| For a long time,the importance and key of performance management has to be emphasized in the development of enterprises.As China’s economy gradually turns to high-quality development,medical reform policies are constantly updated and implemented,and hospital performance management is also the main difficulty of current reform.Since the outbreak of COVID-19,the government has paid more and more attention to the development of hospitals.It is not only required to adhere to the public welfare as the basis,but also to improve the incentive mechanism of medical workers,adjust the performance structure,and improve the quality and efficiency of medical services as the focus of the new medical reform.Countries on the development of medical field also has a new request,the new standard,new idea,not only need to break the concept of public hospital excessive profit,also need to establish labor value oriented salary system,give full play to the leverage of performance management,so as to realize "zero" patients,doctors have bottom spirit,the new concept of hospital has power.Under the background of the national efforts to implement the performance reform of tertiary hospitals,this paper takes the performance management of A hospital in L city as A case to analyze the status quo of performance management and the impact of external environment.Questionnaires,interviews and other methods are used to understand the opinions and suggestions of staff on the current performance management program of the hospital,and the relevant factors affecting the performance management are summarized and summarized.Under the guidance of related theories of performance management,the deficiencies of the hospital in performance management are concluded.Based on the analysis of the problems,combined with the local environment and actual situation,the introduction of RBRVS,DRGs,KPI,MBO and other advanced management modes,the performance accounting mode based on revenue and expenditure commission ratio is changed to the performance accounting mode based on workload;Improve the related mechanism and process of performance management,optimize performance appraisal indicators;Strengthen the information construction of performance management;Improve performance communication and feedback system;Build a bridge between performance management and cultural construction.At the same time,the performance management accounting system is divided into basic post performance,monthly performance,quarterly performance,and annual performance,and set up overtime contribution award,and improve night allowance,stimulate internal vitality;Doctors,nursing workload and CMI are added into the performance management index system to improve the hospital’s medical quality,reflect the hospital’s social responsibility,escort the new medical insurance policy and promote the long-term development of the hospital. |