Survey of RBRVS-based performance appraisal methods at 12 public hospitals / 中华医院管理杂志

Objective To learn the initial application of RBRVS related performance appraisal at public hospitals in China. Methods 12 tertiary public hospitals which took the lead to introduce RBRVS models, via third-party cooperation, in medical stuff performance assessment over one year were surveyed. The study summarized their design emphases of RBRVS performance appraisal, covering such aspects as appraisal level, accounting method, conceptual design, points setup and items charged as cost. Descriptive statistics was used to analyze the data so acquired. Results As shown in the performance appraisal level, most hospitals were found with defects in refining levels, as eight hospitals only appraise down to the department level, three to diagnostic group level, and only one hospital to individuals. Of these hospitals, over eight hospitals used RBRVS to elevate the efficiency and inventiveness of employees, while half of these hospitals reported the method can improve service, reduce cost and enhance quality of care. Conclusions Public hospitals enjoy advantages via third-party cooperation RVRBS method in RVRBS-related reforms. Introduction of this method calls for localization design based specifics and management goals of public hospitals.

RBRVS-based performance appraisal: application at a hospital / 中华医院管理杂志

With the resource based relative value scale (RBRVS) application at a hospital cited as an example, the paper covered its use in performance appraisal for optimal performance-based distribution as follows. In view of hospital specifics, such appraisal indexes as the quantity, quality, technical difficulty and cost control are quantified as key indicators, to form its own RBRVS scores and weights. In combination of the case mixed index as well, such factors as specific appraisal, quality of care and research/teaching work are taken into account for the purpose of rational and optimal pay for performance.

Correlation analysis on the relationship between hospital financial staffing and hospital's overall size / 中华医院管理杂志

Objective To learn the present financial staffing at public hospitals in detail,for development of a staffing standard of financial workers at public hospitals.Methods The headcount of financial workers at all tertiary hospitals in China was counted.The correlation between the number of financial workers and the overall size of the hospital was analyzed using SPSS 19.0 software to develop a data model.Results Data analysis showed that the assets,revenue/expenditure,hospital beds,workload,and staff headcount of a hospital are in linear co-relation with the headcount of its financial workers (P ＜ 0.001),and presented a curve that the number of hospital financial workers will vary with the factor of the hospital's overall size.Conclusions The number of hospital financial workers is closely related to the size of the hospital,and the curve can help estimate the number of financial workers of the hospital.