Performance and KPI lecture Power Point
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L o g o Thai International Health Care Standard Training Center Performance Appraisal and Key Performance Index Pongtorn Kietdumrongwong, MD
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Transcript of Performance and KPI lecture Power Point
L o g oThai International Health Care Standard
Training Center
Performance Appraisal and Key Performance Index
Pongtorn Kietdumrongwong, MD
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Definition of Performance
Accomplishment of a given task measured against preset standards
of accuracy, completeness, cost, and speed
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Performance Appraisal• Therefore, you need to know – Task (what is job)– How to do the task (what is the process to do
job) – Criteria / Standard to compare or measure gap– Task completeness (Quality of job)
•Timeliness •Cost of redo•Cost of incomplete job/product
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Example
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How to Start Performance Measurement
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Value Stream Mapping
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Advantage of PA• Cost control / reduction• Waste or Damage control / reduction • Hazard/Risk reduction • Improvement of service • Quality control • Business growth / sustainability
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Balanced Score Card
Hospital Performance Appraisal
L o g oStrategic Planning : BSC
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KPI and its use • Individual performance • Unit performance • System performance • Hospital performance
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HOW TO START KPI
L o g oCompetency Management
1. Identify the goals and mission of the organization
2. Conduct a job task analysis 3. Set performance standards 4. Assess individual skills gaps and identify
learning resources 5. Observe and measure changes in key
performance indicators
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Guideline utilizing KPI • KPIs must be quantifiable • KPIs must reflect organization goals• They must be clearly defined before the
competency-based system is implemented• It is important that the same definition is
used from year to year• Only a small number of KPIs should be
used in order to keep everyone’s attention focused on achieving the same KPIs
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HA Scoring• According to Standard • Creates Key Performance from Standard• Values learning and innovative thinking• Values process • Not based on result
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Example HA scoring • Leadership – Support team – Create environment to promote improvement – Awareness of patient safety – Communicate – Competency – Efficacy of government
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HA scoring • Strategic Management – SWOT analysis – Implementation – Strategic objective – Resource management –Monitoring – Re-planning
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Clinical Service PA• Process KPI– How well comply of process – How complete process has done
• Outcome KPI– Improvement of clinical – Adverse event or complication – Quality of life
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Clinical Care Pathway Access
Entry
Assessment Investigation
Diagnosis
Plan of Care Discharge Plan
Care of PatientReassess Communication Information &Empowerment
Discharge
Continuity of Care
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Hospital Quality Program• Identifying performance indicators or
measuring performance • Determining whether performances
conform to standards • Improving performance when standards
are not met
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Hospital Administrative KPI• Quick ratio (สินทรัพย์หมุนเวียน - สินค้าคงคลัง)/หนี้สินหมุนเวียน
• Number of patients– Out-patient – In-patient
• Occupancy rate • EBIT (Earning Before Interest and Tax) • EBITDA (Earning Before Interest, Tax,
Depreciation, and Amortization) Depreciation = การเสื่อมราคา Amortization = การผ่อนชำระหนี้/การไถ่ถอนมูลค่า
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Financial KPI • Net Profit Margin = Net profit*100/total sale• Return on asset = Net profit*100/total asset
value • Current ratio (เงินทุนหมุนเวียน) = สินทรัพย์หมุนเวียน/หนี้สินหมุนเวียน
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Hospital Clinical KPI • In-hospital Mortality Rate • Readmission/Revisit
•24 hr •48 hr •72 hr
• Maternal Mortality • Neonatal morbidity and mortality • Perinatal death
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Hospital KPI – Infection control• Hospital Acquired Infection rate– Catheter Associated Urinary Tract Infection – Ventilator Associated Pneumonia– Catheter Related Blood Stream Infection
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Hospital Clinical KPI • Unplanned/Unexpected – CPR– Death – Transfer to higher level/care – Re-operation in same visit
•Complication •Missed diagnosis •Incomplete operation
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Patient’s quality care evaluation • Accessibility and convenience– Time to access facility –Waiting time for appointment/procedure
• Availability– Number of staff – Completeness of hospital faciliteis
• Continuity– Individualized, informative
L o g oKoch’s Continually Satisfying
Customer Requirements• Accessibility • Relevance – of type/pattern of service to
needs of population • Equity • Efficiency • Acceptability • Effectiveness
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Interesting topic
11/01/09
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THANK YOU FOR YOUR ATTENTION
Question and Discussion
