Study on disease-specific performance appraisal at public hospitals in Shanghai

VernacularTitle:上海公立医院实施病种绩效评价的初步探索
Author: Yongjin GUO ; Jue CEN ; Yan XU ; Jiechun GAO ; Ping HE ; Mu SUN ; Wen CHEN ; Chuanlin LI ; Huayan YAO ; Jianping CHEN
Publication Type:Journal Article
Keywords: Tertiary hospital; Disease-specific; Performance appraisal; Quality of care
From: Chinese Journal of Hospital Administration 2015;(8):574-578
CountryChina
Language:Chinese
Abstract: This study summarized the experiences of disease-specific performance appraisal at tertiary hospitals in Shanghai,which was launched since year 2013 by Shanghai Hospital Development Center (SHDC). 38 tertiary hospitals in Shanghai were included in the study. A disease-specific performance appraisal system centering on quality and performance, by means of case-mix model, classified surgery management and typical disease screening, and leveraging disease and surgery difficulties analysis, and inter-hospital performance appraisal of typical diseases. This reform has established appraisal criteria of disease difficulty management,coding criteria and data norms,guiding such hospitals to consolidate their functional positioning of focusing on difficult,urgent and complicated cases in the medical service delivery system.All these efforts have paved the way for the reforms to build a hierarchical medical service system, pricing per disease, payment per disease, and consolidate performance appraisal of medical workers.