The Application Of Balanced Scorecard In The Management Of Hospital Grading System

Background:At present,there is no clear performance management standard in graded diagnosis and treatment.Traditional financial performance evaluation methods can not meet the performance management of graded diagnosis and treatment.The common indicators of Balanced Scorecard in hospital management are not completely suitable for the specific management of graded diagnosis and treatment.The performance management system of Balanced Scorecard suitable for grading treatment is needed.Objective:Design a balanced scorecard method suitable for graded diagnosis and treatment performance management,through the application of Balanced Scorecard in graded diagnosis and treatment performance management,find problems and improve,play the role of Balanced Scorecard in graded diagnosis and treatment work.Methods:This paper uses the method of literature review,the present situation investigation,etc,designing the Balanced Scorecard's scoring system in the grading treatment,and it was run at the grade three grade a hospital and two communities.Result:1.The number of first visits in LJ community health service center increased by 71.79%and 44.64%respectively in the first half of 2017 and the second half of 2016,and increased by 55,79%in the whole year.The number of first visits in SMY community health service center increased by 33%in the first half of 2017 and in the second half of 2016 respectively.33%and 6.72%,a year-round increase of 19.44%.From the above data,we can see that the annual growth rate of the number of first visits at the grass-roots level in communities with balanced scorecard is 36.35%higher than that in communities without balanced scorecard.The effect of Balanced Scorecard on the trial of graded performance management in U community health service centers is remarkable,and the number of first visits at the grass-roots level is remarkable.The percentage increase was significantly greater than that of SMY community health service centers without trial Balanced Scorecard in graded diagnosis and treatment.2.Comparing the referral situation,the number of referral in the two communities has increased from quarter to quarter,half a year,year to year.This may be related to the implementation of the performance management of the Balanced Scorecard for graded diagnosis and treatment by doctors in Grade A hospitals.Priority of appointment,priority of examination,priority of hospitalization,resident doctors are more active for referral patients to provide medical services,so that more residents understand and appreciate the benefits of graded treatment,recognition of grass-roots treatment and then referral to the medical mode.From the number of referrals per quarter,half a year and year,the number of referrals in LJ community is more than that in SMY community,which is 102%more in the whole year.It can be seen that the balanced scorecard has a good effect on the integral management of residents and community doctors.With good performance management methods,community doctors are more active and conscientious.The trial of the Balanced Scorecard in the graded diagnosis and treatment of community doctors has improved the compliance of residents in health management through the development of doctors themselves,the communication between community doctors and Grade A doctors,and the integrated medical service.Residents have taken more initiative in choosing the first and two-way referral methods at the grass-roots level,thus to a certain extent improving their health management compliance.The implementation of hierarchical diagnosis and treatment system.3.Comparing the results of the satisfaction survey,one year after the implementation of the balanced scorecard management method in the graded diagnosis and treatment work,a questionnaire was conducted on the satisfaction of doctors,inpatients,residents of U community and doctors in Grade A hospitals,and a year ago compared with the questionnaire on the satisfaction of doctors in Grade A hospitals,residents and doctors in the same community..200 questionnaires were sent out to doctors and residents(including inpatients).The effective recovery rate of the questionnaires was 100%for doctors in Grade A hospitals and community doctors,and 98%for residents(including inpatients).The comparative analysis showed that 94.6%of the doctors would give priority to two-way referral in their work,which was 34.2%higher than a year ago;58.67%of the residents chose community as their first visit,which was 39.2%higher than a year ago;50.2%of the residents had experienced two-way referral,of which 77.85%were satisfied with the two-way referral.Research conclusion and significanceThe design of the balanced scorecard which puts the "customer dimension"in the first place is more suitable for the performance management method of graded diagnosis and treatment,mobilizes the enthusiasm of doctors,changes the residents'traditional medical treatment habits and health management compliance,and guides the direction of "primary treatment".