基于RBRVS的医院绩效管理体系建设的实践探索

Practical exploration on the construction of hospital performance management system based on RBRVS

目的:探索公立医院绩效管理体系的建设。方法:通过RBRVS绩效点值、CF值以及间接工作量指标的设定,构建医师、护理和医技人员的奖金核算及绩效管理体系。结果:对比分析新绩效方案实施前后相关数据的变化,发现医院整体工作量明显增长,手术等级结构优化,成本管控收效显著。结论:新绩效方案的实施调动了员工工作积极性,形成医院战略目标导向,控制成本,促进医院智慧信息化管理等正面作用,但如何对临床诊疗工作以及医生、护理、医技人员的劳动进行精准考核,不断改革创新以适应国家医改方向仍值得深入探讨。

Objective:To explore the construction of public hospital performance management system.Methods:We set up a bonus accounting and performance management system for physicians,nurses and medical technicians by setting RBRVS performance point values,CF values and indirect workload indicators.Results:We found that the overall workloads of the hospital was increased significantly,the structure of surgery grade was optimized,and the controllable cost was reduced through comparing and analyzing the changes of relevant data before and after the implementation of the new performance plan.Conclusions:The implementation of the new performance program has played a positive role in arousing the enthusiasm of the staff,forming the hospital strategic direction,controlling the cost and promoting the intelligent information management of the hospital.However,it is still worth in-depth discussions on how to carry out accurate assessment of clinical diagnosis and treatment work as well as the labor of doctors,nurses and technicians,and keeping reform and innovation to adapt to the direction of national medical reform.