Emergency departments key performance indicators: A unified framework and its practice

Abstract

Context: An emergency department (ED) in a hospital provides 24-hour care for the injured/severely ill patients.EDs are essential in any health care system. However, they face many challenges to provide timely treatment such as shortage of specialists, inadequate infrastructure, and unavailability of hospital beds, among others. These challenges are worldwide and undermine the effectiveness of operations and quality of services throughout the hospital. Methods: This study aims to improve the performance of EDs using key performance indicators (KPIs). The KPIs will help decision makers to monitor and manage the performance of EDs systematically. Based on an in-depth field study, expert opinions, and literature review, we propose 5 categories of KPIs regarding Capacity for, Temporality of, Quality of, Outcomes of, and Economics of emergency care. The KPIs are applicable to the basic stages of emergency care. The achievement of the KPIs in each stage will be a function of (1) how the KPIs are used, (2) resources for achieving the KPIs, and (3) management of the resources. The unified systemic framework to manage EDs is presented as an ontology that articulates the very large number of potential ways of ED performance management. Results: Seventy-five KPIs were defined for monitoring purposes. The KPIs and the proposed framework were validated and applied in 2 EDs at a public children's hospital and a medium size clinic in Chile.Conclusions: Based on the study, we propose to standardize the essential information necessary to assess the

Identifying indicators influencing emergency department performance during a medical surge: A consensus-based modified fuzzy Delphi approach

“…Following an extensive literature review, site visits (examining the hospital’s database), and interviews with experts, 29 potential indicators were identified. Using the quality framework provided by the Agency for Healthcare Research and Quality [ 31 ] and the key performance indicator taxonomy described by [ 32 ], the identified potential indicators were categorized into the following healthcare performance factors: Capacity, Temporal, Quality, Outcomes, and Financial Expenditures. The healthcare performance factors enabled us to capture the hospital’s ability to provide emergency care or services to all severity levels of patients.…”

Analyzing the key performance indicators of circular supply chains by hybrid fuzzy cognitive mapping and Fuzzy DEMATEL: evidence from healthcare sector

“…The fuzzy Delphi method, which integrates the IFD method and fuzzy theory, was first introduced by (Ouyang & Guo, 2018 ). In the present research, the data were collected concerning a 5-point Likert scale.…”

The dynamic use of a balanced scorecard in an Italian public hospital

“…Although the meaning of the balanced scorecard (BSC) in healthcare organizations is ambiguous because of the type of control structure, 1 there is a growing diffusion of BSC in the public health sector, [1][2][3][4][5] in particular for monitoring hospital performance. 6 Despite this increasing interest, the extant literature lacks a holistic approach to understanding the use of BSC.…”

“…Although the meaning of the balanced scorecard (BSC) in healthcare organizations is ambiguous because of the type of control structure, 1 there is a growing diffusion of BSC in the public health sector, 1 , 2 , 3 , 4 , 5 in particular for monitoring hospital performance. 6 …”