Benchmarking
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Measurement
The measurement of hospital performance is based on the formation
of episodes. A care episode is constructed according to the episode
algorithm developed specifically for the project.
A care episode designates the treatment process of a patient. It
consists of all the admissions and outpatient visits of a patient
due to one and the same illness. In consequence, it may be a
one-night stay in inpatient care, or it may consist of numerous
admissions and outpatient visits, including surgical procedures.
The episode forms the basis for various indicators:
- bed days/episode
- outpatient visits/episode
- costs/episode
- hospital productivity
- productivity of hospital departments
Most of the indicators can be viewed from two different viewpoints
and at different levels: from the providers' viewpoint at the
levels of hospital, speciality and patient group (DRG level) and
from the regional viewpoint at hospital-district and municipality
levels. The providers' viewpoint implies that the formation of
episodes have been restricted to individual hospitals. The regional
viewpoint implies that care episodes cross over hospital and
hospital-district boundaries, i.e. the episode is not restricted to
any single hospital.
Care episode formation figure (pdf
40kb)
Productivity is defined as the output divided by input. Using
episodes, productivity is measured as the sum of episodes divided
by their respective costs. Individual care episodes are weighted by
cost weights derived from DRG weights in order to control for the
severity of the episode.
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Published 29.12.2005, Updated
2.11.2006
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