首页|2019-2022年海盐县人民医院综合目标管理实施效果分析

2019-2022年海盐县人民医院综合目标管理实施效果分析

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目的 分析2019-2022年海盐县人民医院综合目标管理实施效果,为公立医院绩效考核背景下提升临床医疗服务质量提供参考.方法 从DRGs绩效考核系统、国家HQMS平台和国家公立医院绩效考核监测平台中收集2019年1月—2022年12月期间10个临床科室的CMI值、平均住院日、医疗服务收入占比、三四级手术比例、抗菌药物使用强度等关键绩效评价指标数据进行分析研究.结果 该院通过运用综合目标管理与绩效管理相结合考核管理方式后,CMI值逐年上升,平均住院日逐年下降、医疗服务收入占比整体趋于上升趋势、三四级手术比例逐年上升,抗菌药物使用强度呈波动性,但整体趋于下降趋势.结论 通过运用综合目标管理与绩效管理相结合考核方式,可有效提升临床医疗质量与安全,保障医院可持续高质量发展.
Implementation effects of comprehensive objective management in a county hospital from 2019 to 2022
Objective To analyze the implementation effects of comprehensive objective management in a county hospital from 2019 to 2022,and to provide reference for improving clinical medical service quality under the background of performance appraisal of public hospitals.Methods Data pertaining to key performance evalu-ation indicators,including CMI value,average length of stay,proportion of medical service income,proportion of third-grade and fourth-grade operations,and intensity of antimicrobial use,were acquired in 10 clinical depart-ments over the period from January 2019 to December 2022,and were extracted from the DRGs performance evalu-ation system,national HQMS platform,and national public hospital performance evaluation monitoring platform for analysis.Results After adopting the assessment management method of integrating performance management and objective management,CMI value increased year by year,the average length of stay decreased year by year,the proportion of medical service income tended to rise on the whole,the proportion of third-grade and fourth-grade op-erations increased year by year,and the intensity of antimicrobial drug use fluctuated,but tended to decline on the whole.Conclusions Implementing the assessment method of combining comprehensive objective management with performance management can enhance the quality and safety of clinical healthcare services and promote the sustainable growth and excellence of hospitals.

Operation managementPerformance appraisalAssessment indexComprehensive objective management

沈明、富胜瑛、朱燕萍、张春娟、邱刚、王年根

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海盐县人民医院,浙江海盐 314300

运营管理 绩效考核 考核指标 综合目标管理

2024

中国农村卫生事业管理
中华预防医学会

中国农村卫生事业管理

影响因子:0.744
ISSN:1005-5916
年,卷(期):2024.44(12)