The existing financing model is not going to be sustainable for the ageing demographic in the future Hong Kong. In regards, Government suggested a voluntary and government-regulated health insurance scheme to provide more choices with better protection for those who are able and willing to pay for private healthcare services. However, performance of the Hong Kong health system is rarely discussed despite vast health expenditure has been spent. The objective of this project is to identify the strength, weakness, opportunities and threats of the hospital performance management system in Hong Kong. The project involves a literature search for key success factors for performance management systems in healthcare. The SWOT analysis of the hospital performance management systems in Hong Kong are then analyzed with reference to the findings. Findings: Six success factors could be identified: position in the policy process and defined objectives, process of development, indicator validity, reliability, responsiveness and feedbacks. The public hospital system has partially incorporated these factors in its system but a structured performance monitoring and management system is lacking for the private sector. The current Hong Kong hospital performance systems are not able to provide adequate information for the payers to make the appropriate choice. There is an urging needs to develop a robust and transparent performance management system in Hong Kong in order to support healthcare reform. / published_or_final_version / Public Health / Master / Master of Public Health

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In hospitals, as in business, the literature bears evidence of successful implementation of specialized computer systems. Unfortunately, all attempts at designing large-scale totally integrated hospital information systems have so far been unsuccessful. It seems apparent that the missing link between the dedicated systems and the "total" systems is the non-utilization of the systems approach. To demonstrate the importance and the practicality of this approach, it is used to outline and evaluate the criteria applicable in choosing a data management system for hospital administration. / Business, Sauder School of / Graduate

by Tse Si-yin John. / Bibliography: leaves 73-74 / Thesis (M.B.A.)--Chinese University of Hong Kong, 1985

BACKGROUND Patient safety, reducing medical errors and risk management have become a global public health and administrative issue. Population-based studies around the world have alerted high rates of preventable medical errors and deaths. In response, a global effort agreed on a World Health Assembly resolution on patient safety. The World Alliance for Patient Safety guideline and the Conceptual Framework for the International Classification for Patient Safety have been launched by the World Health Organization (WHO) to galvanize and facilitate efforts by all Member States to make health care safer. The guidelines introduced adverse event reporting and focus on reporting and learning to improve the safety of patient care. The WHO suggested a conceptual framework for patient safety providing comprehensive understanding of the domains of patient safety. It represents a continuous learning and improvement cycle emphasizing on proactive (identification of risk, prevention, detection, reduction of risk) and reactive (incident recovery, system resilience) risk management. The ultimate measure of a successful incident reporting system is whether the information it yields is used appropriately to improve patient and organization safety. OBJECTIVES To systematic review literature to determine incident reporting systems improve patient outcomes and organization outcomes, and to identify successful characteristics of incident reporting system which information it yields is used appropriately to improve patient and organization safety, and to investigate if the incident reporting system can serve as an interface to support the (inform and influence) information flows in the WHO’s Conceptual Framework for the International Classification for Patient Safety. METHODS Two bibliography databases, Medline and Embase via OvidSP, were systematically searched using search keywords of ‘incident reporting’, ‘patient / organization outcomes’. Quality appraisal, data extraction were conducted on literature which met the inclusion criteria. Narrative synthesis was conducted. RESULTS A total of 584 citations were initially identified and 6 studies were finally included in this systematic review. The methodological quality of the 6 included studies was generally average to poor. The 6 included studies could be classified into 3 groups by research question and intervention strategies examined 1) case series on incident reporting system; 2) comparison study on two main streams of incident reporting systems: routine incident reporting system versus structured case note / chart review; and 3) review of incident reporting systems. Successful characteristics of incident reporting system identified including confidential, non-punitive, expert analysis, system-oriented, responsive, standardized taxonomy coding, clarified and unified concepts of incident reporting system, voluntary reporting, facilitation reporting, proper training and health informatics infrastructure support. Quantitative and qualitative evidences were identified that incident reporting system could serve as an interface to support inform and influence types of information flows in the WHO’s Conceptual Framework for the ICPS. However, no evidence could be found that incident reporting systems could directly improve patient outcomes and organization outcomes. CONCLUSION This systematic review found no evidence that incident reporting systems could directly improve patient outcomes and organization outcomes, but the systems could serve as an interface to support information flows in the WHO’s Conceptual Framework for the ICPS. Successful characteristics of an incident reporting system were identified coherent to the WHO’s recommendations. Future studies can further examine the causation relationship between incident reporting systems and the process components by applying the Donabedian’s structure-process-outcome model. / published_or_final_version / Public Health / Master / Master of Public Health

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