Abstract
The time of the big healthcare reform has come for a hospital. Daily problems and task needs to be solved much earlier than before. Therefore, we hold management meeting every week for improved quality management, and performed PDCA cycle systematically. We assess fluctuation of KPI (Key Performance Indicator） every week, share information and have taken the measures according to demand, such as establishing emergency medical system, and ensuring specialists about the health care system shortage in the region, such as melena, gastrointestinal diseases and stroke. Index on patient composition rose by securing the medical system for serious most common disease. Index on average number of days for hospitalization rose by expanding post-surgery referral cooperation, starting rehabilitation early and promoting reverse referrals. It led to offer shorter and good quality re-hospitalization. Function grade coefficient II of DPC/PDPS (Diagnosis Procedure Combination/Per-Diem Payment System) rose. Increased index on patient composition and index on average number of days for hospitalization represents the average length of hospital stays and the severity, and our results suggests that hospital management meetings are very effective. From now on we will also concentrate on analyzing various information and date, and the future function of the hospital.
