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Using data envelopment analysis for assessing the performance of pediatric emergency department physicians
Javier Fiallos1, Jonathan Patrick2, Wojtek Michalowski3
1Elizabeth Bruyere Hospital, Ottawa, ON, Canada.
Health Care Management Science
|October 7, 2015
Summary
A new Data Envelopment Analysis (DEA) model assesses emergency department (ED) physician performance by integrating efficiency and quality metrics. Physicians performed better when not mentoring trainees, highlighting the need for nuanced performance evaluations.
Area of Science:
- Healthcare Management
- Operations Research
- Medical Education
Background:
- Measuring healthcare provider performance requires tools assessing both efficiency and quality.
- Emergency departments (EDs) face unique challenges due to patient heterogeneity and physician training roles.
Purpose of the Study:
- To develop and apply a Data Envelopment Analysis (DEA) model for assessing emergency department (ED) physician performance.
- To incorporate both efficiency (inputs) and quality (outputs) into the performance assessment.
- To account for patient heterogeneity and the role of physicians as mentors.
Main Methods:
- Developed a DEA model to evaluate ED physician performance.
- Grouped patients by presenting complaint for separate physician assessments.
- Conducted a secondary analysis grouping patients based on trainee involvement.
Main Results:
- Significant performance variations observed among physicians within and between patient complaint groups.
- Physicians demonstrated higher performance scores when not assisted by trainees or fellows.
- The model highlighted the impact of patient complexity and mentorship on performance.
Conclusions:
- The developed DEA model provides a nuanced approach to evaluating ED physician performance.
- Physician performance is influenced by patient case mix and the presence of trainees.
- Performance metrics should consider the dual role of physicians in patient care and training.
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