Performance Evaluation after ImplementingKey Performance Indicators (KPIs) byHemodialysis Centers

• Main Authors: Chang Cheng-Tsung, 張正宗
• Other Authors: King-Teh Lee
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/78423250101554665230

碩士 === 高雄醫學大學 === 醫務管理學研究所碩士在職專班 === 100 === Research Purpose The aim of this study is to investigate the changes of clinical quality in hemodialysis centers, after implementing clinical Key Performance Indicators(KPIs) program, and whether there are differences relating to physician practice patterns(full-time or part-time physician). Research Methods In this retrospective study, 155 dialysis patients from three hemodialysis centers of one same dialysis provider located at North Kaohsiung area were enrolled. Physician practice patterns, demographic and clinical characteristic data were collected. After implementing clinical Key Performance Indicators (KPIs) program for 6 months, 5 clinical quality indicators(hematocrit, transferrin saturation,dialysis clearance,serum albumin,serum phosphorus) were compared. Statistical analysis using SPSS 18 editions with descriptive statistics, comparison of mean, repeated measures of general linear model (GLM) were adopted. Results Three clinical quality indicators improved : transferrin saturation (30.90% --> 32.50%), serum phosphorus (5.16--> 4.96), dialysis clearance,Kt/V(1.60-->1.66),not improved in the hematocrit level (31.77--> 31.92) and serum albumin (4.03--> 4.02). In the full-time physician group, dialysis clearance(Kt/V) achieved significant rise(1.58 -->1.65), the rest of quality indicators were not significantly different. All clinical Key Performance Indicators were achieved above the performance goal and better than the part-time physician group. In the part-time physician group, serum albumin (3.98--> 3.95), serum phosphorus (5.19--> 4.85) significantly decreased, dialysis clearance(Kt/V) significantly rised(1.61-->1.67). Comparing the changing degrees of both groups, the part-time physician group has better improvement in the dialysis clearance, serum phosphate than the full-time physician group. Conclusion and Suggestion The clinical quality indicators did improved to varying degrees after implementing clinical Key Performance Indicators (KPIs) program. Different physician practice patterns(full-time or part-time) have different results; the full-time physician group has better performance while the part-time physician group has better improvement. This study suggests hemodialysis centers can implement the clinical Key Performance Indicators (KPIs) program as a persistent and effective tool for continuous quality improvement(CQI).