Performance Evaluation of Hospitals’ Emergency Departments using a Modified American Productivity and Quality Center Approach

Zhao, Ronald; Paul, David P.

doi:10.4018/jsesd.2012100103

Cited by 3 publications

(4 citation statements)

References 22 publications

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“…Weaknesses involved issues such as lack of weight assignment to indicators and ambiguity concerning data accuracy; moreover, no specific strategy was suggested to improve performance. Zhao and Paul III 26 evaluated the performance and income of the ED; however, they have not proposed any improvement strategy while also the accuracy of the data has not been discussed. Yeh and Cheng 27 evaluated and proposed suggestions to improve the performance of EDs in Taiwan national hospitals.…”

Section: Introduction and Review Literaturementioning

confidence: 99%

An integrated framework to evaluate and improve the performance of emergency departments during the COVID-19 pandemic: A mathematical programing approach

Taghipour

Hamid

Aghakarimi

et al. 2023

Proc Inst Mech Eng H

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The emergency department (ED) is one of the most critical and high-risk sections of the health system. Providing quality services at a fast pace is vital in this ward since it directly affects people’s lives. The COVID-19 pandemic has turned into a serious challenge for physicians and emergency departments (EDs). The growing number of patients who refer to EDs creates congestion, which will reduce the quality of services. Consequently, managing and operating EDs will be more urgent during this pandemic. Considering this problem, we first used data envelopment analysis (DEA) to evaluate the performance of EDs in the central provinces of Iran. Then, sensitivity analysis was used to determine the main factors affecting the efficiency of this ward. Accordingly, the high number of admitted patients, the congestion of the ward, and the long time required to report the COVID-19 test results were found to be the most influential factors. Finally, drawing on the results of sensitivity analysis, we advance a number of measures to improve these three and other related indicators. Furthermore, appropriate strategies were presented for improving health, COVID-19 management, key performance indicators, and safety indicators in accordance with the results of strengths-weaknesses-opportunity-threat (SWOT) analysis.

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Section: Introduction and Review Literaturementioning

confidence: 99%

An integrated framework to evaluate and improve the performance of emergency departments during the COVID-19 pandemic: A mathematical programing approach

Taghipour

Hamid

Aghakarimi

et al. 2023

Proc Inst Mech Eng H

View full text Add to dashboard Cite

show abstract

“…Patient safety was also concluded to be the weakest aspect in the cited set of emergency departments. Such finding calls for the rapid intervention of the local government and healthcare cluster in order to avoid poor clinical outcomes in admitted ED patients and the associated cost overruns as established by Zhao and Paul (2012) through their MAPQC approach. The availability of specialists was also found to be a primary intervention point in the ED cluster.…”

Section: Discussionmentioning

confidence: 99%

“…Also, it established that employee-related performance measures are rarely considered in the reported literature. Interesting frameworks were proposed by Zhao and Paul (2012) and Pan et al (2016). Specifically, Zhao and Paul (2012) proposed a modification of the American Productivity and Quality Center (QAPC) method for assessing the performance of hospital emergency departments.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Interesting frameworks were proposed by Zhao and Paul (2012) and Pan et al (2016). Specifically, Zhao and Paul (2012) proposed a modification of the American Productivity and Quality Center (QAPC) method for assessing the performance of hospital emergency departments. This approach is based on efficiency and price recovery ratio to better connect quality and financial domains.…”

Section: Literature Reviewmentioning

confidence: 99%

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Redesigning the Barranquilla's public emergency care network to improve the patient waiting time

Barrios¹,

Ángel²

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Waiting time is one of the most critical measures in the satisfaction of patients admitted within emergency departments. Therefore, hospitals and governmental organizations should jointly aim to provide timely attention at reasonable costs. In the case of Barranquilla's Pubic Emergency Service Network, composed by 8 Points of care (POCs) and 2 hospitals, the trend evidences a continuous growing of the waiting time with a rate of 3,08 min/semester and a 93,13% likelihood of serving patients after waiting for more than 30 minutes. This is an unmistakable symptom of 12 average with a standard deviation of 81,6 min before being served by the emergency care unit. On the other hand, based on the reported literature, it is highly suggested to combine Operations Research (OR) methods, quality-based techniques, and data-driven approaches for addressing this problem. In this sense, a methodology based on collateral payment models, Discrete-event simulation, and Lean Six Sigma was proposed and validated resulting in a redesigned network whose average waiting time may diminish between 6,71 min and 9,08 min with an average profit US$29,980/node. Lately, a model comprising of 8 criteria and 35 sub-criteria was designed for evaluating the overall performance of emergency departments. The model outcomes revealed the critical role of Infrastructure (Global weight = 21,5%) in ED performance and the interactive nature of Patient Safety (C + R = 12,771).

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Sustainability in the Service Quality of Healthcare Facilities

Khan

Hafiz²,

Khadar

et al. 2022

International Journal of Social Ecology and Sustainable Development

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The basic determining elements of a healthcare centre are the patient's satisfaction provided by the hospitals, behavioral and psychological aspects, quality and efficiency of the hospitals. The imprecise response of patients adds to the complexity in evaluation of quality. On the other hand, in order to have a sustainable service quality in healthcare centre, environment issues related to patient wellness play a greater role. The major indicator in this regard is the disposal of medical waste and the cleanliness of the centre. Thus, the involvement of multiple criteria, uncertainty, and qualitative factors make the quality evaluation of healthcare facilities very complicated. In this research, a pilot study has been carried out. The ranking of dimensions as well as the hospitals are established using fuzzy analysis. The outcome of this study can be helpful to choose a better service from the range of service provider options, and secondly, managers can locate their area of weakness for continuous improvement and sustainability in health service quality.

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Performance Evaluation of Hospitals’ Emergency Departments using a Modified American Productivity and Quality Center Approach

Cited by 3 publications

References 22 publications

An integrated framework to evaluate and improve the performance of emergency departments during the COVID-19 pandemic: A mathematical programing approach

An integrated framework to evaluate and improve the performance of emergency departments during the COVID-19 pandemic: A mathematical programing approach

Redesigning the Barranquilla's public emergency care network to improve the patient waiting time

Sustainability in the Service Quality of Healthcare Facilities

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