关于医院动态能力和绩效改善的探索性研究
Mona Al-Amin, Erin Sullivan1, Nicole E Szalay2
1Department of Public Service and Healthcare Administration, Sawyer Business School, Suffolk University, Boston, Massachusetts.
概括
医院需要动态能力,以持续提高绩效. 发展这些动态能力,包括识别,抓住和从机会中学习,对于优化医院表现至关重要,超出了临时项目.
科学领域:
- 医疗保健管理的管理
- 组织能力 组织能力
- 提高绩效 提高绩效 提高绩效
背景情况:
- 医院面临着提供高价值护理的压力,通常依赖于付款激励.
- 显著的百分比 (70-90%) 的绩效改进项目未能达到目标.
- 仅仅是运营能力不足以实现持续的卓越性能;需要动态能力.
研究的目的:
- 提出动态能力框架作为开发和管理医院绩效改进 (PI) 能力的模型.
- 探索由动态能力驱动的战略在医疗保健环境中的影响.
- 评估医院是否从事与动态能力框架一致的活动.
主要方法:
- 基于对动态能力框架的文献审查,开发了一份半结构化面试指南.
- 从马萨诸塞州和新罕布什尔州的医院PI部门招募了9名参与者.
- 定性数据分析涉及使用NVivo12.12对非识别面试成绩单进行主题索引和编码.
主要成果:
- 医院在PI结构,方法或弱点方面没有显著变化.
- 大多数医院都有PI部门,并青最高管理层发起的项目,但缺乏一般工作人员PI培训计划.
- 共同的弱点包括PI项目选择,沟通,协调,从过去的项目中学习和持续改进.
结论:
- 动态PI功能使系统识别,利用和从改进机会中学习,以及资源重新配置以获得最佳性能.
- 临时PI项目不足以实现医院持续的卓越绩效.
- 发展动态的PI能力对于医院来说至关重要,以系统有效地应对高价值护理的压力,并实现卓越的绩效.
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