Identifying Key Performance Indicators for Holistic Hospital Management with a Modified DEMATEL Approach

Abstract

Performance analysis is an important way for hospitals to achieve higher efficiency and effectiveness in providing services to their customers. The performance of the healthcare system can be measured by many indicators, but it is difficult to improve them simultaneously due to the limited resources. A feasible way is to identify the central and influential indicators to improve healthcare performance in a stepwise manner. In this paper, we propose a hybrid multiple criteria decision making (MCDM) approach to identify key performance indicators (KPIs) for holistic hospital management. First, through integrating evidential reasoning approach and interval 2-tuple linguistic variables, various assessments of performance indicators provided by healthcare experts are modeled. Then, the decision making trial and evaluation laboratory (DEMATEL) technique is adopted to build an interactive network and visualize the causal relationships between the performance indicators. Finally, an empirical case study is provided to demonstrate the proposed approach for improving the efficiency of healthcare management. The results show that “accidents/adverse events”, “nosocomial infection”, ‘‘incidents/errors”, “number of operations/procedures” are significant influential indicators. Also, the indicators of “length of stay”, “bed occupancy” and “financial measures” play important roles in performance evaluation of the healthcare organization. The proposed decision making approach could be considered as a reference for healthcare administrators to enhance the performance of their healthcare institutions.

The Effects of Health Transformation Plan Implementation on the Performance Indicators of Public Hospitals

“…The performance assessment of health care providers, including hospitals, can provide decision-makers with timely and relevant information related to the efficiency of these centers in order to monitor their status and current activities (20)(21)(22). This information informs the program managers and policymakers and would provide the grounds for monitoring the national goals and assessing relevant policies.…”

In-hospital adverse drug events: analysis of trend in Portuguese public hospitals

“…As many of these events could be prevented, there is a growing interest in their effective identification and the implementation of successful preventive strategies, with the aim of improving patient safety and enhancing hospital efficiency 4 . The assessment of the clinical performance from health services and organizations is essential to move towards care quality excellence and to achieve a more efficient performance 12 .…”

Identification of Key Performance Indicators for Hospital Management Using an Extended Hesitant Linguistic DEMATEL Approach

“…Over the past decades, there has been great change in the construction of healthcare systems [1,2]. Due to the growing demands for quality improvement and the increasing pressure from regulatory agencies, problems on how to provide high-quality medical services and improve patient satisfaction have caught the attention of hospital administrators [3,4].…”

“…In prior researches, KPIs of healthcare management were generally determined via prepared questionnaires and expert interviews [1,10]. Nevertheless, few studies considering KPIs in healthcare management divided them into meaningful indicators and investigated the relationships among them [2,7]. Thus, it is necessary to analyze the inter-relationships between performance indicators and determine KPIs to measure and monitor the performance of a healthcare organization.…”