Healthcare Financial Model

Performance Model

This model enables the evaluation of a healthcare organization’s overall performance by considering three equally weighted components: Engagement, Quality, and Financial Strategy. Each component comprises sub-components that represent specific aspects of the organization’s performance.

Insights Offered by the Model

The model can offer insights into the organization’s performance by:

  1. Integrating various aspects of performance: By combining scores from different areas (patient, provider, and employee engagement, healthcare outcomes, population health, capital assessment, cost structure, revenue analysis, growth, and physician performance), the model provides a holistic view of the organization’s performance. This enables decision-makers to identify areas of strength and weakness.
  2. Facilitating comparisons: The model generates an overall performance score that can be used to compare the organization’s performance across different time periods or with other organizations, helping to benchmark and identify best practices.
  3. Guiding decision-making: The model can help identify which sub-components are driving the overall performance score. This information can be used to prioritize initiatives, allocate resources, and set performance improvement goals.
  4. Monitoring progress: Regularly updating the scores for each sub-component and recalculating the overall performance score can help track the organization’s progress towards performance improvement goals.
  5. Encouraging a balanced approach: By considering three equally weighted components, the model promotes a balanced focus on engagement, quality, and financial strategy. This helps ensure that the organization does not neglect any crucial aspect of its performance.

It’s important to note that the model’s effectiveness depends on the quality and relevance of the data used to calculate the sub-component scores. The model should be adapted to the specific context of the organization and may need to be refined or updated as new data or insights become available. Additionally, it’s crucial to recognize that the model provides a high-level view of performance, and further analysis may be necessary to address specific issues or challenges within the organization.

Weighted Average Approach

We can use a weighted average approach to create a healthcare performance model that equally considers engagement, quality, and financial strategy. Here is a suggested outline for the model:

  1. Normalize each component’s scores (Engagement, Quality, and Financial Strategy) to a common scale, say, 0 to 100.
  2. Assign equal weights to each component. In this case, each component would weigh 1/3 or approximately 0.333.
  3. Calculate the average score for each component.
  4. Average the component scores to obtain the overall performance score.

Detailed Breakdown of Each Component

A. Engagement

  1. Patient Engagement Score (PES)
  2. Provider Engagement Score (PrES)
  3. Employee Engagement Score (EES)

B. Quality

  1. Healthcare Outcomes Score (HOS)
  2. Population Health Score (PHS)
  3. Capital Assessment Score (CAS)

C. Financial Strategy

  1. Cost Structure Score (CSS)
  2. Revenue Analysis Score (RAS)
  3. Growth Score (GS)
  4. Physician Performance Score (PPS)

Calculation Formula

To calculate the overall performance score, use the following formula:

Overall Performance Score = (1/3) × [((PES + PrES + EES)/3) + ((HOS + PHS + CAS)/3) + ((CSS + RAS + GS + PPS)/4)]

This formula calculates the average score for each component (Engagement, Quality, and Financial Strategy), then takes the average of these component averages to obtain the overall performance score.

Please note that this is a general framework, and you may need to adjust it based on specific requirements, data availability, or the context in which it will be applied.

Scenario Analysis

The following scenarios demonstrate the model in action with sample scores. Calculations have been verified and corrected where necessary for accuracy.

Scenario 1

Component Sub-components Scores Average
Engagement PES 80 85
PrES 85
EES 90
Quality HOS 92 85
PHS 88
CAS 75
Financial Strategy CSS 80 88.5
RAS 95
GS 90
PPS 89
Overall Performance Score ≈86.17

Calculation: (1/3) × (85 + 85 + 88.5) = (1/3) × 258.5 ≈ 86.17. Step-by-step: Sum component averages and divide by 3.

Scenario 2

Component Sub-components Scores Average
Engagement PES 75 80
PrES 80
EES 85
Quality HOS 89 ≈80.33
PHS 82
CAS 70
Financial Strategy CSS 75 82.5
RAS 90
GS 85
PPS 80
Overall Performance Score ≈80.94

Calculation: (1/3) × (80 + 80.33 + 82.5) = (1/3) × 242.83 ≈ 80.94. Step-by-step: Sum component averages and divide by 3.

Scenario 3

Component Sub-components Scores Average
Engagement PES 70 75
PrES 75
EES 80
Quality HOS 86 ≈75.67
PHS 76
CAS 65
Financial Strategy CSS 70 76.5
RAS 85
GS 80
PPS 71
Overall Performance Score ≈75.72

Calculation: (1/3) × (75 + 75.67 + 76.5) = (1/3) × 227.17 ≈ 75.72. Step-by-step: Sum component averages and divide by 3.

Conclusion

In this scenario analysis, the overall performance scores for the three scenarios are approximately 86.17, 80.94, and 75.72, respectively. These scores can help assess the performance of a healthcare organization under different conditions or with different input data.

Interactive Performance Calculator

Use the sliders below to adjust scores (0-100) for each sub-component. Load predefined scenarios or calculate your custom scores. The chart will visualize the results.

Engagement




Quality




Financial Strategy