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An Algorithm for Improving Hospital Performance Measures: A Department-centered Approach.

Ziv Gil1, Shuli Brammli-Greenberg2,3

  • 1Department of Otolaryngology Head and Neck Surgery, the Head and Neck Center, Rambam Healthcare Campus, Rapport Institute of Medicine and Research, the Technion-Israel Institute of Technology, Haifa, Israel.

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Summary
This summary is machine-generated.

A new management algorithm significantly improved surgical department performance, boosting quality, activity, and service by over 400%. This operational efficiency enhanced economic balance, transforming a deficit into profitability and improving hospital ranking.

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Area of Science:

  • Healthcare Management
  • Hospital Operations Research
  • Surgical Department Optimization

Background:

  • Hospital efficiency and economic balance are critical.
  • Department chairpersons face managerial constraints impacting operations.
  • Lack of effective management algorithms hinders hospital performance improvement without added costs.

Purpose of the Study:

  • To develop and implement a management algorithm in a teaching hospital's surgical department.
  • To enhance operational performance and quality of care through a novel management approach.

Main Methods:

  • A management algorithm was developed and implemented in a Head and Neck Surgery Department from 2012-2017.
  • Organizational structure and service provision concepts were modified.
  • Core performance measures were defined, and actions impacting outcomes were identified to construct an intervention process.

Main Results:

  • Over 400% improvement in department outcome measures (quality, activity, service).
  • National ranking improved from 14th to 1st among 23 departments, sustained for multiple years.
  • Achieved economic balance, transitioning from deficit to profitability.

Conclusions:

  • The developed management algorithm significantly enhances surgical department performance and economic viability.
  • Implementation of this algorithm can foster a culture of measurement and improvement across healthcare systems.
  • Potential exists for system-wide improvements in hospital function and patient care quality.