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AHCMJ Vol 2 2006 P 85-110

This paper provides an overview of how hospitals can use the balanced scorecard approach to improve performance and productivity. It describes designing and implementing a balanced scorecard system for hospitals to measure performance across financial, customer, internal business process, and learning and growth perspectives. It suggests specific measures for each perspective and how to measure productivity. The balanced scorecard allows hospitals to improve administration and care delivery while reducing costs and maintaining quality.

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136 views4 pages

AHCMJ Vol 2 2006 P 85-110

This paper provides an overview of how hospitals can use the balanced scorecard approach to improve performance and productivity. It describes designing and implementing a balanced scorecard system for hospitals to measure performance across financial, customer, internal business process, and learning and growth perspectives. It suggests specific measures for each perspective and how to measure productivity. The balanced scorecard allows hospitals to improve administration and care delivery while reducing costs and maintaining quality.

Uploaded by

Mils
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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85

IMPROVING HOSPITAL PERFORMANCE AND PRODUCTIVITY WITH THE BALANCED SCORECARD


Kenton B. Walker, University of Wyoming Laura M. Dunn, University of Northern Colorado
ABSTRACT The purpose of this paper is to provide an overview of the usefulness of the Balanced Scorecard in improving a hospital's management and delivery of health care at reduced cost without loss of quality. This paper describes an approach to designing and implementing a balanced scorecard system for measuring performance and productivity in a hospital setting. Specific measures of performance criteria are suggested as well as interpreted. Guidelines for measuring productivity are also suggested and interpreted. How these measures may be used by a hospital to improve its administration of health care while reducing costs and maintaining quality are described. This paper is a useful resource for hospital managers looking to improve their performance and productivity. The balanced scorecard is a management tool that is widely used in the manufacturing industry. This paper fulfills a need by healthcare providers to obtain information on implementing a balanced scorecard system that specifically addresses issues unique to hospitals. This paper also addresses how to measure productivity within a balanced scorecard system.

INTRODUCTION Performance measurement and productivity in health care are important issues to individuals and at a national level. Medical costs
AHCMJ, Volume 2, 2006

The body of this manuscript is not reproduced in this posting. The full text of the manuscript is available through most university libraries. Should you have difficulty in finding the full text, you may acquire it from the original journal. Visit http://www.alliedacademies.org to find a link to the original journal source.

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REFERENCES
Adler, P.S., P. Riley, S. Kwon, J. Signer, B. Lee & R. Satrasala (2003). Performance improvement capability: Keys to accelerating performance improvement in hospitals. California Management Review 45(2), 12-33. Bilkhu-Thompson, M.K. (2003). A process evaluation of a health care balanced scorecard. Journal of Health Care Finance 30(2), 53-64. Cleverly, W. & O. Cleverly (2005). Scorecards and dashboards using financial metrics to improve performance. Healthcare Financial Management 59(7), 64-69. Gumbus, A., B. Lyons & D.E. Bellhouse (2002). Journey to destination 2005: How Bridgeport Hospital is using the balanced scorecard to map its course. Strategic Finance 84(2), 46-50. Gumbus, W., D.E. Bellhouse & B. Lyons (2003). A three-year journey to organizational and financial health using the balanced scorecard: A case study at a Yale New Haven health system hospital. Journal of Business & Economic Studies 9(2), 54-64. Inamdar, N. & Kaplan, R.S. (1992) "Applying the balanced scorecard in healthcare provider organizations. Journal of Healthcare Management 47(3), 179 - 195. Kaplan, R.S. & D.P. Norton (1992). The balanced scorecard: Measures that drive performance. Harvard Business Review 70(1), 71-79. Kaplan, R.S. & D.P. Norton. (1993). Putting the balanced scorecard to work. Harvard Business Review 71(5), 134 - 140. Kaplan, R.S. & D.P. Norton. (1996). Using the balanced scorecard as a strategic management system. Harvard Business Review 74(1), 75-86. Kershaw, R. & S. Kershaw (2001). Developing a balanced scorecard to implement strategy at St. Elsewhere hospital. Management Accounting Quarterly 2(2), 28-35. Pieper, S. (2005). Reading the right signals: How to strategically manage with scorecards. Healthcare Executive 20(3), 8-14. Pink, G.H., I. McKillop, E.G. Schraa, C. Preyra, C. Montgomery & G.R. Baker (2001). Creating a balanced scorecard for a hospital system. Journal of Health Care Finance 27(3), 1-20. AHCMJ, Volume 2, 2006

110 Sioncke, G. (2005). Implementation of a balanced scorecard in a care home for the elderly: Useful or not? Total Quality Management 16(8-9), 1023-1029. Sugarman, P.A. and J. Watkins (2004). Balancing the scorecard: Key performance indicators in a complex healthcare setting. Clinician in Management 12, 129-132. Voelker, K., R. Rakich & G. French (2001). The balanced scorecard in healthcare organizations: A performance measurement and strategic planning methodology. Hospital Topics 79(3), 13-24. Weber, D.O. (2001). A better gauge of corporate performance. Health Forum Journal May/June, 20-24. Wells, R.& B. Weiner (2005). Using the balanced scorecard to characterize benefits of integration in the safety net. Health Services Management Research 18, 109-123. Woodward, G., D. Manuel & V. Goel (2004). Developing a balanced scorecard for public health. ICES (Institute for Clinical Evaluation Sciences), Toronto. Wyatt, J. (2004). Scorecards, dashboards, and KPIs: Keys to integrated performance measurement. Healthcare Financial Management 58(2), 76-80. Zelman, W.N., G.H. Pink & C.B. Matthias (2003). Use of the balanced scorecard in health care. Journal of Health Care Finance 29(4), 1-16.

AHCMJ, Volume 2, 2006

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