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Re‐engineering pre‐employment check‐up systems: a model for improving health services

Re‐engineering pre‐employment check‐up systems: a model for improving health services Purpose – The purpose of this paper is to develop a model for improving health services provided by the pre‐employment medical fitness check‐up system affiliated to Egypt's Health Insurance Organization (HIO). Design/methodology/approach – Operations research, notably system re‐engineering, is used in six randomly selected centers and findings before and after re‐engineering are compared. The re‐engineering model follows a systems approach, focusing on three areas: structure, process and outcome. The model is based on six main components: electronic booking, standardized check‐up processes, protected medical documents, advanced archiving through an electronic content management (ECM) system, infrastructure development, and capacity building. The model originates mainly from customer needs and expectations. Findings – The centers' monthly customer flow increased significantly after re‐engineering. The mean time spent per customer cycle improved after re‐engineering – 18.3±5.5 minutes as compared to 48.8±14.5 minutes before. Appointment delay was also significantly decreased from an average 18 to 6.2 days. Both beneficiaries and service providers were significantly more satisfied with the services after re‐engineering. The model proves that re‐engineering program costs are exceeded by increased revenue. Research limitations/implications – Re‐engineering in this study involved multiple structure and process elements. The literature review did not reveal similar re‐engineering healthcare packages. Therefore, each element was compared separately. Practical implications – This model is highly recommended for improving service effectiveness and efficiency. Originality/value – This research is the first in Egypt to apply the re‐engineering approach to public health systems. Developing user‐friendly models for service improvement is an added value. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Health Care Quality Assurance Emerald Publishing

Re‐engineering pre‐employment check‐up systems: a model for improving health services

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References (20)

Publisher
Emerald Publishing
Copyright
Copyright © 2011 Emerald Group Publishing Limited. All rights reserved.
ISSN
0952-6862
DOI
10.1108/09526861111150734
pmid
21916149
Publisher site
See Article on Publisher Site

Abstract

Purpose – The purpose of this paper is to develop a model for improving health services provided by the pre‐employment medical fitness check‐up system affiliated to Egypt's Health Insurance Organization (HIO). Design/methodology/approach – Operations research, notably system re‐engineering, is used in six randomly selected centers and findings before and after re‐engineering are compared. The re‐engineering model follows a systems approach, focusing on three areas: structure, process and outcome. The model is based on six main components: electronic booking, standardized check‐up processes, protected medical documents, advanced archiving through an electronic content management (ECM) system, infrastructure development, and capacity building. The model originates mainly from customer needs and expectations. Findings – The centers' monthly customer flow increased significantly after re‐engineering. The mean time spent per customer cycle improved after re‐engineering – 18.3±5.5 minutes as compared to 48.8±14.5 minutes before. Appointment delay was also significantly decreased from an average 18 to 6.2 days. Both beneficiaries and service providers were significantly more satisfied with the services after re‐engineering. The model proves that re‐engineering program costs are exceeded by increased revenue. Research limitations/implications – Re‐engineering in this study involved multiple structure and process elements. The literature review did not reveal similar re‐engineering healthcare packages. Therefore, each element was compared separately. Practical implications – This model is highly recommended for improving service effectiveness and efficiency. Originality/value – This research is the first in Egypt to apply the re‐engineering approach to public health systems. Developing user‐friendly models for service improvement is an added value.

Journal

International Journal of Health Care Quality Assurance – Emerald Publishing

Published: Jul 19, 2011

Keywords: Business process re‐engineering; Electronic booking; Customer satisfaction; Costs; Operations research; Health services; Egypt

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