Developing a Hospital Managerial Performance Assessment Tool in Iran

Background: Performance assessment tries to find the best, valid and costeffectiveway of measuring performance and work satisfaction. There are severalindicators for health systems performance evaluation which ignore the managerialaspect. We aimed at evaluating the validity and reliability of managerialperformance assessment tool for Iranian hospitals.Methods: The current study is a part of larger study which aims at developing areliable and valid tool for managerial performance assessment tool. The intendedtool has seven dimensions of planning, organizing, leadership, informationmanagement, resource management, clinical governance, and performanceindicators. We conducted a 2-round Delphi study with 18 experts whom wereselected purposefully to evaluate the validity of the tool. Reliability was assessedthrough implementing the tool in three randomly chosen hospitals of Tabriz.Content Validity Index (CVI) and Content Validity Ratio (CVR) along withinternal consistency and Cronbach s alpha were calculated for this reason.Results: A checklist with 117 indicators was prepared. After determining thevalidity and reliability of checklist, scores for these indicators were calculatedgiven the importance scores. The whole tool has the score of 1000. Cronbach salpha coefficient was 0.76 for the whole checklist.Conclusion: The validated tool in the current research can be used in performanceassessment, evidence-based dismissal, installation, and upgrading of hospitalmanagers in order to avoid non proper selection of these managers. Furtherresearches are needed to apply this tool in managerial performance assessment ofhospitals in order to measure probable bugs of this model.

Keywords:

Management , Performance Assessment , Checklist