Case-Mix and Hospital Management Evaluation

Since 2007, all Romanian hospital discharges are validated based on the clinical data sent by hospitals. Consequently, the Ministry of Health developed a set of indicators, in order to evaluate the hospital management performance. This evaluation was first done in 2008, based on the new legal regulations that introduced Hospital Management Contracts between hospital managers and Ministry of Health starting with 2007. The evaluation process is based on quantitative indicators and qualitative indicators for general management of hospital. The utilization of the minimum basic data set and case-mix for the evaluation of hospital management performance was done for the first time in Romania in 2008, but there are some problems that we have to consider in future. The main benefit of this evaluation is the idea of transparency and objectivity because the process of evaluation is based mostly on the hospital data. The things to be improved are related with: selection of indicators for evaluation, data accuracy, sources for hospital reporting and competency of personnel involved in the evaluation process.