Development and impact of the Iranian hospital performance measurement program

Table 1 A) The domains, allocated scores, relevant grades, and B) minimum score requirement for getting specific grade for the general hospitals,[12, 24–27, 32]

1A
Domain		Grade*
		Excellent1	1	2	3	4 (sub-standard)
1	*Emergency department (ED)*	1800	1348-1799	899-1347	449-898	Under 448
2	*Sanitation & cleanness*	800	741-799	691-740	640-690	Under 640
3	*Medical records & informatics*	1000	861-999	731-860	600-730	Under 600
4	*Hospital committees*	1000	861-999	731-860	600-730	Under 600
5	*- General quality indicators*	795	596-794	397-595	198-396	Under 198
	*- ED quality indicators*	72	54-71	36-53	18-35	Under 18
6	Consideration of values & Religious regulations	2000	1801-1999	1601-1800	1400-1600	Under 1400
7	Patient satisfaction	1000	861-999	731-860	600-730	Under 600
8	Medical & professional staff	3600	3121-3599	2641-3120	2160-2640	Under 2160
9	Nursing staff	1600	1361-1599	1121-1360	880-1120	Under 880
10	Other staff	1200	1021-1199	851-1020	680-850	Under 680
11	Management	1600	1301-1599	1001-1300	700-1000	Under 700
12	Safety equipment	600	561-599	521-560	480-520	Under 480
13	Non-medical equipment	800	661-799	531-660	400-530	Under 400
14	Medical equipment & medicine	1800	1591-1799	1291-1590	990-1290	Under 990
15	Hospital infrastructure & Installations	2000	1701-1999	1401-1700	1100-1400	Under 1100
1B
Total achievable score**		(Over) 21667	18368-21667	15868-18367	13219-15867	10867-13218
Minimum score requirement for getting specific grade	Teaching hospitals (maximum score = 21667 + 3000 bonus points)	88%	74%	64%	54%	44%
	Non-teaching hospitals (maximum score = 21667 + 2000 bonus points)	92%	78%	67%	56%	46%

* The worst performing hospitals, so-called “to be shut down” with a total score under 10866, for which they are not allowed to undertake any medical activity as a hospital, but as a clinic or minor surgery center.
** There are bonus points for four domains including teaching activities, non-general departments in general hospitals, CCU and ICU and other special facilities; each can add up 500 additional (2000 in total) scores to the non-teaching hospitals’ scores. This bonus can add 3000 scores to teaching hospitals (additional 1000 scores for teaching activities).

ISSN: 1472-6963