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3755 Medical Science Question How to monitor the performances of health care professionals Ways of monitoring ? Answer Medical  Ways To Monitor The Performance Of Health Care Professionals Performance in any system, here healthcare is defined as the reflection of values in relation to the explicit goals of the various stakeholders, such as patients, consumers, doctors, professionals, insurers and regulators. Assessing and measuring the performance of health professionals or doctors in the healthcare settings is essential along with the assessment of patient’s health improvement. As the health professionals are responsible for the effective delivery of health services leading to the patient safety and wellbeing, therefore they must be assessed carefully for their profession (Kieft et al., 2014). There are five different types of methods of assessing and measuring the performance of health professionals or hospital performance. Regulatory inspection- In many countries there are some of the statutory inspectorates to monitor the performance of the hospitals that means assessing the effectiveness of doctors or health professionals. As some countries, have specialisations to implement infection control and blood transfusions. These inspections standards have some of the legal authority, which every hospital has to follow in order to ensure effectiveness of their services. Licensing inspection is initiated in the countries like United States, for the new hospitals, which ensures or confirms and measures the performance of the hospitals or healthcare in terms of fulfilment of the minimal requirements for the health and safety of the patients or consumers (Tsai et al., 2015). Surveys of consumer’s experience – Standardized surveys of the patients and their family members in the hospitals are the reliable indicators of the performance measurement of the doctors or health professionals in the healthcare. Through surveys, it has been analysed that the hospitals or health professionals are focused towards acquiring health education and patient empowerment, comfort, complaint mechanisms and continuity of care and patients wellbeing. Advantages to use this method is that from the patients survey and experience is that it becomes easy to assess and monitor the healthcare performance, as they describe about the outcomes of attaining health services (Fernandes et al., 2015). Third-party assessments – Some third-party assessments are the other tools utilised to monitor the performance of health professionals, includes ISO 9000 standards, peer-review, accreditation programmes measures the performance of the health professionals and hospitals, in terms of the compliance with the published standards. ALPHA principles programmes are some other methods to assess quality of healthcare, thus valuating performance of health professionals is used especially in the healthcare of Europe (Plebani and Sciacovelli, 2017). Statistical indicators – The use of statistical indicators, suggest the issues of performance evaluation and management of the health professionals in the healthcare. These are the indicators, which assess the performance of the health professionals either internally or externally, and represent accessible, and fairly economical & potential standard, and non-invasive methods of evaluating performance. The raw data of the hospital is measured which evaluates and identifies the factors of effective working of the doctors or nurses in the hospitals and identify if there are any variations from the expected performance standards (Kontopantelis et al., 2014). Measuring a doctor or health professional performance is a complex activity, because they work with other specialists, nurses and many other people in the healthcare. Therefore, there are some of the  other key indicators of their effective or poor performance such as professional development of the health professionals, Colleague relations, participation of the doctors in the practice goals and improvements, and engaging themselves in other professional activities or programmes. Hence, these are some of the self-evaluation areas or methods, also referred to as ‘internal assessment’, which facilitates assessing the performance of the health professionals in the healthcare to monitor the impact affecting the health outcomes (Busse, Aboneh and Tefera, 2014). References Busse, H., Aboneh, E.A. and Tefera, G. (2014) Learning from developing countries in strengthening health systems: an evaluation of personal and professional impact among global health volunteers at Addis Ababa University’s Tikur Anbessa Specialized Hospital (Ethiopia). Globalization and health, 10(1), p.64. Fernandes, O., Gorman, S.K., Slavik, R.S., Semchuk, W.M., Shalansky, S., Bussières, J.F., Doucette, D., Bannerman, H., Lo, J., Shukla, S. and Chan, W.W. (2015) Development of clinical pharmacy key performance indicators for hospital pharmacists using a modified Delphi approach. Annals of Pharmacotherapy, 49(6), pp. 656-669. Kieft, R.A., de Brouwer, B.B., Francke, A.L. and Delnoij, D.M. (2014) How nurses and their work environment affect patient experiences of the quality of care: a qualitative study. BMC health services research, 14(1), p. 249. Kontopantelis, E., Springate, D., Reeves, D., Ashcroft, D.M., Valderas, J.M. and Doran, T. (2014) Withdrawing performance indicators: retrospective analysis of general practice performance under UK Quality and Outcomes Framework. Bmj, 348, pg. 330. Plebani, M. and Sciacovelli, L. (2017) ISO 15189 accreditation: navigation between quality management and patient safety. Journal of Medical Biochemistry, 36(3), pp. 225-230. Tsai, T.C., Jha, A.K., Gawande, A.A., Huckman, R.S., Bloom, N. and Sadun, R. (2015) Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. Health Affairs, 34(8), pp. 1304-1311.

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