提升醫院空間管理成本分攤正確性之改善專案

An Improvement Project to Ameliorate the Accuracy of Hospital Space Management Cost Allocation

目的：若醫療部門所使用的面積及依照坪數分攤的成本資訊不透明，可能造成醫療成本計算錯誤，本專案期能提出醫療單位面積坪數正確及依照坪數的分攤基準的改善方案。方法：採問卷調查方式，針對52個護士站，55個臨床科，11個醫事單位，17個行政單位，75個門診區，合計210個單位，影響空間成本作業正確率低及對資訊透明滿意度低，進行要因分析，找出主要問題擬定對策：包括資訊系統設計的改善，進行坪數丈量清楚，比較改善前後之差異。結果：單位坪數比例正確率由57.69％提升至95％，空間成本管理作業滿意度由31％提升至86％。結論：本專案實施後，不僅落實醫療空間管理，減少管理上不需要的空間浪費，有效提升依照坪數產生的成本分攤率，落實醫院的成本分攤。建議：臨床科如何在空間使用上達到最大效益，避免多餘空間的浪費，讓空間效益最大化。醫院管理階層在空間使用上可以做靈活的運用，使整體動線更流暢。

Purpose: The hoard information on cost allocation according to area used by the medical department may cause miscalculation of medical costs. Therefore, a project was proposed for correcting the medical unit area calculation and cost allocation on the basis of square meters. Method: A questionnaire survey was used to target 210 units at Kaohsiung Medical University Chung-Ho Memorial Hospital, namely 52 nurse stations, 55 clinical departments, 11 medical units, 17 administrative units, and 75 outpatient areas. The survey revealed, the major space costing operations and low satisfaction with information transparency. Then, the main problems were identified and countermeasures were formulated, such as the improvement of the information system design, clear measurements of the number of pings, and comparison of the conditions before and after the improvement. Result: The accuracy percentage per square meter increased from 57.69% to 95%, and the satisfaction rate of space and cost management operations increased from 31% to 86%. Conclusion: This project implementation, will not only result in medical space management, thus reducing unnecessary space wastage, but also effectively increase the cost allocation rate to hospitals based on their area in square meters.