The method of integral evaluation of the efficiency of the neurosurgical clinic based on the assessment of the degree of achievement of key performance indicators

Abstract

BACKGROUND: The efficiency of a modern clinic, including neurosurgery, is traditionally assessed through the prism over a set of indicators. However, a common approach to assessing the effectiveness of medical and preventive institutions and a corresponding set of universal private indicators that allow comparing them with each other are not available. OBJECTIVE: To evaluate the efficacy of a neurosurgical clinic through a quality indicator perspective using the goal attainment scale. MATERIALS AND METHODS: Eleven key indicators (target categories) were selected for the integral results assessment of the neurosurgical clinic. Calculated indicators were evaluated using a special scale the goal achievement scale developed by Kiresyuk and Sherman. RESULTS. Based on continuous analysis conducted on the key work parameters in the Neurosurgery Center from 2014 to 2021, the target indicators were weighed and indicators ("0") were formed, relative to which the degree of goal achievement was subsequently assessed (from "+2" to "2"). The level required to achieve the targets was calculated in the web application. The results of the clinic's work in 2021 have significantly improved by some indicators (number of performed operations, postoperative mortality, respiratory and urinary system infections, surgical wound infections (meningitis) per 100 ICU patients with severe complications), while the indicators of surgical activity, bloodstream infections and the number of revisions have deteriorated. CONCLUSION. Qualitative and quantitative indicators of a modern clinic can be systematically analyzed to assess the effectiveness of its work using a scale for goal achievement. This scale integration into a web application makes it possible to easily and quickly obtain information about the degree of goal achievement in a real-time mode and makes it possible to conduct external benchmarking.