Performance management for county-level medical consortia

This cloud platform supports performance assessment and incentive management across county-level medical consortia. A lead hospital and partner facilities can use configurable RBRVS- and DRG-based assessment and pay rules. It supports shared resources, referrals in both directions between facilities, specialist consultations and prescription transfers.

Policy background

The 2021 No. 1 Central Document, Opinions of the CPC Central Committee and the State Council on Comprehensively Promoting Rural Revitalization and Accelerating the Modernization of Agriculture and Rural Areas, explicitly requires "strengthening the construction of closely integrated county-level medical consortia and implementing total health insurance budget management." Under the Notice on Issuing the Evaluation Criteria and Monitoring Indicator System for Closely Integrated County-level Medical and Health Consortia (Guo Wei Ban Ji Ceng Fa [2020] No. 12) and the Guiding Opinions on Strengthening Performance Assessment of Primary Health Care Institutions (Guo Wei Ban Ji Ceng Fa [2020] No. 09), government authorities establish monitoring, evaluation, and performance assessment systems for lead hospitals, primary health care institutions, and specialized public health institutions, and tie assessment results to the total performance-based pay, the allocation of public health program funds, and awards and recognition.

Core capabilities

• Performance assessment: assessment management, configuration management, statistical analysis, and distribution maintenance.
• Application modules: performance evaluation, cost control, operations analysis, and department operations.
• Assessment indicators: dictionary library, indicator library, theme library, and configuration library.
• Performance structure: post-based performance is configured according to differences in region, population served, and area served; clinical service performance is evaluated by service volume and the medical services provided; dedicated performance incentives are built around the requirements and priorities set by the county health commission for primary health services.

Product strengths

Each member institution performs relatively independent two-tier accounting at institution and department level, with distribution based on post value, workload, cost control, and key performance indicator results. Accounting is independent by post sequence — physician, nursing, technical, pharmacy, and administrative — with physician and nursing accounted separately. For staff practicing across institutions within the alliance, incentive rules are configured flexibly according to the workload generated at each practice location. The performance cloud platform is built on cloud computing and the internet, with hybrid deployment of private and public cloud that provides individualized configuration while protecting each institution's data.