The impact of the founding body on financial performance of Polish hospitals

This article is devoted to assessing the impact of the hospital founding body on financial efficiency of the subordinated hospitals. The main aim of the study is to assess if there exist differences in financial performance of hospitals of different founding bodies in Poland. It will allow to evaluate the quality of financial management in hospitals of different founding bodies. In the analysis there are used typical financial ratios used for assessing financial performance. The study is subjected to selected types of hospital units from the region of Lodz. The conclusions from the article are that the founding body significantly affects financial performance of subordinated hospitals

Using computer simulation in operating room management: impacts of information quality on process performance

High quality information has a significant impact on improving operation performance and patient satisfaction, as well as resolving patient disputes. Based on the analysis of the perioperative process, information quality is considered as an important contributory factor in improving patient throughput. In this paper, we propose a conceptual framework to use computer simulations in modeling information flow of hospital process for operating room management (ORM). Additionally, we conduct simulation studies in different levels of the information quality for ORM. The results of our studies provide evidence that information quality can drive process performance in several phases of the ORM

The impact of management on hospital performance

There is a prevailing popular belief that expenditure on management by health-care providers is wasteful, diverts resources from patient care, and distracts medical and nursing staff from getting on with their jobs. There is little existing evidence to support either this narrative or counter-claims. We explore the relationship between management and public sector hospital performance using a fixed effects empirical econometric specification on a panel data set consisting of all 129 non-specialist acute National Health Service (NHS) hospitals in England for the financial years 2012/13 to 2018/19. Measures of managerial input and quality of management practice are constructed from NHS Electronic Staff Records and NHS Staff Survey data. Hospital accounts and Hospital Episode Statistics data are used to construct five measures of financial performance and of timely and high-quality care. We find no evidence of association either between quantity of management and management quality or directly between quantity of management and any of our measures of hospital performance. However, there is some evidence that higher-quality management is associated with better performance. NHS managers have limited discretion in performing their managerial functions, being tightly circumscribed by official guidance, targets, and other factors outside their control. Given these constraints, our findings are unsurprising

The Impact of Competition on Management Quality: Evidence from Public Hospitals

We analyze the causal impact of competition on managerial quality (and hospital performance). To address the endogeneity of market structure we analyze the English public hospital sector where entry and exit are controlled by the central government. Because closing hospitals in areas where the governing party is expecting a tight election race ("marginals") is rare due to the fear of electoral defeat, we can use political marginality as an instrumental variable for the number of hospitals in a geographical area. We find that higher competition is positively correlated with management quality, measured using a new survey tool. Adding a rival hospital increases management quality by 0.4 standard deviations and increases survival rates from emergency heart attacks by 8.8%. We confirm the validity of our IV strategy by conditioning on marginality in the hospital's own catchment area, thus identifying purely off the marginality of rival hospitals. This controls for "hidden policies" that could be used in marginal districts to improve hospital management. We also run placebo tests of marginality on schools, a public service where the central government has no formal influence on market structure.management, hospitals, competition, productivity

Publicness, Organisational Characteristics and Performance

This paper reports an exploratory study utilising a publicness model in which the impact of ownership, funding and mode of control on performance is moderated by organisational characteristics such as goals, structure and management. It describes the testing in 164 English hospital pharmacies of four health sector-relevant characteristics; diffusion of ownership (number of owners), priority of financial goals, congruence of core purpose (goals of sub-unit compared to organisation), and proximity of control (hierarchical levels between sub-unit and top management). Associations between these and four indicators of performance (managerial effectiveness, utilisation of human resources, work quality and employee satisfaction) were examined. Statistically significant relationships were seen between three of the organisational characteristics and some aspect of performance. Priority of financial goals was associated with perceptions of managerial performance, and proximity of control with use of human resources, work quality and employee satisfaction. Further elucidation of such characteristics may be justified.</jats:p

IMPLEMENTASI PENGELOLAAN KEUANGAN-BLUD TERHADAP KINERJA KEUANGAN PADA RSUD GAMBIRAN KOTA KEDIRI

ABSTRACT IMPLEMENTATION FINANCES MANAGEMENT – BLUD ABOUT FINANCES PERFORMANCE TO GAMBIRAN HOSPITAL KEDIRI Faridatul Bahiyya NIM F3313050 The purpose of this study was to describe the implementation of the implementation of financial management BLUDs on financial performance in hospitals Gambiran Kediri. The object of this thesis is the Regional General Hospital Gambiran Kediri. The research process by describing the implementation of management BLUDs on the financial performance and the impact it after their BLUDs management. The results of this study indicate that hospitals Gambiran of Kediri has been implementing a financial management BLUDs, and apply flexibility in managing business practices. The conclusion from this study is that hospitals Gambiran of Kediri has been applying the flexibility in managing practices - business practices. This was evidenced by revenue exceeding budget targets and spending hospitals that do not exceed the budget. The impact of the financial management BLUDs to patients in hospitals Gambiran of Kediri to be proved that the realization and program spending has increased during 2013 to 2015. Key Word : Implementation, Finances Managemen

Modeling a healthcare system as a queueing network:The case of a Belgian hospital.

The performance of health care systems in terms of patient flow times and utilization of critical resources can be assessed through queueing and simulation models. We model the orthopaedic department of the Middelheim hospital (Antwerpen, Belgium) focusing on the impact of outages (preemptive and nonpreemptive outages) on the effective utilization of resources and on the flowtime of patients. Several queueing network solution procedures are developed such as the decomposition and Brownian motion approaches. Simulation is used as a validation tool. We present new approaches to model outages. The model offers a valuable tool to study the trade-off between the capacity structure, sources of variability and patient flow times.Belgium; Brownian motion; Capacity management; Decomposition; Health care; Healthcare; Impact; Model; Models; Performance; Performance measurement; Queueing; Queueing theory; Simulation; Stochastic processes; Structure; Studies; Systems; Time; Tool; Validation; Variability;

Performance indicators for primary care management in the NHS

There is increased emphasis on the measurement of performance in the NHS. Following the White Paper, additional high level indicators for measuring primary care performance at Health Authority level have been proposed by the NHS Executive. These include measures based on prescribing and on hospital admission rates for certain acute and chronic conditions. It is suggested that higher hospital admission rates for some conditions may indicate deficiencies in their management in primary care. In this paper we argue that there are difficulties with some of the proposed measures. The difficulties arise because individual single indicators are used to attempt to reflect more than one aspect of performance, may have large year to year variation and be subject to confounding. Using data on Family Health Services Authorities (FHSAs) from 1989/90 to 1994/5 we investigate how admission rates, and the ranking of FHSAs by admission rates, vary as socio-economic and secondary and primary care supply conditions are allowed for. The impact of socio-economic factors on admission rates and rankings is at least as large as the impact of the age and sex structure of FHSA populations. Allowing also for secondary care supply conditions has a smaller, but still noticeable, effect. We suggest that if admission rates are used as performance indicators in primary care they should be standardised for socio-economic and supply conditions, as well as for demographic factors. We also make a number of other suggestions for improving the indicators. Length: 34 pagesperformance indicators; policy implications