Abstract
Monitoring and Evaluation System for Organization Administration and for Development of Public Hospital Management Policy In this study, the monitoring and evaluation system on public hospital management in order to improve its policy was developed through the process of reviewing the administrative system of the sampled organizations, reviewing the monitoring system of the central agency, analyzing all the data and establishing recommendations for developing monitoring and evaluation tools. Qualitative technique was used in this study. The sampled organizations were the Banpaew Hospital, Samutsakorn Province, the Prince of Songkhla University Hospital, the special clinic of the Ramathibadee Hospital, the Rajyindee Hospital (private hospital in Haadyai, Songkhla Province), the Suranaree Technology University and the Central Organizations involved in monitoring and evaluation system. Key informants were high ranked people in the organizations, those who were responsible for auditing and evaluation, the operation staff and community representatives who were purposively selected. The sampled organizations possessed 2 main administrative structures, one largely directed by the higher level organizations and the other setting up the committee to determine their own policy and to control all important administrative work. One of the highlights of these organizations was their development of services quality on the basis of either hospital accreditation or ISO 9002 to quickly respond to various factors e.g. community demand and increasing competitive markets. The auditing and evaluation systems were grouped into part of administration, quality and operation, finance and assets, nursing and other functioning sections. The auditing could be done through the obvious and formal system, or informally internal auditing system or quality and financing control system without internal auditing system. The central organizations in this study were the Budget Bureau mainly responsible for auditing financial and accounting system, the Social Security Office having the Medical Committee and the Medical and Rehabilitation Coordinating Committee both of which monitor the health facilities providing care for the insured and the Hospital Accreditation Units responsible for developing care standards and encouraging the accreditation system in nationwide. The committee which determine organization policy, monitor, evaluate and audit the organization, was recommended to set up. Such a committee should have representatives from communities, public organizations, networking organizations, the hospital, and well-experienced people in public health. The hospital administration committee should also be formed, composed of 2 groups: administrative and operational representatives. While internal auditing unit should be independent and should directly report to the policy committee. The auditing system should comprise service quality auditing and professional or special service auditing. The auditing and the reporting should be systematized whereas the auditing team and the auditing tools should be continuously developed.
