Bradley, Elizabeth H.Pallas, SarahBashyal, ChhitijBerman, PeterCurry, Leslie2013-05-292013-05-292010-06https://hdl.handle.net/10986/13610This report is a user's guide for defining, measuring, and improving the performance of health service delivery organizations. The authors define six core performance domains: quality, efficiency, utilization, access, learning, and sustainability and provide a compendium of metrics that have been used to measure organizational performance in each of these six domains. The compendium, which includes 116 distinct categories of metrics, is based on a detailed literature review of peer-reviewed empirical studies of health care organizational performance in World Bank client countries. Based on reading of the literature, the authors define seven major strategy areas potentially useful for improving performance among health care organizations: 1) standards and guidelines, 2) organizational design, 3) education and training, 4) process improvement and technology and tool development, 5) incentives, 6) organizational culture, and 7) leadership and management. The authors provide illustrations of facility-level interventions within each of the strategy areas and highlight the conditions under which certain strategies may be more effective than others. The authors propose that the choice of strategy targeted at organizational level to improve performance should be informed by the identified root causes of the problem, the implementation capabilities of the organization, and the environmental conditions faced by the organization.en-USCC BY 3.0 IGOACCESS TO HEALTH SERVICESACHIEVEMENTADAPTATIONADMINISTRATIVE SYSTEMSANTENATAL CAREATTENTIONBELIEFSBEST PRACTICEBEST PRACTICESBURNSCAPABILITIESCAPABILITYCLINICAL GUIDELINESCLINICSCOGNITIONCOGNITIVE PSYCHOLOGYCOMPETENCIESCONDITIONINGCUSTOMER SATISFACTIONDECISION MAKINGDELIVERY SYSTEMDELIVERY SYSTEMSDOCTORSDOMAINDOMAINSECOLOGYECONOMIC MODELSECONOMIC THEORIESECONOMICSECONOMISTSEMPIRICAL EVIDENCEEMPIRICAL STUDIESENABLING ENVIRONMENTENVIRONMENTALENVIRONMENTAL FACTORSENVIRONMENTSEPIDEMIOLOGICAL TRANSITIONEQUIPMENTETHICSEXPLOITATIONFINANCIAL MANAGEMENTFINANCIAL RESOURCESFINANCIAL RISKFINANCIAL SUPPORTGENDERGEOGRAPHIC REGIONGROUP DYNAMICSHEALTH CAREHEALTH CARE COSTSHEALTH CARE DELIVERYHEALTH CARE FACILITIESHEALTH CARE ORGANIZATIONSHEALTH CARE SERVICESHEALTH CARE WORKERSHEALTH CLINICSHEALTH FACILITIESHEALTH MANAGEMENTHEALTH OUTCOMESHEALTH POLICYHEALTH SECTORHEALTH SERVICEHEALTH SERVICE DELIVERYHEALTH SERVICESHEALTH STATUSHEALTH SYSTEMHEALTH SYSTEM PERFORMANCEHEALTH SYSTEMSHEALTH SYSTEMS RESEARCHHEALTH WORKFORCEHORIZONTAL INTEGRATIONHOSPITAL MANAGEMENTHOSPITALSHUMAN BEHAVIORHUMAN DEVELOPMENTHUMAN RESOURCEHUMAN RESOURCE MANAGEMENTHUMAN RESOURCESIMMUNIZATIONINCOMEINDIVIDUAL BEHAVIORINFORMATION FLOWINFORMATION SYSTEMSINFORMATION TECHNOLOGYINNOVATIONINSURANCEINTEGRATIONINTERFACEINTERNAL DATAINTERNATIONAL STANDARDSINTERVENTIONLAWSLEADERSHIPLEARNINGLEGAL STANDARDSLEGAL SYSTEMSMARKET COMPETITIONMATERIALMEDICAL CAREMEDICAL RECORDSMEDICAL SUPPLIESMODELINGMOTIVATIONNEEDS ASSESSMENTNETWORKSNEW TECHNOLOGYNURSESNUTRITIONOPEN SYSTEMOPEN SYSTEMSOPPORTUNITY COSTSORGANIZATIONAL OBJECTIVESORGANIZATIONAL PSYCHOLOGYPATIENTPATIENT SATISFACTIONPATIENTSPERCEPTIONPERFORMANCE MEASURESPHARMACIESPHARMACISTSPHYSICIANPHYSICIANSPOLICY MAKERSPREGNANT WOMENPROBLEM SOLVINGPROCUREMENTPRODUCTION FUNCTIONSPROTOCOLSPROVIDER PAYMENTPSYCHOLOGYPUBLIC HEALTHPUBLIC HOSPITALSQUALITY MANAGEMENTQUALITY OF HEALTHQUALITY OF HEALTH CAREQUALITY OF SERVICEREGULATORY ENVIRONMENTRELIABILITYRESULTRESULTSSOCIAL SERVICESSOCIALIZATIONSUPERVISIONSUPPLY CHAINSUPPLY CHAIN MANAGEMENTSUPPORT STAFFTARGETSTAXONOMYTECHNICAL EXPERTISETECHNICAL KNOWLEDGETECHNICAL STANDARDSTECHNOLOGICAL INNOVATIONTHERAPYTHINKINGTRANSACTIONUSERUSERSUSESVACCINATIONWASTEWASTE DISPOSALWORKERSWORKING CONDITIONSWorld Bank10.1596/13610