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Table 1 A) The domains, allocated scores, relevant grades, and B) minimum score requirement for getting specific grade for the general hospitals,[12, 2427, 32]

From: Development and impact of the Iranian hospital performance measurement program

1A
Domain Grade*
   Excellent1 1 2 3 4 (sub-standard)
1 Emergency department (ED) 1800 1348-1799 899-1347 449-898 Under 448
2 Sanitation & cleanness 800 741-799 691-740 640-690 Under 640
3 Medical records & informatics 1000 861-999 731-860 600-730 Under 600
4 Hospital committees 1000 861-999 731-860 600-730 Under 600
5 - General quality indicators 795 596-794 397-595 198-396 Under 198
  - ED quality indicators 72 54-71 36-53 18-35 Under 18
6 Consideration of values & Religious regulations 2000 1801-1999 1601-1800 1400-1600 Under 1400
7 Patient satisfaction 1000 861-999 731-860 600-730 Under 600
8 Medical & professional staff 3600 3121-3599 2641-3120 2160-2640 Under 2160
9 Nursing staff 1600 1361-1599 1121-1360 880-1120 Under 880
10 Other staff 1200 1021-1199 851-1020 680-850 Under 680
11 Management 1600 1301-1599 1001-1300 700-1000 Under 700
12 Safety equipment 600 561-599 521-560 480-520 Under 480
13 Non-medical equipment 800 661-799 531-660 400-530 Under 400
14 Medical equipment & medicine 1800 1591-1799 1291-1590 990-1290 Under 990
15 Hospital infrastructure & Installations 2000 1701-1999 1401-1700 1100-1400 Under 1100
1B
Total achievable score** (Over) 21667 18368-21667 15868-18367 13219-15867 10867-13218
Minimum score requirement for getting specific grade Teaching hospitals (maximum score = 21667 + 3000 bonus points) 88% 74% 64% 54% 44%
  Non-teaching hospitals (maximum score = 21667 + 2000 bonus points) 92% 78% 67% 56% 46%
  1. * The worst performing hospitals, so-called “to be shut down” with a total score under 10866, for which they are not allowed to undertake any medical activity as a hospital, but as a clinic or minor surgery center.
  2. ** There are bonus points for four domains including teaching activities, non-general departments in general hospitals, CCU and ICU and other special facilities; each can add up 500 additional (2000 in total) scores to the non-teaching hospitals’ scores. This bonus can add 3000 scores to teaching hospitals (additional 1000 scores for teaching activities).