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Int. J. Environ. Res. Public Health 2017, 14(8), 934; doi:10.3390/ijerph14080934

Identifying Key Performance Indicators for Holistic Hospital Management with a Modified DEMATEL Approach

1
School of Economics and Management, Tongji University, Shanghai 200092, China
2
Institute for Manufacturing, University of Cambridge, Cambridge CB3 0FS, UK
3
School of Management, Shanghai University, Shanghai 200444, China
*
Author to whom correspondence should be addressed.
Received: 27 June 2017 / Revised: 11 August 2017 / Accepted: 15 August 2017 / Published: 19 August 2017
(This article belongs to the Section Health Services and Health Economics Research)
View Full-Text   |   Download PDF [667 KB, uploaded 19 August 2017]   |  

Abstract

Performance analysis is an important way for hospitals to achieve higher efficiency and effectiveness in providing services to their customers. The performance of the healthcare system can be measured by many indicators, but it is difficult to improve them simultaneously due to the limited resources. A feasible way is to identify the central and influential indicators to improve healthcare performance in a stepwise manner. In this paper, we propose a hybrid multiple criteria decision making (MCDM) approach to identify key performance indicators (KPIs) for holistic hospital management. First, through integrating evidential reasoning approach and interval 2-tuple linguistic variables, various assessments of performance indicators provided by healthcare experts are modeled. Then, the decision making trial and evaluation laboratory (DEMATEL) technique is adopted to build an interactive network and visualize the causal relationships between the performance indicators. Finally, an empirical case study is provided to demonstrate the proposed approach for improving the efficiency of healthcare management. The results show that “accidents/adverse events”, “nosocomial infection”, ‘‘incidents/errors”, “number of operations/procedures” are significant influential indicators. Also, the indicators of “length of stay”, “bed occupancy” and “financial measures” play important roles in performance evaluation of the healthcare organization. The proposed decision making approach could be considered as a reference for healthcare administrators to enhance the performance of their healthcare institutions. View Full-Text
Keywords: hospital management; key performance indicator (KPI); evidential reasoning; decision making trial and evaluation laboratory (DEMATEL) hospital management; key performance indicator (KPI); evidential reasoning; decision making trial and evaluation laboratory (DEMATEL)
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Si, S.-L.; You, X.-Y.; Liu, H.-C.; Huang, J. Identifying Key Performance Indicators for Holistic Hospital Management with a Modified DEMATEL Approach. Int. J. Environ. Res. Public Health 2017, 14, 934.

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