精益IT管理与美国医院的财务绩效之间的关联
Justin Lee1, Dorothy Y Hung, Elina Reponen
1Author Affiliations: Division of Health Policy and Management, School of Public Health, University of California, Berkeley (Mr Lee); Division of Biological Sciences, College of Letters and Sciences, University of California, Berkeley (Mr Lee); Department of Anesthesiology and Intensive Care Medicine, Helsinki University Central Hospital, Helsinki, Finland (Dr Reponen); and Department of Information Systems and Quantitative Methods, Business School, Université de Sherbrooke, Sherbrooke, Canada (Dr Fournier).
精益IT管理改善了医院的财务绩效,降低了成本,增加了收入. 视觉管理工具是这一成功的关键,特别是在基于价值的支付模式中.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 信息技术管理 信息技术管理
- 医疗保健操作 医疗保健操作
背景情况:
- 了解Lean实施在信息技术 (IT) 部门对医院绩效的影响至关重要.
- 运营和财务结果是受IT部门效率影响的关键指标.
研究的目的:
- 调查精益IT管理与医院绩效之间的关系.
- 确定IT部门内特定的精益实践,与更好的财务和运营结果相关.
主要方法:
- 利用美国1222家医院的数据通过国家精益调查 (NSL).
- 来自医疗保健研究和质量局 (AHRQ) 和医疗保险和医疗补助服务中心 (CMS) 的综合二次数据.
- 进行了多变量回归,分析了与精益IT采用相关的10个结果 (财务,质量,患者体验).
主要成果:
- 精益IT管理的采用与停留时间的缩短和每次出院的住院费用的降低相关.
- 视觉管理工具 (例如A3故事板) 与更低的住院费用和更高的EBITDA利率有关.
- 精益IT实践,特别是视觉管理,与参与捆绑支付计划和风险共享收入的增加有关.
结论:
- 精益IT管理与医院的财务业绩有着积极的关联,特别是在基于价值的支付环境中.
- 需要进行进一步的研究,以阐明IT对财务结果影响的具体机制和贡献因素.
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