APPLICATION OF THE ENVIRONMNETAL HEALTH STANDARDS AS A PRE-REQUISTE FOR THE ACCREDITATION OF THE HEALTH CARE INSTITUTIONS

Abstract

Introduction: Performance measurement (KPIS) of hospitals offers policymakers a major opportunity to understand hospital outcomes, quality of health services, and accountability of the institution. The specific objective of the current case study were: to measure the hospital performance of one of the governmental hospitals in Cairo based on the opinion of a group of patients and a group of health care workers (HCWs) and also their satisfaction, then a re-evaluation of quality correction interventions. Methodology: The study targeted 422 patient and 204 HCWs. Two structured Arabic questionnaires were used; one covering 13 performance domains and indicators and the other was used to measure the groups’ satisfaction. After analysis of the pre-intervention data, a correction team was performed and assumed 18 correction interventions; among them, only 9 were implemented during the post-intervention phase. Result: Regarding the patients’ group opinion before the intervention, the mean % of the total performance was around 25% which significantly improved to 52.4% after the corrective interventions. As regards the HCWs’ group opinion before the interventions, the total performance mean percent was 30.6% which was improved to 48.9% after the interventions. Both patients and HCWs’ satisfaction scores were significantly improved after the interventions. There was a significant correlation between the total performance score and the satisfaction score in both groups. Conclusion: In the pre-intervention stage, the hospital performance and satisfaction were poorly perceived by both the patients and the HCWs which improved after the corrective interventions. Recommendation: The researcher recommended the application of the other proposed corrective interventions in order to improve the hospital performance more and to design a performance measurement system.