Efficiency analysis and management strategies of hospital beds based on diagnosis-related groups
10.3760/cma.j.cn111325-20220801-00681
- VernacularTitle:基于DRG的医院床位效率分析及管理策略探讨
- Author:
Wei SONG
1
;
Xinhua REN
;
Lei CHEN
;
Yue JIA
;
Gang WAN
;
Rui SONG
;
Fengxin CHEN
;
Xiaoyou CHEN
Author Information
1. 首都医科大学附属北京地坛医院改革绩效办，北京 100015
- Keywords:
Diagnosis-related groups;
Case mix index;
Bed efficiency;
Bed allocation;
Hospital administration
- From:
Chinese Journal of Hospital Administration
2023;39(3):201-205
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To improve the evaluation method of hospital beds efficiency based on diagnosis-related groups (DRG), and to provide a basis for hospitals to allocate beds reasonably and improve bed efficiency.Methods:Taking a tertiary hospital in Beijing as the research object, the types of beds were evaluated by the beds utilization matrix with the time consumption index as the X-axis and the bed utilization rate as the Y-axis. The types of beds in the department were divided into efficiency type, pressure type, turnover type, and idle type. The efficiency of medical services and the level of diagnosis and treatment were evaluated by the weight of DRG per bed. The calculation method of theoretical number of beds was improved by incorporating hospital case mix index as a risk adjustment factor into the formula to evaluate the status of beds allocation. Combining the bed type, DRG weight per bed, and bed allocation status, the improvement emphasis and management strategy of bed utilization could be comprehensively analyzed.Results:Among the 24 departments in the hospital, there were 5, 9, 1 and 9 departments being efficiency type, pressure type, turnover type and idle type, respectively. The weight per bed of 11 departments was higher than the average level of the hospital. There were 16, 5, and 3 departments with appropriate, fewer, and excessive beds, respectively.Conclusions:The comprehensive analysis of beds utilization type, allocation status and weight of each bed based on DRG is an effective method to evaluate the efficiency of hospital beds, and can provide decision-making basis for hospital bed resource allocation, hospital operation focus adjustment, and subject development planning.
