Development of Performance Indicators in Operational Level for Pre-hospital EMS in Thailand

Authors: Napisporn Memongkol, Runchana Sinthavalai, Nattapong Seneeratanaprayune Weerawat Ounsaneha, Chanisada Choosuk

Abstract:

The objective of this research is to develop the performance indicators (PIs) in operational level for the Pre-hospital Emergency Medical Service (EMS) system employing in Thailand. This research started with ascertaining the current pre-hospital care system. The team analyzed the strategies of Narerthorn, a government unit under the ministry of public health, and the existing PIs of the pre-hospital care. Afterwards, the current National Strategic Plan of EMS development (2008-2012) of the Emergency Medical Institute of Thailand (EMIT) was considered using strategic analysis to developed Strategy Map (SM) and identified the Success Factors (SFs). The analysis results from strategy map and SFs were used to develop the Performance Indicators (PIs). To verify the set of PIs, the team has interviewed with the relevant practitioners for the possibilities to implement the PIs. To this paper, it was to ascertain that all the developed PIs support the objectives of the strategic plan. Nevertheless, the results showed that the operational level PIs suited only with the first dimension of National Strategic Plan (infrastructure and information technology development). Besides, the SF was the infrastructure development (to contribute the EMS system to people throughout with standard and efficiency both in normally and disaster conditions). Finally, twenty-nine indicators were developed from the analysis results of SM and SFs.

Keywords: Emergency Medical Service, Performance Indicator, Success Factor, Thailand

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1061641

References:

[1] Surachet Satitniramai, The Pre-hospital Treatment of Emergency patient: case study of USA, Australia, France, Sweden, China, South Africa, Pakistan and Thailand, 2006 (in Thai)
[2] O.C. Kobusingye, A.A. Hyder, D. Bishai, E.R. Hicks, C. Mock and M. Joshipura, "Emergency medical systems in low-and middle-income countries: recommendations for action", Bulletin of the World Health Organization, August 2005, Vol.83, No.8, pp. 626-631.
[3] Prehospital trauma care systems. WHO Library Cataloguing-in-Publication Data, 2005.
[4] Chiu, W-T, Yang , C-M, Lin, H-W and Chu, T-B. (2007), "Development and implementation of a nationwide health care quality indicator system in Taiwan," International Journal for Quality in Health Care, Vol.19, No.1, pp. 21-28.
[5] Rogers, I.R, Evans, L., Jelinek, G.A., Jacobs, I., Inkpen, C., Mountain, D. (1999), "Using clinical indicators in emergency medicine: documenting performance improvements to justify increased resource allocation," J. Accid Emerg Med, Vol.16, pp. 319-321.
[6] Niven, P.R, (2008), "Balance Scorecard step by step for Government and Nonprofit Agencies", John Wiley & Sons, Inc., United States of America, pp. 209-215.
[7] Johnstone, J.N. Indicators of Education Systems. London: Unesco; 1981
[8] Niven Paul R. Balanced Scorecard Step-By-Step for Government and Nonprofit Agencies. 2nd ed. New Jersey: John Wiley & Sons Inc; 2008
[9]
[9] Nation Strategic Plan for EMS system development (2008-2012),EMIT
[10] Wasis Prombutra etal, 2007. KPIs Principle to Practice. 2nd ed. Thailand Productivity Institute. Bangkok; 2007
[11] Sittisak Pratpitikul. Road to Hospital Accreditation. 2nd ed. Technology Promotion Association (Thailand-Japan), Bangkok; 2001