Internal Business Process Perspective Balanced Scorecard Turns Essay

Length: 3 pages Sources: 3 Subject: Healthcare Type: Essay Paper: #59179316 Related Topics: Due Process, Childrens, Process, Harvard Business
Excerpt from Essay :

¶ … Internal Business Process Perspective balanced scorecard turns attention aspects organization's operations possibility direct control managers employees.

The balanced scorecard at Duke's Children Hospital

In the context of a rapidly evolving society, the health care sector must also develop new mechanisms by which to keep up with the emergent changes and challenges. One example in this sense is represented by the implementation of business tools and techniques within the act of health care provision.

One relevant example in this sense is offered by Duke Children's Hospital in Durham, North Carolina, which implemented the balanced scorecard to address some critical problems with costs of health care provision and nurse dissatisfaction.

"Between 1993 and 1996 DCH's cost per case increased $4,389, while reimbursement declined, leading to a negative net margin in 1996 of $11 million dollars. During this same period, nurse productivity declined from 80th percentile to the 80th percentile, while patient and staff satisfaction declined to record lows" (Dunham-Taylor and Inczuk, 2006).

The balanced scorecard seemed the most adequate solution to addressing these problems and the method selected by the managerial team at the health care institution was represented by the integration of the business processes and the health care processes into a single unified effort (Meliones, Ballard, Liekweg and Burton, 2001). This approach was due to the belief that no process should take priority over the other (Dunham-Taylor and Pinczuk, 2006).

2. Analysis

The implementation of the balanced scorecard at the Duke Children's Hospital was based on the...

...

In their implementation of the balanced scorecard, distinctive emphasis came to be placed on three specific commitments, namely those of communicating, carting the path and never stopping.

At the level of communication, the managerial team focused on the communication of the problem that existed within the hospital; it listed to what the employees had to say; it improved the organizational culture and it changed the role of people. At the level of the path, the DCH's managers focused on a pilot project, developing and realistic goals, focus on information and the inclusion of the employees and their support in performance generation. Finally, at the level of the continuance, emphasis came to be placed on mapping the business to the balanced scorecard and remaining consistent to this mapping; continually experimenting and learning from failures and encouraging strategic thinking at all of the organizational levels (Meliones, 2000).

Aside from the actual balanced scorecard, the managers at the Duke Children's Hospital were also faced with the challenge of integrating the balanced scorecard within the overall context of the institution, in order to support the full attainment of the pre-established objectives. In this order of ideas, the balanced scorecard was in charge of ensuring…

Sources Used in Documents:

References:

Dunham-Taylor, J., Pinczuk, J.Z. (2006) Health care financial management for nurse managers: merging the heart with the dollar. Jones & Bartlett Learning

Meliones, J. (2000).Saving money, saving lives. Harvard Business Review. http://www.csus.edu/indiv/l/lundbladg/1_ACCY122_Fa08/ACCT122_Exams/SavingMoney+_SavingLives_Duke.pdf accessed on August 17, 2012

Meliones, J.N., Alton, M., Mericle, J., Ballard, R., Cesari, J., Frush, K.S., Mistry, K. 10-year experience integrating strategic performance improvement initiatives: can the balanced scorecard, Six Sigma and team training all thrive in a single hospital? Agency for Healthcare Research and Quality http://www.ahrq.gov/downloads/pub/advances2/vol3/advances-meliones_40.pdf accessed on August 17, 2012

Meliones, J., Ballard, R., Burton, W., (2001). No mission, no margin: it's that simple. J Health Care Finance. Vol. 27. No 3


Cite this Document:

"Internal Business Process Perspective Balanced Scorecard Turns" (2012, August 17) Retrieved June 30, 2022, from
https://www.paperdue.com/essay/internal-business-process-perspective-balanced-81659

"Internal Business Process Perspective Balanced Scorecard Turns" 17 August 2012. Web.30 June. 2022. <
https://www.paperdue.com/essay/internal-business-process-perspective-balanced-81659>

"Internal Business Process Perspective Balanced Scorecard Turns", 17 August 2012, Accessed.30 June. 2022,
https://www.paperdue.com/essay/internal-business-process-perspective-balanced-81659

Related Documents
Internal Business Process Perspective Balanced Scorecard Turns
Words: 613 Length: 2 Pages Topic: Healthcare Paper #: 93255825

Internal business process perspective balanced scorecard turns attention aspects organization's operations possibility direct control managers employees. Here a summary approach: Niven, P. (N.D.) Internal Process perspective. The balanced scorecard at the Duke Children's Hospital The change process at Duke Children's Hospital was decided upon as the healthcare institution faced severe challenges. Its operational costs were increasing while its revenues were decreasing. Issues had been raised about eliminating specific programs and reducing the

Balanced Scorecard Google's Internal Business Processes Are
Words: 605 Length: 2 Pages Topic: Business Paper #: 17944695

Balanced Scorecard Google's internal business processes are surprisingly informal for a group of engineers. Rather, Google likes to encourage the creative side of their workers, and so there is an emphasis on projects, even where there is no clear objective at the outset. The company also embarks on projects where there is no clear profit potential -- such is life at a company with $50 billion in the bank. The reality

Internal Business Process in 1996, Duke Children's
Words: 897 Length: 3 Pages Topic: Healthcare Paper #: 17079860

Internal Business Process In 1996, Duke Children's Hospital was facing tremendous challenges associated with a reduction in the number of Medicaid reimbursements that they were receiving from the government. To deal with these issues, the balanced scorecard approach was implemented at the facility. This is a tool that allows executives to effectively determine the various risks facing the business by looking at a number of elements to include: the financial, the

BSC Implementation and the Internal Business Process Perspective
Words: 1412 Length: 3 Pages Topic: Business - Management Paper #: 15688198

Lessons Learned From the Balanced Scorecard Implementation at BAE BAE Systems competes in several of the most complex, capital- and knowledge-intensive areas of the aerospace and defense industry making each of their product lines and divisions highly dependent on accuracy, efficiency and quality management. For BAE Systems, ensuring exceptional orchestration of each aspect of a project is essential for their growth and continued viability as a business. From their aerospace product

Balance Scorecard Applications in Healthcare Organizations Balanced...
Words: 12912 Length: 40 Pages Topic: Business - Management Paper #: 64681019

Balance Scorecard Applications in Healthcare Organizations Balanced Scorecard The Learning & Growth Perspective The Business Process Perspective The Financial Perspective Strategy Mapping General Perspective of Performance Management Performance Planning Ongoing Performance Feedback Employee Input Performance Evaluation & Review Performance Management in Healthcare Organizations Healthcare Organization as Learning Organization Principles of Performance Management in Healthcare Organizations Performance Measurement & Evaluation Methods Used In Healthcare Organizations Setting Up Performance Management Systems Dimensions and Approaches to Performance Management in Health Care Taken From the British National Health Service Induction Programs Performance Monitoring Personal

Balanced Scorecard Control and Adjustment of Environmental
Words: 1671 Length: 6 Pages Topic: Business Paper #: 78153805

Balanced Scorecard Control and Adjustment of Environmental Factors for a New Bookstore: The Balanced Scorecard Perspective All businesses, whether they are brand new and still in the planning stages or have been around for generations, must continually reappraise their position in their given market and industry in order to ensure that they are providing their shareholders and all stakeholders with the maximum possible benefit for their involvement with the business. Simply put,