Strategic Management Tools of Performance

Implementing the Balanced Scorecard in a Public Hospital

Internal Processes Perspective

Hospitals are large sized organizations with a high concentration of capital and a higher inertia of internal processes. Internal processes of a hospital mainly relate:

  • Strategic management of the organization;
  • Operational management of information;
  • HR management;
  • Environment care management;
  • Quality services management;
  • Patient rights and communication;
  • Management of patient data;
  • Prevention and risk management;
  • Management of nosocomial infections.


Data Sources:

  • Integrated Quality Management System (ISO standards and operating procedures);
  • Internal analysis based on classification system DRG;
  • Medical statistics;
  • Internal control management & risk management;


Objectives:

  1. Improving internal work processes;
  2. Increasing the efficiency of work processes;
  3. Intensifying the monitoring and control activities in each medical department to eliminate existing risks and efficient use of resources allocated by monitoring indicators for the use of services regularly:
    • Number of patients discharged;
    • Average length of stay;
    • Utilization rate of beds;
    • Complexity index of discharged cases;
    • Proportion of patients hospitalized with programming in all hospitalized patients;
    • Proportion of emergencies in all patients.

  4. Development of prevention and control of resources allocated to protect against losses due to waste, abuse, errors and frauds;
  5. Improving communication between hospital structures to ensure operational flow of information without distortion, so that they can be exploited effectively in the prevention and internal control;
  6. Designing in each structure of performance standards for each activity, in order to use them to perform analyzes based on objective criteria for exploitation of allocated resources;
  7. Establishing mutually advantageous relations with partners:


Assessment of the relation with partners

Target goal Indicators Objective Level Person in charge
The level of unpaid bills to suppliers on due date The number of unpaid bills to suppliers on due date 0 Tactical CFO
The level of uncollected sales Uncollected bills on due date on each client 0