The contribution of alignment between cost of quality improvement activities and quality achievements on efficiency in hospital
Keywords:
alignment, cost, quality, efficiencyAbstract
An alignment between two or more aspect in hospitals could have an impact on efficiency. The results of a preliminary study at 9 regional general hospitals showed an inefficient 66.67% in 2015-2016, and there was a decrease in efficiency 33.33% of the inefficient hospital. The purpose of this paper is to analyze the contribution of alignment between the costs of quality improvement activities and quality achievements on efficiency in hospital. This study is an observational analytic research with survey method. The population of this study is general hospitals (government and private) class B and C in East Java of 150 units with a sample of 30 hospitals. Respondents for the alignment assessment are 432 people, while for the efficiency measurement are 118 people. Analysis to determine the contribution of alignment on efficiency using linear regression statistical test. The results showed that most hospitals were in an align between the cost of quality improvement activities with quality achievement of 70%, most of the hospitals were in the efficient of 60%, and the contribution of alignment between the costs of quality improvement activities and quality achievement on efficiency (RoS /CoS ratio) of 4.1% with a value of R² = 0.041.
Downloads
References
Ajay, K., Nilda, A., Mildred, O., Nikoleta, N., Thomas, C., Petrina, Z., Sherin, J., Jason, M., Beatrice, B., Louis, P. Improving Efficiency and Safety in External Beam Radiotherapy Treatment Delivery Using A Kaizen Approach. Practical Radiation Oncology. 2017 November-December; 7(6): e499-e506.
Andita, V., Hermawati, W., Hartati, N.S. Pengaruh Jumlah Pelayanan Rawat Jalan, Rawat IGD dan Rawat Inap terhadap Tingkat Pendapatan RSUD Cideres Kabupaten Majalengka. Jurnal Manajemen Sekolah Tinggi Ilmu Ekonomi Cirebon. 2019. 14 (2): 370-378
Ayalon, O., Liu, S., Flics, S., Cahill, J., Juliano, K., Cornell, C.N. Multimodal Clinical Pathway Can Reduce Length of Stay After Total Knee Arthroplasty. Hospital for Special Surgery Journal. 2011 February 1; 7 : 9–15
Bai, G., Anderson, G.F. A More Detailed Understanding of Factors Associated with Hospital Profitability. Health Affairs, 2016 May; 35 (5): 889–897
Benbya H, McKelvey B. Using coevolutionary and complexity theories to improve IS alignment: a multi-level approach. Journal of Information technology. 2006 December; 21 (4): 284-98.
Bhattacharya, M., Doty, D.H., Garavan, T. The Organizational Context and Performance Implications of Human Capital Investment Variability. Human Resource Development Quarterly. 2014 March 19; 25 (1): 87-113.
Cahyani, N., Akbar, M.S., Susilaningrum, D. Kajian Tentang Tingkat Efisiensi Pelayanan Kesehatan Rumah Sakit Umum Pemerintah Kabupaten/Kota Di Jawa Timur Menggunakan Metode PCA-DEA. Jurnal Sains dan Seni ITS. 2012. 1 (1): 25-30
Case BJ, Jorgensen MA, Zucker S. Assessment report: Alignment in educational assessment. 2008. San Antonio : Pearson Education, Inc.
Channar, Z.A., Talreja, S., Bai, M. Impact of Human Capital Variables on the Effectiveness of the Organizations. Pakistan Journal of Commerce and Social Sciences. 2015. 9 (1): 228-240
Charoensuk S, Wongsurawat W, Khang DB. Business-IT Alignment: A practical research approach. The Journal of High Technology Management Research. 2014 January 1; 25 (2):132-47.
Chatzoglou PD, Diamantidis AD, Vraimaki E, Vranakis SK, Kourtidis DA. Aligning IT, strategic orientation and organizational structure. Business Process Management Journal. 2011 July 26; 17 (4): 663-687.
Collar, R.M., Shuman, A.G., Feiner, S., McGonegal, A.K., Heidel, N., Duck, M., McLean, S.A., Billi, J.E., WHealy, D., Bradford, C.R. Lean Management in Academic Surgery. Journal of the American College of Surgeons. 2012 June; 214 (6): 928–936
Coyne, J.S., Richard, M.T., Short, R., Shultz, K., Sign, S.G. Hospital Cost and Efficiency: Do Hospital Size and Ownership Type Really Matter ?. Journal of Health care Management. 2009 May/June; 54 (3): 163-176
Dickson, E.W., Singh, S., Cheung, D.S., Wyatt, C.C., Nugent, A.S. Application of Lean Manufacturing Techniques in The Emergency Department. The Journal of Emergency Medicine. 2009 August; 37 (2): 177–182
Donabedian, A. An Introduction to Quality Assurance in Health Care. 2003. New York: Oxford University Press, Inc
Gabbitas, O., Jeffs, C. Assessing Productivity in The Delivery of Public Hospital Services in Australia: Some Experimental Estimates. Paper Presented to the 30th Australian Health Economics, 2–3 October 2008
Garavaglia, G., Lettieri, E., Agasisti, T., Lopez, S. Efficiency and Quality of Care in Nursing Homes: An Italian Case Study. Health Care Management Science. 2011, 14: 22–35
Hagen, T.P., Veenstra, M., Stavem, K. Efficiency and Patient Satisfaction in Norwegian Hospitals. 2006. Norway : Health Economics Research Programme at the University of Oslo
Hartati, A., Mulyani, A. Profil dan Prospek Bisnis Minyak Dara (Virgin Coconut Oil/VCO) Di Kabupaten Cilacap. Jurnal Agroland. 2009. 16 (2): 130-140
Hung, J.H., Chang, L. Has Cost Containment after The National Health Insurance System Been Successful? Determinants of Taiwan Hospital Costs. Health Policy. 2008 March; 85 (3): 321–335
Jouirou N, Kalika M. Strategic alignment: a performance tool (an empirical study of SMEs). AMCIS 2004 Proceedings. 467. http://aisel.aisnet.org/amcis2004/467.
Kash, B.A., Spaulding, A., Gamm, L.D., Johnson, C.E., Healthcare Strategic Management and The Resource Based View. Journal of Strategy and Management. 2014 August 12; 7 (3): 251 – 264.
Kim, T. Impacts of Learning Interventions on Organizational Human Capital and Performance. Performance Improvement Quarterly. 2015 January 20; 27(4): 7–28
Komisi Akreditasi Rumah Sakit. Instrumen Survei Standar Nasional Akreditasi Rumah Sakit. Edisi 1.1. 2019. Jakarta
Luftman J. IT-Business Alignment and the Evolving Role of the CIO and IT: 2017-18 Trends and Projections. Diakses melalui: https://www.globaliim.com/app/.../2016 +CIO+IT+Trends.pdf., disitasi: 12 September 2022.
Luwiharsih. Peningkatan Mutu dan Keselamatan Pasien. 2020, Jakarta: Komisi Akreditasi RS
Medbery, R.L., Force, S.D. Quality and Cost in Thoracic Surgery. Thoracic Surgery Clinics. 2017 August 1; 27: 267–277
Moreno-Enguix, M.R., Gómez-Gallego, J.C., Gallego, M.G. Analysis and Determination The Efficiency of The European Health Systems. International Journal Health Plann Management. 2018. 33 (1): 136-154.
Pasban, M., Nojedeh, S.H. A Review of the Role of Human Capital in the Organization. Procedia - Social and Behavioral Sciences. 2016 September 12; 230: 249 – 253
Peraturan Menteri Kesehatan Republik Indonesia Nomor 71 Tahun 2013 tentang Pelayanan Kesehatan pada Jaminan Kesehatan Nasional
Raharja, P., Manurung, M. Pengantar Ilmu Ekonomi (Mikroekonomi dan Makroekonomi). 2004. Jakarta: Penerbit FE UI
Rapoport, J., Jacobs, P., Jonsson, E. Cost Containment and Efficiency in National Health System, A Global Comparison. 2009. Weinheim: WILEY-VCH Verlag GmbH & Co. KGaA
Rosko, M.D., Mutter, R.L. The Association of Hospital Cost-Inefficiency With Certificate of Need Regulation. Medical Care Research and Review. 2014 January 22; 71 (3): 280–298
RSUD dr. Loekman Hadi. Laporan Operasional Tahun 2019 RSUD dr. Loekman Hadi Kabupaten Kudus. 2019. Diakses melalui: http://rsuddrloekmonohadi.kuduskab.go.id. Disitasi: 13 Pebruari 2022.
RSUD Sukoharjo. Catatan Atas Laporan Keuangan Tahun Anggaran 2019 RSUD Sukoharjo Kabupaten Sukoharjo. 2019. Diakses melalui: http://rsudtidar.magelangkota.go.id/. Disitasi: 13 Pebruari 2022.
RSUD Tidar. Catatan Atas Laporan Keuangan Tahun Anggaran 2018 RSUD Tidar Kota Magelang. 2018. Diakses melalui: http://rsudtidar.magelangkota.go.id/. Disitasi: 13 Pebruari 2022.
Sherman, H.D. Hospital Efficiency Measurement and Evaluation Empirical Test of a New Technique. Medical Care. 1984 October; 22 (10): 922-938
Skipworth H, Godsell J, Wong CY, Saghiri S, Julien D. Supply chain alignment for improved business performance: an empirical study. Supply Chain Management: An International Journal. 2015 August 10; 20 (5): 511- 533.
Street, A., O’Reilly, J., Ward, P., Mason, A. DRG-Based Hospital Payment and Efficiency: Theory, Evidence, and Challenges. 2011. England : Open University Press.
Suhariadi, F. Forming Values of Productive Behaviors. The International Journal of Organizational Innovation. 2016. 8 (4): 64-76.
Thaweethamcharoen, T., Noparatayaporn, P., Nopmaneejumruslers, C., Bunrod, T. Cost Containment of a Reimbursement Restriction of Non-Essential Drugs Prescribing at Siriraj Hospital. Siriraj Medical Journal. 2017 April 4; 65: 77-80
Voyce, J., Gouveia, M.J.B., Medinas, M.A., Santos, A.S., Ferreira, R.F. A Donabedian Model of The Quality of Nursing Care From Nurses’ Perspectives in A Portuguese Hospital: A Pilot Study. Journal of Nursing Measurement. 2015. 23 (3): 474-484
Wagner HT, Beimborn D, Weitzel T. How social capital among information technology and business units drives operational alignment and IT business value. Journal of Management Information Systems. 2014 July 1; 31 (1): 241-72
Wetering, R., Mikalef, P., and Pateli, A. A Strategic Alignment Model for IT Flexibility and Dynamic Capabilities: Toward Anassessment Tool. In Proceedings of the 25th European Conference on Information Systems (ECIS), Guimarães, Portugal, June 5-10, 2017.
World Bank Group. Indonesia Health Financing System Assestment, spend more-spend right-spend better. 2016.
Zacharia ZG, Preston DS, Autry CW, Lamb CW. IT alignment with business strategies in healthcare organizations: An empirical analysis. Journal of International Technology and Information Management. 2009; 18 (3): 477-494.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
