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Non-financial dimensions of measurement and assessment in the performance model for hospitals

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  • Magdalena Kludacz-Alessandri

    (The College of Economics and Social Sciences in Plock, Warsaw University of Technology)

Abstract

This paper presents one of the important stages of a research project carried out in Poland, the aim of which was to develop an integrated performance measurement and assessment system designed for Polish public hospitals and for the stakeholders of different healthcare systems.The goal for the stage described in this article was to present a flexible and comprehensive tool (a performance model) for measuring hospital performance that could be used by hospital management, the founding bodies, and other stakeholders at the regional and central levels of healthcare systems, to improve the quality of medical services, the availability of healthcare resources, and the organization of the healthcare system in Poland. This article describes the non-financial dimensions that were identified in this model. The research involves the construction of a model that consists of defined and selected dimensions (patients, internal processes, development, and finance) with key performance indicators for the analysis, measurement, and assessment of hospital performance. The model takes into account the following three levels of the Polish healthcare management system: the central level,represented by the Ministry of Health; the regional level, represented by the regional governor, the marshal’s office, and the regional offices of the National Health Fund; and the local level, represented by hospitals and their funding bodies. The performance model exceeds the scope of the financial dimension and enriches it with three non-financial dimensions: patients, internal processes, and development. It allows one to concentrate not only on the tasks of the hospital but also on the objectives of other stakeholders operating in the Polish healthcare system

Suggested Citation

  • Magdalena Kludacz-Alessandri, 2016. "Non-financial dimensions of measurement and assessment in the performance model for hospitals," Managerial Economics, AGH University of Science and Technology, Faculty of Management, vol. 17(1), pages 93-121.
    • Handle: RePEc:agh:journl:v:17:y:2016:i:1:p:93-121
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    References listed on IDEAS

    as
    1. Bruce Hollingsworth, 2008. "The measurement of efficiency and productivity of health care delivery," Health Economics, John Wiley & Sons, Ltd., vol. 17(10), pages 1107-1128, October.
    2. Amado, Carla A.F. & Santos, Sérgio P. & Marques, Pedro M., 2012. "Integrating the Data Envelopment Analysis and the Balanced Scorecard approaches for enhanced performance assessment," Omega, Elsevier, vol. 40(3), pages 390-403.
    3. Wulong Gu & Stéphane Morin, 2014. "Experimental Measures of Output and Productivity in the Canadian Hospital Sector, 2002 to 2010," NBER Chapters,in: Measuring Economic Sustainability and Progress, pages 575-594 National Bureau of Economic Research, Inc.
    4. Berg, Marc & Meijerink, Yvonne & Gras, Marit & Goossensen, Anne & Schellekens, Wim & Haeck, Jan & Kallewaard, Marjon & Kingma, Herre, 2005. "Feasibility first: Developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals," Health Policy, Elsevier, vol. 75(1), pages 59-73, December.
    5. Ulrike Mandl & Adriaan Dierx & Fabienne Ilzkovitz, 2008. "The effectiveness and efficiency of public spending," European Economy - Economic Papers 2008 - 2015 301, Directorate General Economic and Financial Affairs (DG ECFIN), European Commission.
    6. D. Jordan Lowe & Salvador Carmona-Moreno & Philip M.J. Reckers, 2011. "The influence of strategy map communications and individual differences on multidimensional performance evaluations," Accounting and Business Research, Taylor & Francis Journals, vol. 41(4), pages 375-391, September.
    7. Besley, Tim & Bevan, Gwyn & Burchardi, Konrad, 2009. "Naming & Shaming: The impacts of different regimes on hospital waiting times in England and Wales," CEPR Discussion Papers 7306, C.E.P.R. Discussion Papers.
    8. Besley, Timothy & Burchardi, Konrad B. & Bevan, Gwen, 2009. "Naming and shaming: the impacts of different regimes on hospital waiting times in England and Wales," LSE Research Online Documents on Economics 33775, London School of Economics and Political Science, LSE Library.
    9. Grigoroudis, E. & Orfanoudaki, E. & Zopounidis, C., 2012. "Strategic performance measurement in a healthcare organisation: A multiple criteria approach based on balanced scorecard," Omega, Elsevier, vol. 40(1), pages 104-119, January.
    10. Goddard, Maria & Mannion, Russell & Smith, Peter C., 1999. "Assessing the performance of NHS Hospital Trusts: the role of `hard' and `soft' information," Health Policy, Elsevier, vol. 48(2), pages 119-134, August.
    11. Kruk, Margaret Elizabeth & Freedman, Lynn P., 2008. "Assessing health system performance in developing countries: A review of the literature," Health Policy, Elsevier, vol. 85(3), pages 263-276, March.
    12. Lukas Steinmann & Gunnar Dittrich & Alexander Karmann & Peter Zweifel, 2004. "Measuring and comparing the (in)efficiency of German and Swiss hospitals," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 5(3), pages 216-226, September.
    13. Sara Moreira, 2008. "Efficiency Analysis of Public Hospitals Transformed into Public Corporations: An Application of Data Envelopment Analysis," Economic Bulletin and Financial Stability Report Articles and Banco de Portugal Economic Studies, Banco de Portugal, Economics and Research Department.
    14. Jean-François Notebaert & M.-A. Le Pogam & C. Luangsay-Catelin, 2009. "La performance hospitalière : à la recherche d'un modèle multidimensionnel cohérent," Post-Print hal-00415751, HAL.
    15. Gauld, Robin & Al-wahaibi, Suhaila & Chisholm, Johanna & Crabbe, Rebecca & Kwon, Boomi & Oh, Timothy & Palepu, Raja & Rawcliffe, Nic & Sohn, Stephen, 2011. "Scorecards for health system performance assessment: The New Zealand example," Health Policy, Elsevier, vol. 103(2), pages 200-208.
    16. Maik Lachmann & Rouven Trapp & Felix Wenger, 2016. "Performance Measurement and Compensation Practices in Hospitals: An Empirical Analysis in Consideration of Ownership Types," European Accounting Review, Taylor & Francis Journals, vol. 25(4), pages 661-686, October.
    17. Davis, Peter & Milne, Barry & Parker, Karl & Hider, Phil & Lay-Yee, Roy & Cumming, Jackie & Graham, Patrick, 2013. "Efficiency, effectiveness, equity (E3). Evaluating hospital performance in three dimensions," Health Policy, Elsevier, vol. 112(1), pages 19-27.
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