Applications of the balanced scorecard for strategic management and performance measurement in the health sector

Behrouzi, Farshad; Shaharoun, Awaluddin Mohamed; Ma’aram, Azanizawati

doi:10.1071/ah13170

Cited by 26 publications

(23 citation statements)

References 34 publications

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“…Operationally, the DIPH provides an approach to various types of decision-making in health services, as well as opportunities for contemporary management and analytical techniques such as dashboards , to monitor the progress of key performance indicators. (Felkey and Fox 2014) The balanced scorecard is a widely recognized strategic planning and management system for improving communications and monitoring the performance of health services against defined goals (Kocakulah and Austill 2007; Behrouzi et al 2014). Implementation strength (Miller et al 2014) can be used to decide which resources and activities are needed for health systems to achieve specific coverage targets at district level.…”

Section: Discussionmentioning

confidence: 99%

District decision-making for health in low-income settings: a feasibility study of a data-informed platform for health in India, Nigeria and Ethiopia

Avan

Berhanu

Umar

et al. 2016

Health Policy Plan.

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Low-resource settings often have limited use of local data for health system planning and decision-making. To promote local data use for decision-making and priority setting, we propose an adapted framework: a data-informed platform for health (DIPH) aimed at guiding coordination, bringing together key data from the public and private sectors on inputs and processes. In working to transform this framework from a concept to a health systems initiative, we undertook a series of implementation research activities including background assessment, testing and scaling up of the intervention. This first paper of four reports the feasibility of the approach in a district health systems context in five districts of India, Nigeria and Ethiopia. We selected five districts using predefined criteria and in collaboration with governments. After scoping visits, an in-depth field visit included interviews with key health stakeholders, focus group discussions with service-delivery staff and record review. For analysis, we used five dimensions of feasibility research based on the TELOS framework: technology and systems, economic, legal and political, operational and scheduling feasibility. We found no standardized process for data-based district level decision-making, and substantial obstacles in all three countries. Compared with study areas in Ethiopia and Nigeria, the health system in Uttar Pradesh is relatively amenable to the DIPH, having relative strengths in infrastructure, technological and technical expertise, and financial resources, as well as a district-level stakeholder forum. However, a key challenge is the absence of an effective legal framework for engagement with India’s extensive private health sector. While priority-setting may depend on factors beyond better use of local data, we conclude that a formative phase of intervention development and pilot-testing is warranted as a next step.

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Section: Discussionmentioning

confidence: 99%

District decision-making for health in low-income settings: a feasibility study of a data-informed platform for health in India, Nigeria and Ethiopia

Avan

Berhanu

Umar

et al. 2016

Health Policy Plan.

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“…Sistem pengukuran kinerja berdasarkan Balanced Scorecard (BSC) mengambil semua informasi dan data layanan kesehatan untuk mengukur, menafsirkan, menginvestigasi, mengkomunikasikan evaluasi program kesehatan, kerangka arah akreditasi dan jalur klinis, kualitas layanan peningkatan perawatan, dan pengambilan keputusan (4,6) oleh pemimpin (manajemen tingkat atas) sebagai pembuat keputusan dan karyawan dengan minat di bawah setiap saat (5,10,12).…”

Section: Pendahuluanunclassified

“…Oleh karena itulah penerimaan realitas dan penggunaan teknologi di lembaga pelayanan kesehatan di negara-negara maju dan berkembang memiliki respons variasi sendiri. Dampak teknologi terkomputerisasi untuk dokter dan perawat yang cenderung tidak menyukai paparan teknologi karena jumlah personel dan waktu yang diperlukan untuk melakukan pekerjaannya dapat menurunkan semangat kerja serta kebingungan dengan penurunan sensitivitas layanan kepada pasien (7,10). Partisipasi besar pada penggunaan teknologi ditinjukkan kepada mereka yang memiliki pengalaman kerja dengan teknologi, pernah mengikuti pendidikan komputer dan pelatihan, serta mereka yang lebih muda usianya (3,8…”

Section: Pendahuluanunclassified

Faktor yang mempengaruhi niat menggunakan teknologi Balanced Scorecard (BSC) oleh para level manajer sektor kesehatan di Indonesia

Parastri¹

2019

hspj

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The health care industry is a capital-intensive, labor-intensive, and full information, with performance information that requires high concentration and attention from the health manager. Balanced Scorecard (BSC) is an importance technological innovation as a performance measurement system that strategically and allow manager translate organizational strategies into the mission and performance indicators with reality acceptance and its own variation response among users. The aim of this study is to determine the factor of affecting hospital managers' behavior intention in implementing the balanced scorecard. This research type was quantitative with cross sectional design. The sampling technique using purposive sampling. The samples were 60 respondents. The data collected by questionnaires analyzed with multiple linear regression test. The quantitative analysis' results of 60 samples showed that a simultaneous influence of easy perceive of using and usefulness perceive on behavioral intention in implementing BSC (Sig = 0,000 < 0,05) and easy perceive of using have influence on perceive of usefulness (Sig = 0,000 < 0,05). While partially easy perceive of using and usefulness perceive was affected toward behavioral intention is about (Sig = 0,422 > 0,05) and (Sig = 0,001 < 0,05), on the other side, the easy perceive of using have influence toward usefulness perceive (Sig = 0,000 < 0,05). The conclution was the hospital manajer's perception of the easy of use of BSC and the use of the manajer together have a significant impact on the manajer's behavioral intention to implement the BSC. The hospital manajer's perception of easy of use of the BSC had no significant effect on the intention to implement the BSC. ABSTRAKIndustri pelayanan kesehatan adalah industri padat modal, padat karya, dan padat informasi, dimana konsentrasi dan perhatian manajer sangat dibutuhkan di dalamnya. Balanced Scorecard (BSC) adalah inovasi teknologi penting sebagai sistem pengukuran kinerja strategis yang memungkinkan manajer menerjemahkan strategi organisasi ke dalam misi dan indikator kinerja dengan realita respon (tanggapan) yang cukup bervariasi diantara penggunanya. Tujuan dari penelitian ini adalah menentukan faktor yang mempengaruhi niat perilaku manajer rumah sakit dalam menerapkan balanced scorecard. Jenis penelitian ini adalah kuantitatif dengan desain cross sectional. Pengambilan sampel menggunakan teknik purposive sampling. Jumlah sampel yang digunakan sebanyak 60 orang. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan uji regresi linier berganda. Hasil analisis kuantitatif dari 60 sampel menunjukkan pengaruh simultan dari persepsi mudah menggunakan dan persepsi kemanfaatan terhadap niat perilaku menerapkan BSC (Sig = 0,000 < 0,05) dan persepsi mudah menggunakan berpengaruh terhadap persepsi kemanfaatan (Sig = 0,000 < 0,05). Sementara secara parsial persepsi mudah menggunakan dan persepsi kemanfaatan berpengaruh terhadap niat perilaku sebesar masing-masing (Sig = 0,422 > 0,05) dan (Sig = 0,001 < 0,05), di sisi l...

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“…Hal ini tidak konsisten dengan bisnis yang kompetitif, termasuk praktik yang beroperasi tidak didorong oleh biaya atau keuangan yang baik. Adapun beberapa alasan spesifik mengapa rumah sakit belum aktif atau sukses di bidang ini disebabkan oleh pegawai rumah sakit yang memiliki sedikit pengalaman terhadap lingkungan yang kompetitif, kurangnya partisipasi karyawan, terutama di kalangan dokter, dan Layanan yang diberikan sulit diukur6 . Oleh sebab itu beberapa alat analisis kinerja dicipakan untuk mengatasi masalah-masalah tersebut.TUJUANPenelitian ini bertujuan untuk mengetahui penerapan balanced scorecard (BSC) dalam analisis kinerja rumah sakit di berbagai negara.METODEKajian pustaka yang membahas penerapan balanced scorecard (BSC) dalam analisis kinerja rumah sakit.…”

unclassified

Kajian Pustaka: Penerapan Balanced Scorecard (BSC) dalam Analisis Kinerja Rumah Sakit di Berbagai Negara

Dhamayanti¹

2019

Preprint

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AbstrakLatar Belakang: Balance scorecard (BSC) digunakan sebagai alat pengambilan keputusan mengenai tindakan-tindakan yang harus dilakukan untuk memperbaiki kekurangan dan memajukan rumah sakit. Tujuan: Penelitian ini bertujuan untuk mengetahui penerapan balanced scorecard (BSC) dalam analisis kinerja rumah sakit di berbagai negara. Metode: Penelitian ini menggunakan metode kajian pustaka. Hasil: Hasil kajian pustaka pada tujuh jurnal menunjukkan bahwa semua menyimpulkan lokalisasi dan penggunaan konseptual BSC dapat sangat meningkatkan kinerja rumah sakit. Hasil analisis kinerja dengan BSC di rumah sakit juga dapat memberikan arahan yang jelas dalam menentukan kebijakan, sumber daya, dan kegiatan rutin, serta dalam membangun sistem di setiap unit yang ada di rumah sakit. Kesimpulan: BSC tidak hanya dapat diterapkan di rumah sakit swasta, namum rumah sakit pemerintah juga perlu menerapkan BSC untuk mengukur kinerjanya dan digunakan sebagai pedoman dalam membuat kebijakan dan desain atau rencana kerja. Temuan pada penelitianpenelitian yang sudah ada juga harus diperkaya dengan literatur dan dengan bukti empiris tentang manfaat aplikasi BSC di rumah sakit. Hal tersebut juga akan memberikan pengalaman bagi sejumlah negara di dunia yang dapat menjadi referensi untuk memperluas implementasi BSC dalam administrasi rumah sakit. Kata Kunci: analisis; kinerja; organisasi kesehatan; rumah sakit; balance score card. Abstract Background: Balance scorecard (BSC) is used as a decision-making tool regarding the actions that must be taken for improving limitation and advancing the health organization. Objective:This study aims to determine the application of the balanced scorecard (BSC) in hospital performance analysis in various countries. Method: This study uses the literature review method. Results: The results of the literature review in seven journals show that all concluding localization and conceptual use of BSC can greatly improve hospital performance. The results of the application of BSC in hospital performance analysis can also provide clear direction in determining policies, resources, and routine activities, as well as in building systems in every unit in the hospital. Conclusions: BSC can not only be applied in private hospitals, but public hospitals also need to apply BSC to measure its performance and be used as a guideline in making policies and designs. The findings in existing studies must also be enriched with literature and with empirical evidence of the benefits of BSC application in hospitals. It will also provide experience for a number of countries in the world that can be a reference for expanding the BSC implementation in hospital administration.

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Applications of the balanced scorecard for strategic management and performance measurement in the health sector

Cited by 26 publications

References 34 publications

District decision-making for health in low-income settings: a feasibility study of a data-informed platform for health in India, Nigeria and Ethiopia

District decision-making for health in low-income settings: a feasibility study of a data-informed platform for health in India, Nigeria and Ethiopia

Faktor yang mempengaruhi niat menggunakan teknologi Balanced Scorecard (BSC) oleh para level manajer sektor kesehatan di Indonesia

Kajian Pustaka: Penerapan Balanced Scorecard (BSC) dalam Analisis Kinerja Rumah Sakit di Berbagai Negara

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