicators score is low, the hospital mainly embodied in the comprehensive performance of the gap between\"strategic\" level indicators.Conclusions1. From the viewpoint of system, the research looks the hospital activities organizational process as a complex system to study. The idea of system analysis of hospital performance evaluation process can improve the whole working process of the comprehensive evaluation in order to realize the integrated optimal based on the whole.2.There is no hospital medical institutions have quality prize in China, few researchers use excellence performance evaluation of hospital performance, from the literature, the study is also given priority to with sex are reviewed. It shows that excellent performance criteria and the core values and weaknesses existing in current hospital performance evaluation can be combined, and that excellent performance criteria in foreign hospitals and domestic enterprise application experience to our country hospital performance evaluation, management and sustainable development can have very good guidance function.3. On the basis of performance excellence, the thesis sets up index system of screening according to the form and law of hospital performance management, system engineering method is used to analyze the related indicators and the comprehensive performance and the good effect, obtained.The method enhance the operability of the index system with extensive application value.4. The hospitals researched grasp of the market is not enough, there is no or less analysis of the market share, the analysis of the staff, patient satisfaction, less in addition to the attention of the media are lack of sensitivity. Hospital comprehensive performance of the gap is\"strategic\", which to learn from each other for the hospital. A hospital in the leadership, strategy, information management, process management, fully reflects the hospital on the interpretation of the management, development train of thought clearly;A hospital’s practice and experience can be popularized to the city or the wider.Creative pointsThis thesis systematically studied the development of hospital evaluation in China and the research status of hospital performance evaluation, aiming at existing problems, and puts forward feasibility and significance of learning and importing the performance excellence mode reference foreign hospitals and domestic excellent enterprise performance excellence mode experience, and introduces the ideas of system theory for in hospital performance evaluation the first time.With QFD tools to analyze between the demand of patient satisfaction and influence in the course of the medical service quality, the thesis finds out most contribution to meet the demand of patients based on data processing, and provides the basis of improving the hospital quality control process.In accordance with the remarkable performance criteria evaluation framework, the thesis builds the tertiary hospital performance evaluation index system. The binary semantic information decision analysis method is used for hospital remarkable comprehensive evaluation of the performance evaluation of the empirical analysis, and the method can be used as reference for performance excellence by the administrative department of public health.InsufficientThe domestic application of performance excellence mode in the hospital and the research is still in its infancy and academic research is few, at the same time pursuing performance excellence mode of hospital is rare and lack of practical cases. Performance excellence mode emphasizes the system’s horizons, but the framework of performance excellence mode is not systematic, in constructing the performance evaluation index system, it failed to clear show the standard of the logical relationship within various orders, indicators, in the\"process\" and\"results\" on the corresponding relation. These are also affecting more in-depth research in this paper. In the future tracking practice performance excellence mode of hospital or successful case study can be further summarized.Due to medical and health industry data is not standard, incomplete, or understanding of index system in some qualitative indexes, some real-time data collection is not collected, and the accuracy of the data is on risk.Shall be limited to the availability of the data, it failed to collect the longitudinal data of different periods, so the impact of these dynamic changes of comprehensive performance indicators can’t show. If other better, simple comprehensive evaluation method is adapted to assess information and the conclusion is consistent with the binary semantic information decision analysis method, it will make the results more objective.