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An integrated model for measuring management performance.

M J Torma1, B W Galing, R J Palmer

  • 1Presbyterian Healthcare System, Dallas, TX.

Physician Executive
|August 6, 1993
PubMed
Summary

A new performance model balances healthcare quality, cost, and access, aiding continuous quality improvement (CQI) and resource forecasting. This integrated approach offers valuable insights for healthcare management and reform initiatives.

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Area of Science:

  • Health Services Research
  • Healthcare Management
  • Performance Measurement

Background:

  • Traditional healthcare performance metrics often fail to integrate quality, cost, and access.
  • There is a need for comprehensive models that incorporate patient perceptions and facilitate continuous quality improvement (CQI).

Purpose of the Study:

  • To design and evaluate an integrated organizational performance measurement model for healthcare facilities.
  • To assess the model's utility in balancing quality, cost, and access while incorporating patient perceptions.

Main Methods:

  • Development of a performance measurement model for 22 Strategic Air Command medical treatment facilities.
  • The model integrates data across cost, quality, and access functions.
  • Graphical displays were used to present performance insights and CQI targets.

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Main Results:

  • The model successfully balanced quality, cost, and access, incorporating patient perceptions.
  • It provided systemwide, facility, clinical service, and practitioner-specific performance insights.
  • The model generated clear targets for CQI and resource forecasts.

Conclusions:

  • Integrated performance modeling offers a valuable tool for healthcare organizations.
  • This approach can inform health management and reform by providing comprehensive performance data.
  • The model demonstrates utility in examining complex healthcare system issues.