Chapter 18 – Strategic Performance Measurement: Cost Centers, Profit Centers, and the Balanced Scorecard
18–75
18-59 Performance Measurement; Balanced Scorecard; Hospital (20
min)
1. The number of perspectives was likely reduced to further refine the
focus of the scorecard and the performance measurement system. Too
many perspectives and critical success factors could reduce the desired
emphasis on key measures. The two perspectives, quality and process
improvement, were combined in 2001, for this reason. Both of these
perspectives were related to performance in meeting patients’ expectations
through improved operations, and the combination of the two provide
greater focus on operational improvement. The remaining four
perspectives could be related to the conventional balanced scorecard in the
following way:
Perspectives in the BHHS and Conventional Balanced Scorecard:
Process and Quality Improvement
Volume and Market Share Growth
2.
The CSFs used by BHHS in the 2000 BSC include the following:
percentage of employee development plans in
place, number of employee survey action plans, job
vacancy rates, turnover rates
operating room turnaround time, number of
physicians using online hospital clinical information
systems
patient satisfaction survey scores, patient safety
measures, score on Connecticut quality award,
measurable progress to implementing a minimally
invasive surgery program
Volume and Market
Share Growth
medical volume, surgical volume, urgent care visits,
primary care visits, home care visits
measured growth in group purchasing, measured
growth in funding, managed care price increases,
cost per discharge