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題名 | 運用仿BCG矩陣模式提升TW-DRGs管理成效=The Application of Boston Consulting Group (BCG)-like Matrix Model to Improve the Efficiency of TW-DRGs Management |
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作者 | 張碧玉; 施登瓊; 謝慧敏; 郭昭宏; | 書刊名 | 醫院 |
卷期 | 47:1 2014.02[民103.02] |
頁次 | 頁18-29 |
分類號 | 419.45 |
關鍵詞 | 仿BCG矩陣模式; 關鍵績效指標; TW-DRGs; BCG-like matrix; Key performance indicator; |
語文 | 中文(Chinese) |
中文摘要 | 本研究主要目的是運用仿BCG矩陣模式及KPI方法,瞭解適當的醫院內部團隊管理介入機制對提升個案醫院在155項初步實施的TW-DRGs項目之績效。主要以某醫學中心2011年第一至四季Tw-DRGs實施案件為研究對象。運用KPI (損益率和個案占率)及仿BCG矩陣模式(明星Stars、金牛Cash Cows、問題Question Mark及愛心狗Dogs群組)監測Tw-DRGs案件並持續追蹤管理介入後的表現。研究期間Tw-DRGs實施個案共4,595人次。研究結果發現相較於2011 Q1(基期),醫院整體損益率從19.63%成長至22.75%,整體損益率變化增加3.11% (△Q4-Q1=3.11%±1.04%; P≦0.05)、季CMI值 (△Q4-Q1=0.077±0.035) 及平均住院日 (△Q4-Q1=0.01±0.09) 沒有統計上差異。仿BCG矩陣模式可以協助醫院管理者將資源投注的焦點主要放在「明星」、「問題」群組案件,至於「金牛」「愛心狗」群組案件,則應以成本費用分析機制來嚴格控管成本,並適度進行流程再造,降低非必要的醫療成本,以增加醫院的整體獲利能力。 |
英文摘要 | Objective: The purpose of this study is to assess BCG-like model and KPI management to improve hospital performance for 155 Tw-DRGs items through an internal team management intervention.Method: Data were derived from a medical center in southern Taiwan for study hospital’s Tw-DRGs cases during 2011 from season 1 (Q1) to season 4 (Q4). Following BCG-like matrix, the profit margin and number of patients (two KPIs) for particular DRGs in 2011 Q1 data were calculated. This study further classified those Tw-DRGs and their associated MDC into 4 categories and named as stars, cash cows, question marks, and dogs; and then continuously monitor the efficiency for each category.Results: Total Tw-DRGs cases 4,595. The results indicated that after management intervention, overall hospital profit margin in Tw-DRGs increased about 3.11% from 19.63% to 22.75% (△Q4-Q1=3.11%±1.04%; P≦0.05). However, the findings showed significant in CMI value (△Q4-Q1=0.077±0.035) and average length of stay (△Q4-Q1=0.01±0.09).Conclusions: BCG-like model is an important management tool for hospitals to decide arranging health care resources on Tw-DRGs cases in categories like stars or cash cows and to control cost appropriately on categories like question mark, or dogs. Through using proper management (like BCG-like tool) and also controlling unnecessary health costs, hospitals may improve their efficiency and profit margin. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。