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5 HEC F. 1 (1993)

handle is hein.journals/hecforum5 and id is 1 raw text is: HE C FORUM                                 0 1993 Miuwer Academic Publishers.
1993; 5(1):1-34.                                  Printed in the Netherlands.
SPECIAL ARTICLE
HECs: ARE THEY EVALUATING
THEIR PERFORMANCE?
ROBIN FRETWELL WILSON
MARTHA NEFF-SMITH, Ph.D.
DONALD PHILLIPS, M.S.
JOHN C. FLETCHER, Ph.D.
Abstract
Although the incidence and composition of HECs has been well
characterized, little is known about how HECs assess their performance.
In order to describe the incidence of HEC self-evaluation, the methods
HECs use to evaluate their performance, and the characteristics of HECs
that influence self-evaluation, we surveyed the readers of Hospital Ethics.
290 HECs in 45 U.S. states, the District of Columbia, Puerto Rico and
three Canadian provinces, completed questionnaires. Of the 241 HECs
included in the data analysis, 97.9% had performed some self-evaluation.
Responding committees largely made formative rather than summative
evaluations and appeared to evaluate performance in light of their own
objectives rather than basing assessments on specific structural, process,
and outcome measures of quality. Responding committees used certain
evaluation criteria more extensively than others - among these, the
number of participants and staff knowledge of the service provided - with
the choice of criteria differing with the function being evaluated. Eight
characteristics of HECs influenced the probability of self-evaluation,
including age, number of beds and meetings, the existence of a mission
statement, and a budget. The presence of certain characteristics made
HECs six times more likely to evaluate their performance than HECs
without the characteristic.
Key Words:           Evaluation, Ethics Committee, Performance

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