Performance Management of Organizational Processes Case Study: Hospitals

Document Type : Original Article

Authors
1 Department of Public Administration, Emirates Branch, Islamic Azad University, Dubai, United Arab Emirates
2 Department of Media Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
3 Department of Educational Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
10.22034/jmaak.2025.78595.4567
Abstract
Introduction and Objective: Performance appraisal is an important process for evaluating employee performance and motivates, improves employee performance, determines and allocates salary increases and promotions fairly. The present study was designed and implemented with the aim of explaining the components of hospital and organizational processes in evaluating hospital performance.
Methodology: The present study is a qualitative content analysis study. To sample experts, convenience sampling with maximum diversity and snowball sampling were used. In-depth semi-structured interviews with open-ended questions were used in person and face-to-face to collect data. The data were analyzed using qualitative content analysis. Lincoln and Guba criteria were considered to ensure data validity.
Results: From the analysis of the data of the present study, 2 categories and 12 subcategories were obtained in line with the study objective. The categories included organizational processes, which were formed from the subcategories of: process planning and scheduling, formalization and standardization, information technology management, number of active employees, and information management, and hospital processes, which were extracted from the subcategories of bed management, surgery, hospital accidents, establishing a sense of security in patients, average emergency waiting time, average post-emergency waiting time, and responding to patients after discharge.
Keywords

1.       1.             Bazzoli GJ, Dynan L, Burns LR, Yap C. Two decades of organizational change in health care: what have we learned? Medical care research and review. 2004;61(3):247-331.
2.       2.             Mutter RL, Rosko MD, Greene WH, Wilson PW. Translating frontiers into practice: taking the next steps toward improving hospital efficiency. SAGE Publications Sage CA: Los Angeles, CA; 2011. p. 3S-19S.
3.       3.             Rahimi H, Khammar-nia M, Kavosi Z, Eslahi M. Indicators of hospital performance evaluation: a systematic review. International Journal of Hospital Research. 2014;3(4):199-208.
4.       4.             Bahadori M, Izadi AR, Ghardashi F, Ravangard R, Hosseini SM. The evaluation of hospital performance in Iran: a systematic review article. Iranian journal of public health. 2016;45(7):855.
5.       5.             Fraser I, Encinosa W, Glied S. Improving efficiency and value in health care: introduction. Health services research. 2008;43(5p2):1781-6.
6.       6.             Soares MI, Leal LA, Resck ZMR, Terra FdS, Chaves LDP, Henriques SH. Competence-based performance evaluation in hospital nurses. Revista Latino-Americana de Enfermagem. 2019;27:e3184.
7.       7.             Heydari M, Xiaohu Z, Lai KK, Yuxi Z. Evaluation of organizational performance strategies. Proceedings of National Aviation University. 2020;82(1).
8.       8.             Parmenter D. Key performance indicators: developing, implementing, and using winning KPIs: John Wiley & Sons; 2015.
9.       9.             Nikpeyma N, Abed_Saeedi Z, Azargashb E, Alavi_Majd H. Problems of clinical nurse performance appraisal system: A qualitative study. Asian Nursing Research. 2014;8(1):15-22.
10.    10.          Panda B, Thakur HP. Decentralization and health system performance–a focused review of dimensions, difficulties, and derivatives in India. BMC health services research. 2016;16:1-14.
11.    11.          Sun D, Ahn H, Lievens T, Zeng W. Evaluation of the performance of national health systems in 2004-2011: an analysis of 173 countries. PloS one. 2017;12(3):e0173346.
12.    12.          Selvi AF. Qualitative content analysis.  The Routledge handbook of research methods in applied linguistics: Routledge; 2019. p. 440-52.
13.    13.          Kaluzny AD. Commentary: organizational directions for the millennium: what needs to be done! Health Care Management Review. 2000;25(1):29-34.
14.    14.          McNulty T, Ferlie E. Process transformation: Limitations to radical organizational change within public service organizations. Organization studies. 2004;25(8):1389-412.
15.    15.          Vera A, Kuntz L. Process-based organization design and hospital efficiency. Health care management review. 2007;32(1):55-65.
16.    16.          Spear SJ. Fixing health care from the inside, today. Harvard business review. 2005;83(9):78.
17.    17.          Jimmerson C, Weber D, Sobek II DK. Reducing waste and errors: piloting lean principles at Intermountain Healthcare. The Joint Commission Journal on Quality and Patient Safety. 2005;31(5):249-57.
18.    18.          Bragato L, Jacobs K. Care pathways: the road to better health services? Journal of health organization and management. 2003;17(3):164-80.