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Survey of bed efficiency for hospitals of North Khorasan University of Medical Sciences by using standard functional criteria of the ministry of health
... Evaluation is essential in the qualitative improvement of services delivered by an organization (1). Most public sector health expenditure is spent in hospitals (2)(3)(4), and the majority of these costs occur due to improper performance of hospitals (1). Thus, evaluation of performance and health system reform are essential for the proper management of the hospital (5). ...
... Standard Hospital Performance Indicators of the MoH of Iran(4,(13)(14)(15) ...
Background: The most important factor representing the performance and utilization of hospital services are hospital indicators. Objectives: The aim of study was comparison performance indices before and after health reform plan in Kermanshah and compared with the standard of the Iranian Ministry of Health. Methods: the study was comparative and descriptive-analytical that performed cross-sectional in 2017 and conducted in seven educational hospitals in Kermanshah. The data were related to 37 indices in five areas from hospitals that were submitted to the Department of Statistics in Deputy of Treatment. The data were collected using data extraction form. The validity of the form was confirmed by 7 experts. Data analyzed using SPSS 20. Results: results showed that comparing indices of bed and hospital stay, patient indices, and indicators for outpatient and inpatient department services from para-clinical services except endoscopic increased and the mortality indices decreased. Comparing indices with Pabon-laso and standards show that status of some indices for several years before and one year after health reform plan were in unfavorable condition. Conclusions: results showed that the implementation of the health reform plan may have caused changes in most of the indicators, but these changes were significant in a few number of indices. So it is needed that policymakers evaluate indices periodically.
... Efficiency is considered the most important and common mechanism for evaluating and measuring the performance of an economic enterprise, including a hospital; therefore, the optimal management of hospitals as the most important centers for providing healthcare services has always been considered by relevant decision makers and policymakers (9). Hospital performance is one of the criteria for determining their efficiency and effectiveness regarding using hospital resources (10). Therefore, it is crucial to evaluate the performance indicators of hospitals, especially during the COVID-19 pandemic. ...
Background: Hospitals are the most important pillar of the country›s health system, especially when faced with a crisis. One of the most important indicators in evaluating hospitals is performance indicators. This research was done to investigate the effect of the COVID-19 pandemic on the performance indicators of academic and non-academic hospitals in West Azerbaijan province in 2020. Methods: The present cross-sectional descriptive-analytical study was done on all academic and non-academic hospitals of West Azerbaijan province, which examined their performance indicators in 2019 and 2020. The data were analyzed using SPSS 16 software by repeated-measures analysis of variance (ANOVA). Results: The results of repeated-measures ANOVA demonstrated that the effect of time (coronavirus) on the index of bed occupancy ratio was significant (η2=0.24, P=0.006) so that it decreased this index in academic hospitals and had the opposite result in non-academic hospitals. The COVID-19 had a significant effect on the index of average patient stay (η2=0.47, P<0.001) and this index in both types of hospitals increased. Also, the COVID-19 had a significant effect on bed turnover rate (η2=0.32, P=0.001) and it decreased in both types of hospitals. Conclusion: Since academic hospitals are more responsible in dealing with epidemics, it is suggested to pay more attention to their infrastructures. Considering the financial burden of some non-communicable diseases, academic hospitals should be prepared to accept and support them, especially in the early period of the epidemic.
... [ DOI:10.52547/payesh.22.1.19 ] [ DOR: 20.1001.1.16807626.1401.22.1.2.7 ] [ Downloaded from payeshjournal.ir on 2023-02-09 ] ...
Objective(s): Investigating performance indicators is one of the most important components for the evaluation of health care and treatment outcomes in hospitals. The purpose of this study was to investigate the performance indicators of the teaching and non-teaching hospitals in West Azerbaijan province, Iran and compare these with the standard indicators of the Ministry of Health.
Methods: The present study was a cross-sectional descriptive study in 2019. The statistical population included all hospitals of West Azarbaijan province (22 teaching hospitals affiliated with Urmia University of Medical Sciences) and 8 non-teaching hospitals). The standard checklist of the Ministry of Health was used to record information and calculate performance indicators of hospitals. The data were analyzed using Excel 2016 and SPSS22 software.
Results: In terms of the bed occupancy ratio index, 32% of teaching hospitals in the province were in desirable condition, 18% in average condition, and 50% in undesirable condition. However, 100% of teaching hospitals that located in the center of the province were in desirable condition. While this index in non-teaching hospitals was desirable at 25%, average at 25%, and undesirable at 50%. In terms of the patient stay, 77% favorable, 5% average, and 18% undesirable in teaching hospitals, and 87.5% desirable and 12.5% undesirable in non-teaching hospitals. Also, 95% of teaching hospitals and 100% of non-teaching hospitals were in the desirable condition in terms of the patient admission per bed.
Conclusion: The condition of hospitals in West Azarbaijan province in terms of the bed occupancy ratio index of most teaching hospitals and in terms of the index of average patient stay and the index of the ratio of patient admission per bed, and most of thenNon-teaching hospitals were in a desirable condition. To improve the performance indicators further, new planning and policies are recommended.
... The irrational ALOS may be due to inadequate planning of the operating rooms, insufficient para-clinical services, prolonged patient consultation time, laboratory testing and radiology services, and the lack of coordination between the medical staff (9,(36)(37)(38). Nosocomial infections, post-surgery complications, and patient dissatisfaction are the paramount adverse consequences of prolonged stay. ...
Background: Surgery wards account for a significant portion of hospital costs, followed by patient costs. Improving surgery wards' performance plays a major role in enhancing the accountability and efficiency of the hospital. This study aimed to evaluate the performance of inpatient surgical wards at the hospitals affiliated with Tehran University of Medical Sciences(TUMS).
Methods: A descriptive, cross-sectional, retrospective study was performed at all hospitals affiliated with TUMS in 2018. To measure the efficiency of these wards, three indicators have been considered; bed occupancy rate, the average length of stay, and bed turnover. Data have been analyzed using Excel software based on the Pabon Lasso model .
Results: Among the 15 active surgical departments, 5 (33.31 %) were categorized in quadrant three, including ophthalmology, obstetrics and gynecology, vascular and trauma surgery, plastic surgery, and infertility department. The oral and maxillofacial surgery and general surgery departments were the poorest in their performance and located in quadrant one. Ten surgical wards out of 38 (26.33 %) have reported a satisfactory performance.
Conclusion: Understanding and comparing the performance of clinical departments is also useful in making decisions for standardizing the patterns of health services delivery, evidence-based management in health care centers, and enhancing accountability in the health system. It is suggested that managers revise the departments in the inefficient area to reduce the number of inefficient departments or attract more patients by marketing, diversifying services, and increasing the quality of services.
Introduction: Performance indicators are one of the important factors in indicating the efficiency and productivity state. This study aimed to evaluate and compare hospital performance indicators with the same standards of Ministry of Health in East Azerbaijan, Northwest of Iran.
Methods: This is a descriptive cross-sectional study in 2015. The study population included all hospitals in East Azerbaijan province. Data were collected using a checklist including bed occupancy rate, average length of stay, and bed turnover rate, based on the Ministry of Health standards, and analyzed according to the Ministry of Health standards using EXCEL 2013.
Results: The state of performance indicators in the hospitals of East Azerbaijan in terms of bed occupancy rate was average, and the state of average bed turnover and average length of stay rates compared to the standards declared by the Ministry of Health, was good.
Discussion and Conclusion: As the indicators states in the hospitals were average and good, so new strategies should be taken by the senior managers and administrators to improve the performance indicators in hospitals. Therefore, managers of the universities and hospitals are recommended to use the successful experiences of the managers of other hospitals and universities to improve the state of hospital indicators.
Key words: Performance indicators, Bed occupancy, Bed turnover, Average length of stay
Background: Hospital indicators are among the most important factors in hospital performance. The aim of this study was to measure the performance of hospitals covered by Iran University of Medical Sciences and to compare them with the national indicators.
Methods: In the present cross-sectional descriptive study, performance indicators of all hospitals covered by Iran University of Medical Sciences were compared descriptively in 2018-2019. Data were collected from the Medical Record of treatment deputy of Iran University of Medical Sciences. The collected information was analyzed using descriptive tools, Excel software, and the Ministry of Health and Medical Education standard index tables.
Results: The average bed occupancy index, average hospital stay index, and patient registration ratio per bed were 69.17, 4.30, and 75.18 in the hospitals covered by Iran University of Medical Sciences in 2018-2019, respectively. These rates show average, undesirable, and desirable status by national standards, respectively.
Conclusion: Given that the average length of stay indicator was at an inappropriate level in this study, hospital authorities are recommended to take the necessary measures to identify the reasons and improve the hospital performance in this regard.
Background: A remarkable increase has been observed in hospital expenditure in many countries during recentyears, drawing especial attention to the problem. This study was conducted to present one of the operationalresearch techniques pattern in evaluation of the hospital efficiency.Methods: The ratio analysis method was used to evaluate the hospital efficiency. This method is not effective in casesin which the relationship between an input and several outputs or several inputs and several outputs are involved.DataEnvelopment Analysis Pattern (DEA) is one of the operational research techniques, lacking the problems of ratio methodwhile efficiency evaluation can determine the critical parts of hospital, reducing the efficiency of the whole hospitaland meanwhile compensating the deficiency in a particular measurement. In order to introduce this method in hospitalefficacy evaluation, 18 general hospitals affiliated to Iran Social Security Organization were included.Results: This study revealed that Data Envelopment Analysis Pattern had more capacity than previous methodsin relation to evaluation of the complicated organizations like hospitals.Conclusion: Operational research techniques in efficiency evaluation would provide the possibility to comparedifferent efficiencies among various hospitals and present the necessary solutions to compensate the insufficiencyand to correct them for the managers.This technique was used for the first time in this study to measurehospital efficiency in Iran.
A retrospective data analysis of records from medical records department of Goa Medical College Hospital was done to analyse the trends of various bed utilisation indices from 1999 - 2006. Average length of stay, bed occupancy rate, turnover interval and bed turnover ratio were the indices calculated. During the eight year period from 1999 to 2006, the average length of stay for the entire hospital registered a small decline from 6.23 to 5.51 days, the overall bed occupancy rate increased from 72.13% to 83.12% and the bed turnover interval declined from 2.41 days to 1.12 days. The Orthopaedics ward had the highest increase in bed occupancy and also fastest decline in turnover interval in 2006. Bed utilization indices are an objective measure of the efficiency of the hospital management system.
In this study, cost efficiency in Finnish and Norwegian hospitals was compared using national discharge data and identical definitions for cost and output measures. Cross-sectional data on 47 Finnish and 51 Norwegian public hospitals in 1999 were used. Private, military and psychiatric hospitals were excluded. Data were collected from the National Discharge Registries. These were supplemented with cost information collected from hospitals' year-end accounts. The output data included admissions grouped according to diagnosis related groups (DRGs), outpatient visits, day care and inpatient days. Net hospital operating costs excluding capital costs were used as input. Nonparametric data envelopment analysis (DEA) was used in the calculation of cost efficiency. The results revealed marked differences in efficiency, in both within country and across country comparisons. According to preliminary results there was more variation in cost efficiency among Finnish hospitals, and the average level of cost efficiency was 17-25% lower in Norwegian hospitals. Although these preliminary results must be taken with caution, this study demonstrates the importance and potential benefits of integrating cost efficiency analysis into international comparisons of health care expenditure.
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