A Study on the Construction of Hospital Discipline Capability Evaluation System Based on DRG Index
Objective To construct a hospital discipline ability evaluation system based on performance evaluation indicators and diagnosis related groups(DRG)-related indicators of public hospitals.Provide management tools for hospitals to improve the utilization rate of hospital resources and operation efficiency and achieve the optimal cost-performance ratio.Methods Based on public hospital performance appraisal and DRG-related indicators,review and sort out the literature,combine expert consultation and questionnaire to determine the evaluation indexes.Determine each index's weight coefficient and construct the hospital discipline ability evaluation system.Then use this system to evaluate a third-class hospital in Fujian province.Results Among surgical departments,department 1 had the highest score of discipline ability evaluation(85.78 points).Department 2,3 and 4 also scored more than 80 points.The last score of subject ability evaluation is department 20.Among the non-surgical departments,the department with the highest score of academic ability evaluation was 21,which was 96.67 points.Departments 22,23,24 and 25 also scored over 85 points.The last score of subject ability evaluation is department 42.The scores of departments which have more challenging and critical patients,large operation volume,and high surgical difficulty were higher,and the scores of departments with single diseases and low operation and surgical complication were lower.The evaluation results of the hospital discipline ability evaluation system basically accord with the clinical practice of the hospital.Conclusion The discipline ability evaluation system established in this study can accurately evaluate the discipline ability of hospitals and has specific guiding significance for strengthening the discipline ability construction and management of medical institutions.
diagnosis related groupspublic hospitalssubject competenceevaluation systemperformance appraisalsubject construction