Performance Management

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Performance Management PATH Who BSC Saint-Luc Implementation of Quality Improvement Strategy Implementation of Strategy Map (according to our missions) Hospitals performance measurement Internal

1 Performance Management PATH Who BSC Saint-Luc Implementation of Quality Improvement Strategy Implementation of Strategy Map (according to our missions) Hospitals performance measurement Internal performance measurement Performance mgt framework with cause-&-effect effect relationships between dimensions Methodology & Sharing experiences 26/06/2006 PATH User Conference - Working group 1 : Staff orientation 1

performance measurement Performance mgt framework with cause-&-effect effect relationships between

2 Project Steps National presentation PATH by WHO Internal presentation PATH GO Pilot group : 22 hospitals Ressources Methodology + «Ethic code» Adaptations of the 18 indicators definitions MEASURES Consolidation / validation by SPF Communication Communication GO Working groups Ressources National & international feedbacks Communication 26/06/2006 PATH User Conference - Working group 1 : Staff orientation 2

Consolidation / validation by SPF Communication Communication GO Working groups Ressources National &

3 PATH Integration Use of indicator : To measure an objective achievement Q 1 : WHICH PATH indicators to integrate? R 1 : Indicators that measure strategy map achievement Q 2 : HOW to integrate internally the indicators? R 2.1 : WHAT do we want do measure? R.2.2 : HOW to measure? (calculation method) 26/06/2006 PATH User Conference - Working group 1 : Staff orientation 3

R 1 : Indicators that measure strategy map achievement Q 2 : HOW to integrate internally the

4 PATH Integration Use of indicator : To measure an objective achievement Q 1 : WHICH PATH indicators to integrate? R 1 : i.e. Absenteism rate (Human Ressources part in the strategy map) Q 2 : HOW to integrate internally the indicators? R 2.1 : WHAT do we want do measure? R.2.2 : HOW to measure? (calculation method) 26/06/2006 PATH User Conference - Working group 1 : Staff orientation 4

rate? R 1 : i.e. Absenteism rate (Human Ressources part in the strategy map) Q 2 : HOW to

5 PATH Integration Use of indicator : To measure an objective achievement Q 1 : WHICH PATH indicators to integrate? R 1 : i.e. Absenteism rate (Human Ressources part in the strategy map) Q 2 : HOW to integrate internally the indicators? R 2.1 : Work Load Staff Motivation R.2.2 : HOW to measure? (calculation method) 26/06/2006 PATH User Conference - Working group 1 : Staff orientation 5

6 PATH Integration Use of indicator : To measure an objective achievement Q 1 : WHICH PATH indicators to integrate? R 1 : i.e. Absenteism rate (Human Ressources part in the strategy map) Q 2 : HOW to integrate internally the indicators? R 2.1 : Work Load Staff Motivation Based on FTE Based on frequency 26/06/2006 PATH User Conference - Working group 1 : Staff orientation 6

7 PATH Integration Use of indicator : To measure an objective achievement Q 1 : WHICH PATH indicators to integrate? R 1 : i.e. Absenteism rate (Human Ressources part in the strategy map) Q 2 : HOW to integrate internally the indicators? R 2.1 : Work Load Based on FTE Staff Motivation Barometer of satisfaction Based on frequency 26/06/2006 PATH User Conference - Working group 1 : Staff orientation 7

rate? R 1 : i.e. Absenteism rate (Human Ressources part in the strategy map) Q 2 : HOW rate

8 Ex : Absenteism Rate WORK LOAD (1) Tx absentéisme (WHO) = nb jours cal. d absence % (nb personnes * nb jours cal. de la période) (2) Tx absentéisme (Saint-Luc) = nb de jours d absence d calendrier en ETP % nb d ETPd (3) Pct personnes absentes = nb personnes avec 1 ou + périodes d absence % nb personnes total (4) Pct d absentéisme = nb de jours d absence % nb de jours de prestation [ (5) Moyenne de durée de la maladie = nb de jours d absence / nb de période de maladie par an ] STAFF MOTIVATION (6) Fréquence d absentéisme = nb de période d absence par an (7) Facteur de Bradford = nb de jours d absence x (fréquence) 2 26/06/2006 PATH User Conference - Working group 1 : Staff orientation 8

absence % nb personnes total (4) Pct d absentéisme = nb de jours d absence % nb de jours de prestation [ (5) Moyenne de durée de la maladie = nb de jours d absence / nb de

9 Ex : Absenteism Rate ASSUMPTIONS 3 absences Absence 1 : 1 person, 4 Mondays in January 2006 Absence 2 : 1 person, 2 Mondays in January 2006 Absence 3 : 1 person, from Friday to Monday (medical certificate of 4 days in January 2006) This person should have worked 21 days in January (5 days week from Monday to Friday) 4 services ice A : 1 person full time ( 1 FTE) ice B : 1 person half time ( 0.5 FTE) ice C : 2 person half time ( 1 FTE) ice D : 2 person full time ( 2 FTE) 26/06/2006 PATH User Conference - Working group 1 : Staff orientation 9

in January (5 days week from Monday to Friday) 4 services ice A : 1 person full time ( 1 FTE) ice B : 1 person half time ( 0.

10 Ex : Absenteism Rate RESULTS A Absence 1 Absence 2 Absence 3 B C D ) Tx abs. WHO 2 12,90 12,90 6,45 6,45 6,45 6,45 3,23 3,23 12,90 12,90 6,45 6,45 Tx abs. 1 jour 12,90 12,90 6,45 6,45 Tx abs. 2 à 7 jours 6,45 6,45 3,23 3,23 12,90 12,90 6,45 6,45 (2) Tx absent. St-Luc 12,90 12,90 6,45 6,45 6,45 6,45 3,23 3,23 12,90 12,90 6,45 6,45 (3) Pct pers. absent (4) Pct d absent. 19,05 19,05 9,52 9,52 9,52 9,52 4,76 4,76 9,52 9,52 4,76 4,76 ) Moy. durée mal ) Fréq.d absent (7) Facteur Bradford A B C D A B C D 26/06/2006 PATH User Conference - Working group 1 : Staff orientation 10

St-Luc 12,90 12,90 6,45 6,45 6,45 6,45 3,23 3,23 12,90 12,90 6,45 6,45 (3) Pct pers. absent. 100 100 50 50 100 100 50 50 100 100 50 50 (4) Pct d absent.

11 Ex : Absenteism Rate Dimensions of analysis Length of absence Ex : 1 day, short term, long term? Category Ex : physicians, nurses, administrative staff? Structure Ex : hospital, departement, service? Time Ex : yearly, monthly? 26/06/2006 PATH User Conference - Working group 1 : Staff orientation 11

Category Ex : physicians, nurses, administrative staff?

12 Conclusion Definition Indicator sheet Keep it simple! Measure Implementation Validations & Quality controls Analysis & communication Comparisons with past, objective, benchmark Links between indicators, KSF Tools : BSC, OLAP, reporting, queries, forecasting ACT 26/06/2006 PATH User Conference - Working group 1 : Staff orientation 12