Designing a balanced scorecard for a tertiary care hospital in Pakistan: A modified Delphi group exercise

International Journal of Health Planning and Management

Volumn 25, Issue 1, 2010, Pages 74-90

  Rabbani, Fauziah ^a,b   Wasim Jafri, Syed M ^c   Abbas, Farhat ^a   Shah, Mairaj ^c   Azam, Syed Iqbal ^a   Shaikh, Babar Tasneem ^a   Brommels, Mats ^b,d   Tomson, Goran ^b  

^a AGA KHAN UNIVERSITY   (Pakistan)

^b KAROLINSKA INSTITUTE   (Sweden)

^c AGA KHAN UNIVERSITY HOSPITAL   (Pakistan)

^d UNIVERSITY OF HELSINKI   (Finland)

Author keywords

Balanced scorecard; Indicators; Modified Delphi; Performance management; Private hospital in Pakistan

Indexed keywords

DELPHI ANALYSIS; HEALTH MONITORING; HEALTH STATUS; HOSPITAL SECTOR; INFORMATION SYSTEM; PERFORMANCE ASSESSMENT;

ARTICLE; DELPHI STUDY; HEALTH CARE QUALITY; HOSPITAL; ORGANIZATION AND MANAGEMENT; PAKISTAN; QUALITY CONTROL; STANDARD; UNIVERSITY HOSPITAL;

BENCHMARKING; DELPHI TECHNIQUE; HOSPITALS, PROPRIETARY; HOSPITALS, UNIVERSITY; PAKISTAN; QUALITY INDICATORS, HEALTH CARE;

PAKISTAN;

EID: 77649277516     PISSN: 07496753     EISSN: 10991751     Source Type: Journal    
DOI: 10.1002/hpm.1004     Document Type: Article

References (49)

1. Abrejo FG, Shaikh BT, Saleem S. 2008. ICPD to MDGs: missing links and common grounds. Reprod Health 5(4): DOI: 10.1186/1742-4755-5-4
2. Axelsson R, Axelsson SB. 2006. Integration and collaboration in public health-a conceptual framework. Int J Health Plann Manage 19: 383-398. DOI: 10.1002/hpm.826
3. Baker GR, Pink GH. 1995. A balanced scorecard for Canadian hospitals. Healthc Manage Forum 8: 7-21.
4. Bikmoradi A, Brommels M, Shoghli A, Sohrabi Z, Masiello I. 2008. Requirements for effective academic leadership in Iran: a nominal group technique exercise. BMC Med Educ 8: 24.
5. Campbell SM, Braspenning J, Hutchinson A, Marshall M. 2002. Research methods used in developing and applying quality indicators in primary care. Qual Saf Health Care 11: 358-364. DOI:10.1136/qhc.11.4.358
6. Castaneda-Mendez K, Mangan K, Lavery AM. 1998. The role and application of the balanced scorecard in healthcare quality management. J Healthc Qual 20: 10-13.
7. Chung KP, Lai MS, Cheng SH, et al. 2008. Organization-based performance measures of cancer care quality: core measure development for breast cancer in Taiwan. Eur J Cancer Care (Engl) 17: 5-18. DOI: 10.1111/j.1365-2354.2007.00796.x
8. Curtright JW, Stolp-Smith SC, Edell ES. 2000. Strategic performance management: development of a performance measurement system at mayo clinic. J Healthc Manag 45: 58-68.
9. Esmaily HM, Savage C, Vahidi R, Amini A, Zarrintan MH, Wahlstrom R. 2008. Identifying outcome-based indicators and developing a curriculum for a continuing medical education programme on rational prescribing using a modified Delphi process. BMC Med Educ 8(33): DOI: 10.1186/1472-6920-8-33 (Pubitemid 351938288)
10. Ghaffar A, Kazi BM, Salman M. 2000. Health care systems in transition III. Pakistan, Part I. an overview of the health care system in Pakistan. J Public Health Med 22: 38.
11. Ghaffari S, Doran C, Wilson A, Aisbett C, Jackson T. 2008. Investigating DRG cost weights for hospitals in low resource countries: an Iranian example. Int J Health Plann Manage 1-14. DOI: 10.1002/hpm.948
12. Gordon D, Geiger G. 1999. Strategic management of an electronic patient record project using the balanced scorecard. J Healthc Inf Manag 13: 113-123.
13. Green A, Collins C. 2003. Health systems in developing countries: public sector managers and the management of contradictions and change. Int J Health Plann Manage 18: S67-S78. DOI: 10.1002/hpm.721 (Pubitemid 37427935)
14. Groene O, Skau JKH, Frolich A. 2008. An international review of projects on hospital performance assessment. Int J Qual Health Care 20(162): DOI: 10.1093/intqhc/mzn008 (Pubitemid 351753555)
15. Hall LM, Peterson J, Baker GR, et al. 2008. Nurse staffing and system integration and change indicators in acute care hospitals: evidence from a balanced scorecard. J Nurs Care Qual 23: 242-252. DOI: 10.1097/01.NCQ. 0000310655.60187.92
16. Hansen PM, Peters DH, Niayesh H, Singh LP, Dwivedi V, Burnham G. 2008. Measuring and managing progress in the establishment of basic health services: the Afghanistan health sector balanced scorecard. Int J Health Plann Manage 23: 107-117. DOI: 10.1002/hpm.931 (Pubitemid 351998479)
17. Hartwig K, Pashman J, Cherlin E, et al. 2008. Hospital management in the context of health sector reform: a planning model in Ethiopia. Int J Health Plann Manage 23: 203-218. DOI: 10.1002/hpm.915
18. Hospital Report. 2003. Acute Care. A joint initiative of the University of Toronto, Ontario Hospital. Association and the Government of Ontario. Canadian Institute for Health Information Ontario.
19. Huang SH, Chen PL, Yang MC, Chang WY, Lee HJ. 2004. Using a balanced scorecard to improve the performance of an emergency department. Nurs Econ 22: 140-146, 107.
20. Idänpään-Heikkilä U. 2006. Selecting indicators for the quality of cardiac care at the health system level in organization for economic co-operation and development countries. Int J Qual Health Care 18: 39-344. DOI: 10.1093/intqhc/mzl028 (Pubitemid 44417941)
21. Inamdar N, Kaplan RS, Bower M. 2002. Applying the balanced scorecard in healthcare provider organizations. J Healthc Manag 47: 179-196.
22. Kaplan RS, Norton DP. 1996. The balanced scorecard: translating strategy into action. Harvard Business School Press: Boston, MA.
23. Kaplan RS, Norton DP. 2000. The Strategy-Focused Organization: How Balanced Scorecard Companies Thrive in the New Business Environment. Harvard Business School Press: Boston MA.
24. Lorden A, Coustasse A, Singh KP. 2008. The balanced scorecard framework-A case study of patient and employee satisfaction: what happens when it does not work as planned? Health Care Manage Rev 33(145): DOI: 10.1097/01.HMR.0000304503. 27803
25. Målqvist M, Eriksson L, Nga NT, et al. 2008. Unreported births and deaths, a severe obstacle for improved neonatal survival in low-income countries; a population based study. BMC Int Health Hum Rights 8: 1-7. DOI: 10.1186/1472-698X-8-4
26. Mannion R, Davies H, Marshall M. 2005. Impact of star performance ratings in English acute hospital trusts. J Health Serv Res Policy 10: 18-24.
27. Marshall M, Klazinga N, Leatherman S, et al. 2006. OECD health care quality indicator project. The expert panel on primary care prevention and health promotion. Int J Qual Health Care 18: 21-25. DOI: 10.1093/intqhc/mzl021 (Pubitemid 44404502)
28. McBurney D. 2001. Research methods. Wadsworth Thomson Learning: Belmont, CA, Stamford, USA.
29. McKee M, Healy J, Edwards N, Harrison A. 2002. Pressures for change. Hospitals in changing Europe. World Health Organisation (WHO): European observatory on health care systems series 36-58.
30. McLoughlin V, Millar J, Mattke S, et al. 2006. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care 18: 14-20. DOI: 10.1093/ intqhc/mzl030 (Pubitemid 44404501)
31. Murphy MK, Black NA, Lamping DL, et al. 1998. Consensus development methods, and their use in clinical guideline development. Health Technol Assess 2: 1-88.
32. Murray CJL. 2007. Towards good practice for health statistics: lessons from the millennium development goal health indicators. The Lancet 369: 862-873. DOI: 10.1016/S0140-6736(07)60415-60422
33. Oliveira J. 2001. The balanced scorecard: an integrative approach to performance evaluation. Healthc Financ Manage 55: 42-46.
34. Ovretveit J, Al Serouri A. 2006. Hospital quality management system in a low income Arabic country: an evaluation. Int J Health Care Qual Assur 19: 516-532. DOI: 10.1108/09526860610686999 (Pubitemid 44328315)
35. Peters DH, Noor AA, Singh LP, Kakar FK, Hansen PM, Burnham G. 2007. A balanced scorecard for health services in Afghanistan. Bull World Health Organ 85: 146-151.
36. Rabbani F, Jafri W, Abbas A, et al. 2009. Culture and quality care perceptions in a Pakistani hospital. Int J Health Care Qual Assur 22: 498-513. DOI: 10.1108/09526860910975607
37. Rabbani F, Jafri W, Abbas F, Pappas G, Brommels M, Tomson G. 2007. Reviewing the application of the balanced scorecard with implications for low-income health settings. J Healthc Qual 29: 21-34.
38. Rafique G, Azam SI, White F. 2006. Diabetes knowledge, beliefs and practices among people with diabetes attending a university hospital in Karachi, Pakistan. East Mediterr Health J 12: 590-598.
39. Robinson VA, Hunter D, Shortt SE. 2003. Accountability in public health units: using a modified nominal group technique to develop a balanced scorecard for performance measurement. Can J Public Health 94: 391-396.
40. Rowe AK, de Savigny D, Lanata CF, Victora CG. 2005. How can we achieve and maintain high-quality performance of health workers in low-resource settings? The Lancet 366: 1026-1035. DOI: 10.1016/S0140-6736(05)67028-6 (Pubitemid 41323038)
41. Ruiz U, Simón J, Molina P, Jimenez J, Grandal J. 1999. A two-level integrated approach to self-assessment in healthcare organisations. Int J Health Care Qual Assur 12: 135-142.
42. Schalm C. 2008. Implementing a balanced scorecard as a strategic management tool in a longterm care organization. J Health Serv Res Policy 13: 8-14. DOI: 10.1258/jhsrp.2007.007013
43. Suwaratchai P, Sithisarankul P, Sriratanban J, Chenvidhyamd D, Phonburee W. 2008. Utilize the modified Delphi technique to develop trauma care indicators. J Med Assoc Thai 91: 99-103.
44. ten Asbroek AHA, Arah OA, Geelhoed J, Custers T, Delnoij DM, Klazinga NS. 2004. Developing a national performance indicator framework for the Dutch health system. Int J Qual Health Care 16: i65-i71. DOI: 10.1093/intqhc/mzh020 (Pubitemid 38489489)
45. Veillard J, Champagne F, Klazinga N, Kazandjian V, Arah OA, Guisset AL. 2005. A performance assessment framework for hospitals: the WHO regional office for Europe PATH project. Int J Qual Health Care 17(487): DOI: 10.1093/intqhc/mzi072 (Pubitemid 41762418)
46. Wachtel TL, Hartford CE, Hughes JA. 1999. Building a balanced scorecard for a burn center. Burns 25: 431-437. DOI: 10.1016/S0305-4179(99)00024-8 (Pubitemid 29351989)
47. Willis CD, Stoelwinder JU, Cameron PA. 2008. Interpreting process indicators in trauma care: construct validity versus confounding by indication. Int J Qual Health Care 20: 1-8. DOI: 10.1093/intqhc/mzn027
48. Xiao J, Douglas D, Lee AH, Vemuri SR. 1997. A Delphi evaluation of the factors influencing length of stay in Australian hospitals. Int J Health Plann Manage 12: 207-218. DOI: 110.1002/(SICI)1099-1751(199707/09)12:3
49. Zeitlin J, Wildman K, Bréart G, et al. 2003. Selecting an indicator set for monitoring and evaluating perinatal health in Europe: criteria, methods and results from the PERISTAT project. Eur J Obstet Gynecol Reprod Biol 111: 5-14. DOI: 10.1016/j.ejogrb.2003.09.002 (Pubitemid 37474074)