Balance scorecard (BSC): Incorporating "Key performance indicators" (KPI) in the Evaluation of the Healthcare System

Authors

  • Sikandar Hayat Khan Department of Pathology, Combined Military Hospital Multan/National University of Medical Sciences (NUMS) Pakistan
  • Nadeem Kureshi Department of Pathology, Pakistan Navy Ship, Johar Pakistan
  • Muhammad Sohail Aslam Department of Physiology, University of Health Sciences, Lahore
  • Sibtain Rafique Department of Pathology, Combined Military Hospital Multan/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i6.8649

Keywords:

Balance Scorecard (BSC), Strategic Management Initiatives (SMI), Key Performance Indicators (KPIs), Healthcare, clinical leadership

Abstract

Using the balanced scorecard approach, Strategic Management Initiative (SMI) driven Key Performance Indicators (KPIs) have
allowed measurable data regarding various clinical, medical, patient and logistic outputs for healthcare leadership to manage
an ongoing improvement system in real-time. We underwent a comprehensive search to have 168 articles with the keywords
"Balanced Scorecard in healthcare". We applied filters for the last ten years only. We shortlisted 14 studies. The study
highlighted various KPIs utilised in different healthcare settings, with most authors favouring BSC methodology as a
comprehensive strategy to deal with multi-dimensional hospital processes. The most utilised KPIs included service quality,
patient safety, increased healthcare literacy, empowering patients, developing the empathic attitude and social skills in
medical staff, professional human resource management and financial management and interests of stakeholders. In short, the BSC strategy is suggested for implementation to improve healthcare-related processes.

Downloads

Download data is not yet available.

References

Journeault M. The Integrated Scorecard in support of corporatesustainability strategies. J Environ Manage 2016; 182(1): 214-229.http://doi.org/10.1016/j.jenvman.2016.07.074

Kaplan RS, Norton DP. The balanced scorecard--measures thatdrive performance. Harv Bus Rev 1992; 70(1): 71-79.

Kaplan RS, Norton DP. Mastering the management system. HarvBus Rev 2008; 86(1): 62-77.

Zaidi S, Riaz A, Hussain SS, Omer SB, Ali A. Applying agovernance barometer to vaccine delivery systems: Lessons froma rural district of Pakistan. Vaccine 2020; 38(3): 627-634.https://doi.org/10.1016/j.vaccine.2019.10.052

Rowe JS, Natiq K, Alonge O, Gupta S, Agarwal A, Peters DH, etal. Evaluating the use of locally-based health facility assessmentsin Afghanistan: a pilot study of a novel research method. ConflHealth 2014 ; 8(1): 24-28. https://doi.org/10.1186/1752-1505-8-24

Oliveira HC, Rodrigues LL, Craig R. Bureaucracy and thebalanced scorecard in health care settings. Int J Health Care QualAssur 2020; ahead-of-print(ahead-of-print).https://doi.org/10.1108/ijhcqa-07-2019-0121

Alvarez L, Soler A, Guiñón L, Mira A. A balanced scorecard forassessing a strategic plan in a clinical laboratory. Biochem Med(Zagreb) 2019; 29(2): 020601.https://doi.org/10.11613/bm.2019.020601

Bohm V, Lacaille D, Spencer N, Barber CE. Scoping review ofbalanced scorecards for use in healthcare settings: developmentand implementation. BMJ Open Qual 2021; 10(3): e001293.https://doi.org/10.1136/bmjoq-2020-001293.

Rouis S, Ben Abdelaziz A, Nouira H, Khelil M, Zoghlami C, BenAbdelaziz A, et al. Development of a Balanced Scorecard for themonitoring of hospital performance in the countries of theGreater Maghreb. Systematic Review. Tunis Med 2018; 96(10-11):774-788.

Maurer MH, Teichgräber U, Kröncke TJ, Hamm B, Lemke AJ.Die Balanced Scorecard--Anwendungsmöglichkeiten in derRadiologie [The balanced scorecard--applications in a radiologydepartment]. Rofo 2012; 184(12): 1118-1125.

https://doi.org/10.1055/s-0032-1325381.

Amer F, Hammoud S, Khatatbeh H, Lohner S, Boncz I, Endrei D,et al. The deployment of balanced scorecard in health careorganizations: is it beneficial? A systematic review. BMC HealthServ Res 2022; 22(1): 65-68.https://doi.org/10.1186/s12913-021-07452-7.

Farmer JC. Important Administrative Aspects of Critical CareTelemedicine Programs. Crit Care Clin 2019; 35(3): 407-414.

https://doi.org/10.1016/j.ccc.2019.02.001.

Bernardo M, de Dios C, Pérez V, Ignacio E, Serrano M, Vieta E, etal. Quality indicators in the treatment of patients with

depression, bipolar disorder or schizophrenia. Consensus study.Rev Psiquiatr Salud Ment (Engl Ed) 2018; 11(2): 66-75. English,Spanish. https://doi.org/10.1016/j.rpsm.2017.09.002.

Mutale W, Stringer J, Chintu N, Chilengi R, Mwanamwenge MT,Kasese N, et al. Application of balanced scorecard in theevaluation of a complex health system intervention: 12 monthspost intervention findings from the BHOMA intervention: acluster randomised trial in Zambia. PLoS One 2014 ; 9(4): e93977.https://doi.org/10.1371/journal.pone.0093977.

Rasi V, Delgoshaee B, Maleki M. Identification of commonindicators of hospital performance evaluation models: A scopingreview. J Educ Health Promot 2020; 9(1): 63-65.https://doi.org/ 10.4103/jehp.jehp_563_19.

Dubois CA, D'amour D, Brault I, Dallaire C, Déry J, Duhoux A, etal. Which priority indicators to use to evaluate nursing careperformance? A discussion paper. J Adv Nurs 2017; 73(12): 3154-3167. https://doi.org/ 10.1111/jan.13373.

Löffler K, Goldgruber J, Hartinger G. Moving towards acompetence centre for geriatric medicine and care: Quality

management and human resource management as major supportfactors. Best Pract Res Clin Anaesthesiol 2018; 32(1): 47-55.https://doi.org/10.1016/j.bpa.2018.04.003.

Colbran R, Ramsden R, Stagnitti K, Toumbourou JW. Advancingtowards contemporary practice: a systematic review of

organisational performance measures for non-acute healthcharities. BMC Health Serv Res 2019; 19(1): 132.

https://doi.org/10.1186/s12913-019-3952-1

Carnut L, Narvai PC. A Meta-summarization of QualitativeFindings About Health Systems Performance Evaluation Models:Conceptual Problems and Comparability Limitations. Inquiry

; 57(1): 46958020962650.https://doi.org/10.1177/0046958020962650.

Green B, Oeppen RS, Smith DW, Brennan PA. Challenginghierarchy in healthcare teams-ways to flatten gradients toimprove teamwork and patient care. Br J Oral Maxillofac Surg2017; 55(5): 449-453.https://doi.org/10.1016/j.bjoms.2017.02.010.

Lewis S, Jones GM, Barach P, Tomos H, Davies M, Eckley B, et al.How To Hospital: barriers to developing a patient 'HospitalSurvival Guide' to support information transfer during wardrounds on the patient journey from admission to hospital todischarge. BMJ Open Qual 2022; 11(1): e001556.https://doi.org/10.1136/bmjoq-2021-001556.

Hastings SE, Armitage GD, Mallinson S, Jackson K, Suter E.

Exploring the relationship between governance mechanisms inhealthcare and health workforce outcomes: a systematic review.BMC Health Serv Res 2014; 14(1): 479-482.https://doi.org/10.1186/1472-6963-14-479.

Bisbe J, Barrubés J. The Balanced Scorecard as a managementtool for assessing and monitoring strategy implementation inhealth care organizations. Rev Esp Cardiol (Engl Ed) 2012 ;65(10): 919-927. https://doi.org/10.1016/j.recesp.2012.05.014.

Verzola A, Bentivegna R, Carandina G, Trevisani L, Gregorio P,Mandini A, et al. Multidimensional evaluation of performance:experimental application of the balanced scorecard in Ferrarauniversity hospital. Cost Eff Resour Alloc 2009; 7(1): 15-18.https://doi.org/10.1186/1478-7547-7-15.

Downloads

Published

30-12-2023

Issue

Section

Review Articles

How to Cite

1.
Khan SH, Kureshi N, Aslam MS, Rafique S. Balance scorecard (BSC): Incorporating "Key performance indicators" (KPI) in the Evaluation of the Healthcare System. Pak Armed Forces Med J [Internet]. 2023 Dec. 30 [cited 2024 Nov. 8];73(6):1883-4. Available from: https://pafmj.org/PAFMJ/article/view/8649