Approved for public release; distribution is unlimited / The National Naval Medical Center (NNMC), Bethesda, Maryland, set as a strategic goal the improvement of internal efficiency among its many clinical activities. Clinical services lacked the ability to improve their statistical process, which relied on workload and expense data. Since the data systems had removed provider identifiers, it was impossible to produce data on provider productivity and efficiency. Numerous efforts to improve the clinical staff's efficiency were unsuccessful because of data integration limitations. Clinical service managers could not review their clinical service staff roster nor maintain the correct coding of personnel because they did not have access to the Standard Personnel Manpower System (SPMS). The step-wise approach business plan described in this thesis outlines the steps taken to generate productivity and efficiency feedback reports. These reports provided the clinical managers the necessary performance metrics to determine on a monthly basis how effectively their clinical services were operating. / Lieutenant, United States Naval Reserve

Thesis. 1976. M.S.--Massachusetts Institute of Technology. Alfred P. Sloan School of Management. / Microfiche copy available in Archives and Dewey. / Bibliography: leaves 123-127. / M.S.

Thesis (M.S. in Operations Research)--Naval Postgraduate School, June 2004. / Thesis advisor(s): Samuel E. Buttrey. Includes bibliographical references (p. 161). Also available online.

No description available.

AIM: This study aimed to explore the influences of monitoring and evaluation on the performance of managers in a primary health care setting in Qumbu sub district health department of Oliver Tambo district municipality. METHODS: A Phenomenological approach was adopted in this study. Specifically, an Interpretative phenomenological analysis design was used to explore the influences of monitoring and evaluation on the performance of managers in a primary health care setting in Qumbu sub district health department of Oliver Tambo district municipality. Data were collected using a semi-structured interview format on 8 conveniently selected clinic managers. Data were analysed using Smith’s (2005) Interpretative Phenomenological Analysis framework. RESULTS: Three thematic categories emerged from data analysis: performance of clinic managers, support for clinic managers, and monitoring and evaluation system. The findings of this study have implications for practice, training and research. CONCLUSION: Clinic managers experienced various obstacles, which affect the influence of monitoring and evaluation on their performance. These obstacles have implications in the context of the quality of service provision. / Health Studies / M.P.H.