Evaluating the six-month Performance of Clinical and Physical Preparation Management Plan for Elective Patients before Hospitalization at one of the Therapeutic Training Centers of Shahid Beheshti University of Medical Sciences 2018-19

Focusing on improving the quality of hospitals as a key competitive advantage leads to the promotion of health in the community. Meanwhile evaluating hospital performance plays an important role in the improving quality of the services provided. One of the measures taken to increase efficiency in the hospitals of the Shahid Beheshti University of Medical Sciences is devising and implementing a clinical and physical preparation management plan for elective patients before hospitalization in order to decrease unnecessary hospitalizations. This plan has been done probationary for 6 months. The objective of this study was to analyze the hospital performance before and after implementing this plan, using the Pabon Lasso model.

The present study is a sectional descriptive study. The data were collected using the monthly activity form of the selected hospital during 2018-19. For analyzing the situation before and after the implementation of the pre-admission plan, Pabon Lasso model was used. This model determines the relative performance of the hospitals by using three indicators of bed occupancy, bed turnover, and average time of stay which were analyzed by drawing the Pabon Lasso model and paired T-test.

Before implementing this plan, the patient’s average time of stay was about 4.7 days, the bed occupancy rate was 80.6%, and bed turnover was 5.9 days. Of the 20 specialized groups, 30% were in the first area (poor performance) and 25% were in the third area (good performance). After implementing the plan, the patient’s average time of stay was changed to 4.2 days, bed occupancy rate became 75.2% and bed turnover became 6.1 days. Then 20 % of the specialized groups were in the first area and 20% were in the third area. Based on the results of the paired T-test, there was a significant difference between bed occupancy percentage before and after implementing
the project.

Generally, in this study, the process of improving the performance indicators after implementing this plan can be clearly seen. As such, 10 percent of the hospital’s specialist departments were excluded from the first area (poor performance). Also the patient’s average time of stay reduced (0.5 days) and bed turnover increased (0.2) while bed occupancy rates decreased (5.4%)