Making performance indicators work: The experience of using consensus indicators for external assessment of health and social services at regional level in Spain

Developing a performance evaluation system for the Italian public healthcare sector

“…This is especially the case in the healthcare sector (Noordegraaf and Van der Meulen, 2008). Creating learning and consensus processes, such as promoting horizontal communication and encouraging participation at different levels, can reduce tension between managers and medical professionals (Broadbent et al, 1992;Guven-Uslu and Conrad, 2008), as well as producing an effective performance evaluation system (Arnaboldi and Lapsley, 2004;Hilarion et al, 2009).…”

Design, implementation and scaling up of the balanced scorecard for hospitals in Lebanon: Policy coherence and application lessons for low and middle income countries

“…Constantly listening and responding to hospitals' needs and concerns is essential in maintaining their trust. Previous experiences highlight the importance of consensual processes and stakeholders' involvement in the development and design of indicators for health care performance measurement [15,18,32]. Regarding our experience in the design and implementation of the indicators, it was observed that gradual implementation of the BSC approach and scaling up is critical for success.…”

“…Similar strategies were successfully applied in health care sector performance measurement and reporting in HICs [15,18].…”

“…Literature shows that in order to create an environment conducive to non-punitive measurement and reporting of standardized performance indicators and the application of the BSC framework, it is important to provide clarity on the aim and need, and involve different stakeholders in a consensual process in all stages of the initiative [15]. The researchers discussed the project in several meetings with key stakeholders in the country.…”

Assessing the effectiveness of a performance evaluation system in the public health care sector: some novel evidence from the Tuscany region experience

“…While there is a broad range of literature on performance evaluation systems at hospital level, still few papers are written on the regional one, and the majority of them concern the design and implementation process (Hilarion et al 2009;Pink et al 2001). Indeed, the analysis of performance evaluation systems at the regional level and the effects of its use on system performance are of particular interest, given also the devolution process which has recently involved most of the European countries such as Italy.…”