A Study On Performance Management In J Public Hospitals Based On RBRVS And DRGs

As the reform of the healthcare system continues,the state has made it clear that public hospitals should adhere to the public good and maximise social benefits and service effectiveness by weighing operating costs and efficiency based on the overall picture.While public hospitals ensure the efficiency and quality of medical services,medical costs cannot be ignored.As an important means of cost control,performance management,how to design a scientific and effective performance appraisal program has become a key issue that needs to be addressed.By building a performance appraisal management system that combines Resource-based relative value scale(RBRVS)and Diagnosis Related Groups(DRGs),it is very important for the sustainable and healthy development of public hospitals.The implementation of the new national health care reform policy has brought a lot of benefits to public hospitals.The implementation of new national health care reform policies has pointed the way for the performance reform of public hospitals,but the road of reform will still be "a long way to go,not avoiding the risks and dangers".Pay for performance is an important indicator to measure the work of medical staff.This paper examines the background and theories of performance management,RBRVS and DRGs performance management tools.Combining theoretical analysis and case study,taking J public hospital as an example,it introduces the application of the current performance accounting model of J hospital-RBRVS in clinical medicine,nurses and medical technology system,and uses questionnaire to be checked to analyze a series of limitations and challenges faced by RBRVS model in J hospital performance management,such as not fairly reflecting The RBRVS model has faced a series of limitations and challenges in the performance management of J hospital,such as not reflecting medical work differences fairly,not paying enough attention to work quality,and not controlling costs.Nowadays,DRGs,as a newly developed and important health insurance payment method,is not only an important development object for health insurance payment reform,but also can be used as a cost control tool at the hospital management level.With the advent of the cost control era,cost has officially become the key to hospital profit and loss.If DRGs can be effectively combined and applied to the performance management level,it will have a significant impact on hospital "cost reduction and efficiency".Therefore,based on the pilot development of DRGs in Hospital J,we point out how to introduce DRGs based on the implementation of RBRVS to form a composite performance appraisal system.At the same time,the design objectives,design principles and accounting contents of this composite system are outlined,with different and targeted designs from three major segments: clinical departments,medical and technical auxiliary departments,and administrative functional departments.Finally,the implementation difficulties and corresponding countermeasures of the combined development of RBRVS and DRGs are explored.This study concludes that the single RBRVS accounting method is not perfect,and the overall development still has some limitations and needs to be integrated and optimized with multiple accounting methods.The introduction of DRGs,together with the continuous optimisation of the RBRVS performance accounting system,will enable a comprehensive analysis and assessment of the performance of hospital staff,adhering to the fair principle of "more work,more pay,excellent performance and reward",which will help to enhance the value of the work of the medical staff of public hospital J and fully motivate them to work,and will have a decisive impact on promoting the refined management of the performance of public hospital J and enhancing its core competitiveness in the healthcare market.The case study can also provide a reference for the performance management reform of public hospitals nationwide,actively guide the development of lean operation management innovation in public hospitals,and lay a solid foundation for the overall "quality and efficiency" development of hospitals.