Introduction: Hospitals, as the backbone of the healthcare system, play a pivotal role in delivering medical services and enhancing community health. Hospital productivity is a multidimensional concept that improves service quality, patient safety, and stakeholder satisfaction while reducing costs. This study aims to present a comprehensive model for improving hospital productivity at the Imam Reza (AS) Hospital Complex in Mashhad.
Methods: This exploratory-applied study was conducted using mixed quantitative and qualitative methods at the Imam Reza Hospital Complex in 2023, with approximately 1,000 active beds. The model development process included: 1) identifying initial productivity dimensions and sub-dimensions through literature review, 2) developing a preliminary model for hospital reform to enhance productivity, and 3) formulating the final model using the Nominal Group Technique (NGT) and Delphi method, validated with expert input.
Findings: The final hospital productivity improvement model was designed as a comprehensive system with two main components: effectiveness and efficiency (encompassing allocative, technical, and managerial efficiency). Effectiveness focuses on ensuring the hospital’s correct direction and standardizing processes, such as continuous performance evaluation and informational dashboards. Allocative efficiency emphasizes optimal resource allocation, while technical and managerial efficiency focuses on operating at an optimal scale and optimizing revenue and cost processes.
Conclusion: The designed model enhances hospital productivity by emphasizing effectiveness and efficiency through resource optimization and process standardization. It guides the hospital toward optimal goals using managerial tools.