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Using hospital activity indicators to evaluate performance in Andhra Pradesh, India
1Administrative Staff College of India, Bellavista, Hyderabad.
Summary
Public hospitals in Andhra Pradesh face performance issues, with low productivity and inadequate capacity being key problems. Enhancing emergency services and diagnostic facilities can improve hospital efficiency and patient care.
Area of Science:
- Health Services Research
- Hospital Management
- Public Health Policy
Background:
- Secondary level public hospitals in Andhra Pradesh, India, were assessed for performance.
- Evaluation utilized input-output ratios of hospital activity and service mix.
Purpose of the Study:
- To evaluate the performance of secondary level public hospitals in Andhra Pradesh.
- To identify key factors affecting hospital productivity and capacity utilization.
Main Methods:
- Defined indicators for emergency, clinical, diagnostic, and medico-legal services.
- Analyzed hospital activity, service mix, turnover rate, and bed occupancy.
- Conducted combined utilization and productivity analysis.
Main Results:
- Observed wide variability in global hospital activities, with turnover and occupancy rates showing greater variability than length of stay.
- Hospitals were categorized into low turnover/low occupancy or high turnover/high occupancy groups.
- Low productivity or inadequate capacity were identified as major issues, with 40% lacking emergency services and 10% lacking diagnostic tests.
Conclusions:
- Strengthening emergency service delivery and diagnostic facilities can enhance productivity and capacity utilization.
- Poor performance and inadequate capacity are significant challenges in these hospitals.
- Case-mix differences do not explain the observed extremes in performance or capacity issues.