Designing and validation of an integrated performance measurement framework for medical equipment management system in the public hospital

Background and Aim: This manuscript is aimed to develop a theoretical framework for performance management and measurement of Medical Equipment Management System (MEMS) based on key performance indicators (KPIs) which fits well in public hospital context of India and other developing countries. Material and Methods: The paper is based on literature analysis followed by statistical analysis. Study design consisted of selection of a set of KPIs and their organization into a simple logic model consisting of four domains of input, process, output and outcome. These domains and the integrated framework were subjected to the reliability and validity testing by statistical methods. Results: 28 numbers of valid KPIs were selected and organized into domains and further into an integrated framework for comprehensive measurement of the performance of MEMS for the public hospital in an effective and efficient manner. Conclusions: Establishment and validation of the framework for MEMS was an attempt for holistic management of the medical devices from the perspectives of the primary healthcare stakeholders and the patients. The framework will also be useful to find out the strengths and weaknesses of MEMS at an individual organizational level. Moreover, based upon the measuring tool of KPIs, it also helps at an early stage to make the appropriate changes and quality improvements in the system.