Key Performance Indicators of Medical Department

Transcription

1 1 Profit Variance per tonne Loss Variance per tonne 3 Medicine Usage Measures the profit margin generated per tonne of coal against the budgeted profit per tonne of coal -100% and above achievement 4-Between 86%-99% achievement 3-Between 76%-8% achievement -Between 61%-7% achievement 1-Below 60% achievement Measures the loss margin generated per tonne of coal against the budgeted loss per tonne -100% and above achievement 4-Between 86%-99% achievement 3-Between 76%-8% achievement -Between 61%-7% achievement 1-Below 60% achievement Measures the extent to which the procured medicine are put to use to specified departments (Common medicines and specified medicines) - Excluding life saving drugs - Usage is 81 % or above 4-Usage is between 71%-80 % 3-Usage is between 61%-70 % -Usage is between 1%-60 % 1-Usage is less than 0% Actual Profit per tonne/budgeted Profit per tonne*100 a.budgeted loss per tonne-actual loss per tonne/budgeted loss per tonne*100 b.(i) If the answer of above is positive, then add 100 to the answer to get achievement % (ii) If the answer of above is negative, then subtract 100 to the answer to get achievement % (Annual inventory value of medicines (common medicine+specified medicine-life saving medicine) at the beginning of year + Total value of medicine (common medicine+specified medicine-life saving medicine) added during the year - Medicine value (common medicine+specified medicine-life saving medicine) declared as expired)/ Annual Inventory Value of Medicine (common medicine+specified medicine-life saving medicine) at the beginning of the year Financial 4 Productive man Measures the average number of absent workdays due to industrial disputes hours lost due to IR during the measurement period of time Challenges -0% 4-Between 1%-10% 3-Between 11%-0% -Between 1%-30% 1-Above 30% % Obsolete items in inventory Measures the loss not only due to the development of improved or superior items, but also due to physical deterioration Following rating scale to be adhered: -If loss of obsolete items in inventory is below 0.1% 4-If loss of obsolete items in inventory is between 0.11% to 0.3% 3-If loss of obsolete items in inventory is between 0.31% to 0.% -If loss of obsolete items in inventory is between 0.1% to 0.99% 1-If loss of obsolete items in inventory is more than 0.91% Number of lost due to IR challenges/total available*100 (Value of medicines (common medicine+specified medicine-life saving medicine) declared expiry during the year / Total annual value of medicine inventory)*100 6 Reimbursement Measures the departmentwise reimbursement - Internal Following rating scale to be adhered: -If Department wise remibursement is 80% or less compared to previous year 4-If Department wise remibursement is between 81% to 90% compared to previous year 3-If Department wise remibursement is between 91% to 100% compared to previous year -If Department wise remibursement is between 101% to 110% compared to previous year 1-If Department wise remibursement is more than 110% compared to previous year Total expenditure on internal reimbursement (last year-this year)/this year

2 1 % Patient satisfaction Measures the percentage of patients that are satisfied with the patient care services assured by the hospital on a point scale Following rating scale to be adhered: - If the score is more than 91% 4-If the score is more between 81%-90% 3-If the score is more between 71%-80% -If the score is more between 61%-70% 1-If the score is less than 60% No. of patients who have marked an average response of 4 or /Total No. of patients who have marked responses*100 No of patients attended (this year - last year)* 100/ Last year OPD attendance Measures the number of patients attended by the doctor per year - If the attendance is more than 110% compared to previous year 4-If the score is more between % compared to previous year 3-If the score is more between 104%-100% compared to previous year -If the score is more between 99%-90% compared to previous year 1-If the score is less than 80% compared to previous year Customer 3 Patient Waiting time Measures the average waiting time for patients, from arrival until being consulted by a doctor or until being admitted To be decided by the Hospital incharge for different departments Total time taken between issuing of medical slip to diagnosis by doctor / Total number of patients diagnosed 4 Length of stay Measures the average duration (in days) for which a patient is admitted in the hospital To be decided by the Hospital incharge for different departments As per rating scale Length of stay due to post operative morbidity Measures average duration (in days) for which a patient is admitted in the hospital due to post operative morbidity To be decided by the Hospital incharge for different departments No of In-patient days (cases of morbidity)/ Total no of in patients in a year*100 6 Clinical Negligence Measures the reported negligence by doctors which has been established by the by committee appointed by appropriate authority. - Number of cases of proven negligence is "0" 4- Number of cases of proven negligence is "1" 3- Number of cases of proven negligence is "" - Number of cases of proven negligence is "3" 1 -Number of cases of proven negligence is "4" or more than "4" Number of proven cases of negligence by committee appointed by appropriate authority

3 7 Medicine Stock outs Measures the instances in a year when prescribed medicines are not available within the medical warehouse - If % of cases of medical stock out is between 81%-90% 4- If % of cases of medical stock out is between 91%-99% 3- If % of cases of medical stock out is 100%-10% - If % of cases of medical stock out is between 106%-110% 1 -If % of cases of medical stock out is more than 110% (No. of times stock outs occurred this year - last year)/last year * 100 Customer 8 CSR Beneficiaries 9 Housekeeping Index Measures the number of beneficiaries under CSR activities specifically medical camps - More than 110% 4-101% - 110% - 91% to 99% 1-81% to 90% Measures the quality of infrastructure services offered in the hospital to its patients - If the average housekeeping index in the current year is more than previous year 3-If the average housekeeping index in the current year is equal to previous year 1-If the average housekeeping index in the current year is less than previous year (Total number of beneficiaries in the current year through medical camps / Total number of beneficiaries in the previous year through medical camps)*100 (Average score on Housekeeping Index this year - last year) / Last Year) * Coal Production achievement % Measures the actual quantity of coal produced for the organisation v/s target. Following scale to be adhered to for rating: - if the actual coal production is 91% or above the target 4- if the actual coal production is between 81 to 90% of the target 3- if the actual coal production is between 71 to 80% of the target - if the actual coal production is between 61 to 70% of the target 1- if the actual coal production is less than 60% of the target Actual Coal Production / Coal Production Target * 100 Process Meeting PME targets Measures the deviation (positive or negative) from annual PME targets Following scale to be adhered for rating: - If actual target achievment is 91 % or above the annual target 4-If actual target achievment is between 8 %-90% of the annual target 3-If actual target achievment is between 80%-84% of the annual target -If actual target achievment is between 7%-79% of the annual target 1-If actual target achievment is below 7% of the annual target (Annual PME Target-Target achieved)/annual PME Target*100 3 Family planning Measures the improvement in family planning initiatives YOY -If family panning initative is more than 110% compared to previous year 4-If family panning initative is between % compared to previous year 3-If family panning initative is 100% compared to previous year -If family panning initative is 91%-99% compared to previous year 1-If family panning initative is below 91% compared to previous year Number of family planning measures (including surgeries in the current year/number of family planning measures (including surgeries) in the previous year* 100

4 4 Surgeries - Major surgeries (Individual surgeons) Surgeries - Minor surgeries (Individual surgeons) Measures the number of surgeries per year. Note: for individual surgeons - More than 110% 4-101% to 110% - 91% to 99% 1 - Below 91% Measures the number of surgeries per year. Note: for individual surgeons - More than 110% 4-101% to 110% - 91% to 99% 1 - Below 91% Total no of surgeries this year / Total no of surgeries in previous year*100 Total no of surgeries this year / Total no of surgeries in previous year*100 6 Referrals Routine Measures the number of referrals per 100 cases seen - Below 90% 4 -Between 9%-99% - Between 101%-10% 1 - More than 10% Total no of referrals per 100 cases per doctor current year/ Total no of referrals per 100 cases per doctor previous year * 100 Process 7 8 Referrals Routine for CMS Incharge Timely AMC Renewal Measures the number of referrals per 100 cases seen - Below 90% 4 -Between 9%-99% - Between 101%-10% 1 - More than 10% Measures the timely completion of AMC renewal before expiry of pervious contract - If percentage is 100% 4- If percentage is between 90 %-99% 3-If percentage is between 80%-89% - If percentage is between 60%-79% 1- If percentage is less than 60% Total no of referrals per 100 cases per doctor current year/ Total no of referrals per 100 cases per doctor previous year * 100 No of cases of AMC renewal completed before the expiry of the last contract/total no of cases of AMC renewal*100 9 Equipment Utilization Index Measures the utilization of every equipment Will very from department to department Number of hours for which machine was utilized/total available hours of use of euipment *100 (Need to maintain logs to calculate the utilization hoursand available hours are calculated basis availability of machine) 10 Ambulance Availability Availability of ambulances ( owned inhouse or outsourced) when required for routine and emergency cases - 96% to 100% 4-91% to 9% 3-86% to 90% - 81% to 8% 1 - Below 80% No of available ambulance days /Total Ambulance days in a year*100

5 11 % Non - operational ambulances due to breakdowns and accidents Key Performance Indicators of Medical Department Measures the percentage of ambulances that are not in use due to breakdowns and accident, from the total number of ambulances. - 0% 4-3% 3 - % - 7% 1-10% or more No. of time ambulances failed to serve on call / Total No. of calls*100 Process Post Operation Mortality Equipment AMC Coverage Periodical Medical Examination Measures the percentage of deaths during surgery or within two weeks of a planned surgical procedure - 0.1% 4-0.% 3-0.% - 0.7% 1-1% or more Number of equipments eligible for AMC and under AMC - 100% 4-80% 3-70% - 60% 1 - Below 0% Achievement of periodical medical examination of the workers 1 - below to to to 90 - More than 90% Number of death cases/total number of planned surgeries* 100 Total equipments under AMC/Total equipments eligible for AMC*100 (Achievement of PME / Target of PME)*100 1 % Periodic medical examination coverage rate Measures the percentage of patients that examined as against the targeted patient group - More than 90% 4-81% to 90% 3-71% to 80% - 61% to 70% 1 - Below 60% (No. of patients examined / Total No. of patients in the targeted group)* Timely submission of monthly MIS (Returns/Reports) Measures the percentage of timely submission of monthly MIS (Returns/Reports) - If percentage is 100% 4- If percentage is between 7%-99% 3-If percentage is 0%-74% - If percentage is 49%- % 1- If percentage is less than % Number of times returns submitted within the due date / 1* Measures the percentage of emergency cases that receive a medical treatment of a medically trained person, from total emergency responses offered % Emergency - If number of complaints registered is 0.1% or below cases which receive 4-If number of complaints registered is between 0.11% to 0.3 % a medical 3-If number of complaints registered is between 0.31% to 0. % treatment 4-I f number of complaints registered is between 0.1% to 1 % 4-I f number of complaints registered is more than 1% No of written complaints registered/total emergency cases*100

6 Process Emergency cases dealt with immediate response Management of IOD cases Special investigations Data Computerization Dealing with emergency cases Key Performance Indicators of Medical Department Measures the emergency cases that receive a medical treatment of a medically (No of written complaints registered/total emergency cases)*100 trained person - If number of complaints registered is 0.1% or below 4-If number of complaints registered is between 0.11% to 0.3 % 3-If number of complaints registered is between 0.31% to 0. % 4-I f number of complaints registered is between 0.1% to 1 % 4-I f number of complaints registered is more than 1% Measures the number of Injury on duty cases which were successfully dealt with on No of complaints registered/total number of IOD cases*100 time and with proper medication - If number of complaints registered is 0.1% or below 4-If number of complaints registered is between 0.11% to 0.3 % 3-If number of complaints registered is between 0.31% to 0. % 4-I f number of complaints registered is between 0.1% to 1 % 4-I f number of complaints registered is more than 1% Measures the YOY increase in special investigations Special investigations in the current year /Special investigations in the prevous year * Beyond 10% 4- Between 101%-10% 3- Between 104%-100% -Between 100%-90% 1- Less than 90% Computerization of PME data - 100% of data computerized 4- Between 99%-90% of data computerized 3- Between 89%-80% of data computerized -Between 79%-70% of data computerized 1-Less than 70 % of data computerized Measures the number of complaints registered - If number of complaints registered is 0.1% or below 4-If number of complaints registered is between 0.11% to 0.3 % 3-If number of complaints registered is between 0.31% to 0. % 4-I f number of complaints registered is between 0.1% to 1 % 4-I f number of complaints registered is more than 1% Actual number of records computerized/target number of records to be computerized*100 No of written complaints registered/total number of emergency cases*100

7 1 External Learning Mandays of training undergone by each individual Measures the participation outside workshops and conferences in case of nominations - If percentage is 91% and above - If percentage is between 0%-70% 1- If percentage is less than 0% Measures the number of spent on training by each individual relative to the nominated to be spent on training - If percentage is 91% and above - If percentage is between 0%-70% 1- If percentage is less than 0% No of workshops/conferences attended/no of workshops/conferences nominated*100 Actual spent on training/total nominated for training*100 Learning & Growth 3 Knowledge Transfer (Actual number of participants x Number of program days) / (Budgeted number of target participants x Number of program Measures the internal training organized for personnel at Central and Area days) * 100 Hospitals Following scale to be adhered to for rating: - if the actual number of training is 91% or above the targeted 4- if the actual number of training is between 81 to 90% of the targeted 3- if the actual number of training is between 71 to 80% of the targeted - if the actual number of training is between 61 to 70% of the targeted 1- if the actual number of training is less than 60% of the targeted 4 CME Completion Measures the extent to which the suggested CME is completed in a calendar year - 100% of achievement 4-90% or more 3-80% or more - 70% or more 1-70% or less Actual Achievement /Target *100 Paramedic Training (Actual number of participants x Number of program days) / (Budgeted number of target participants x Number of program days) * 100 Measures the percentage of achieved training, out of the total planned training. Following scale to be adhered to for rating: - if the actual number of training is 91% or above the targeted 4- if the actual number of training is between 81 to 90% of the targeted 3- if the actual number of training is between 71 to 80% of the targeted - if the actual number of training is between 61 to 70% of the targeted 1- if the actual number of training is less than 60% of the targeted

8 6 External certifications and recognitions Measures certificates & recognitions obtained by hospitals against their plans - If percentage is 91% and above - If percentage is between 0%-70% 1- If percentage is less than 0% Actual number of external certifications actual received and renewed /Target numberof external certifications to be received and renewed*100 7 Score rate of feedback Measures the sum of total score awarded to each doctor through feedback forms - If percentage is 91% and above - If percentage is between 0%-70% 1- If percentage is less than 0% Number of patients giving a rating of 4 or on a point scale instrument/total survey pupulation*100 Learning & Growth 8 Publications/Presen tations Publication of technical papers in national and international journals/home journals - If percentage is 100% 4- If percentage is between 7%-99% 3-If percentage is 0%-74% - If percentage is 49%- % 1- If percentage is less than % Actual number of technical paper published/target number of technical paper published*100 9 New initatives with respect to technological upgradation Measures the number of new initatives taken with respect to technological upgradation - If percentage is 100% 4- If percentage is between 7%-99% 3-If percentage is 0%-74% - If percentage is 49%- % 1- If percentage is less than % Number of new initatives actually taken/number of new initatives agreed to be taken in current year* Special clinics Measures the special clinics in a year - If percentage is 91% and above - If percentage is between 0%-70% 1- If percentage is less than 0% Actual number of special clinic beneficiaries in a year/target number of special clinic beneficiaries in a year*100