A Hospital Performance Assessment Model Using the IPOCC Approach.

Area of Science:

• Healthcare Management
• Quality Improvement
• Health Services Research

Background:

• Assessing hospital performance is crucial for enhancing service quality and patient satisfaction.
• A practical model is needed to systematically evaluate healthcare delivery.
• The Input, Process, Output, Control, and Context (IPOCC) framework provides a structured approach for performance evaluation.

Purpose of the Study:

• To develop and present a practical model for assessing hospital performance.
• To utilize the IPOCC approach for a comprehensive evaluation framework.
• To identify key factors within each IPOCC dimension for hospital assessment.

Main Methods:

• A mixed-method research design was employed.
• Qualitative data involved 27 experts selected through snowball sampling until data saturation.
• Quantitative data were collected from 334 hospital managers using random sampling based on Cochran's formula.

Main Results:

• The developed hospital evaluation model comprises 5 dimensions and 20 factors across Input, Process, Output, Control, and Context.
• Statistical analysis indicated an acceptable model fit, with a chi-square/degree of freedom ratio of 1.966.
• Goodness-of-fit indices (CFI, GFI, IFI) were acceptable, and the SRMR was 0.1130.

Conclusions:

• The IPOCC-based performance assessment model effectively evaluates hospital processes and their outputs.
• The model encompasses all service areas, including control, context, and traditional resources (physical, human, financial, equipment).
• Implementation of this model can lead to improved hospital operations and outcomes.