3.21.2007

How Better Hospitals Use Scorecards

Measuring performance is essential, and many organizations use a scorecard or dashboard as one measurement tool. But what makes a good scorecard, and how should it be used?


            Some intriguing answers come out of a study conducted by Eugene Kroch, Ph.D., vice president and director of research for consulting firm CareScience. (This the second posting I’ve written about Kroch’s study; the first talked about the role of hospital leadership.)


            The study, described in a presentation at the recent conference of the Healthcare Information and Management Systems Society (HIMSS), was based on 438 responses to a survey of top hospital executives in nine states (Arizona, Colorado, Illinois, Iowa, Maryland, New Jersey, New York, Pennsylvania and Wisconsin).


            Kroch correlated the survey results with data developed by CareScience from several sources about hospital quality, to determine how the responses of the best-quality hospitals were different from all others.


            When it comes to dashboards, Kroch found that:



  • Dashboards with fewer measures are associated with higher quality. Seventy percent of all hospitals surveyed had dashboards with between 15 and 45 measures. (The full range was 2 to 104.) But the higher-quality hospitals had an average of 25.6, slightly below the overall average of 28.6.
  • High performers are more likely to view board dashboards on a monthly basis or more, while low performers view them quarterly or less.
  • At higher-quality hospitals, the board quality committee and the quality improvement staff are strongly involved in the development of dashboard content.
  • The better hospitals also use scorecards for more than just informational purposes. Specifically, better performance is associated with hospitals that link scorecards to quality improvement projects, daily operations management and public performance.
  • Hospitals using dashboards for more than two years have higher quality than those with a shorter history.

            As I said last time, the only people likely to be surprised by any of this are those not familiar with lean concepts. Let’s hope they are paying attention and take the information to heart.


 

2 comments:

Ralph Bernstein said...

IMPORTED
3/21/2007 1:06:55 PM
Re: How Better Hospitals Use Scorecards
By: dcbliss

Amen. At our hospital, we have a balanced scorecard, we use it as a managment tool, and I use it in my Lean role as a reference point to determine priorities. It's an excellent process/tool/method to help manage a business, and frankly I don't know what we'd do without it.

lin liyi said...

Subsequently are you aware of as soon as would be the Duc carriage having indy come to be it truly is rolex day date watches? It truly is with 1950s. Starting symptoms from the 19th hublot replica, Hermes embraced it truly is age while using the attempt connected with Protestant Germans, exactly who primary recognized Hermes to be a use handyroom within the Grands Boulevards 1 fourth connected with Venice, committed to portion Western european noblemen along with the using many years in this wonderful close relatives. Looking for a great new model for a realistic 2.55 chanel handbags? This below wholesale clutches by Wholesalesion simply just can be ones remedy. By means of paying for below wholesale, you might be handed a major price cut in excess of retail store charges with clutches or maybe totes. Clutches, storage units for hauling dollars in addition to modest particular objects or maybe gadgets (in particular by means of women of all ages), undoubtedly are a superb way for you to hold sorted however possibly be trendy. Below wholesale Clutches come in a substantial a number of colorings, textures, patterns in addition to chanel replica. Typically easily obtainable in quite a few sites on-line together with as a result of several different off-line below wholesale manufacturers, you can also make guaranteed you will get the perfect "bang on your buck" after you acquire that way. By means of paying for below wholesale you possibly can have the funds for to obtain various clutches, intended for unique times or maybe functions or perhaps to help switch ones clutches regular or maybe fake chanel bags! A different selling point of choosing a below wholesale tote is usually you can uncover just about almost any materials form readily available. In search of household leather clutches, suede clutches, wooly clutches or maybe different vogue chanel replica handbags? Have a look at below wholesale! Below wholesale manufacturers connected with clutches typically present you with a greater in addition to much larger collection to settle on chanel coco bags, permitting you to know that great improvement on your clothing collection. For anyone who is planning to market clutches a highly effective brick and mortar retail store, with your craigslist and ebay retail store or maybe anywhere else on the net, you have got to get a below wholesale service provider to provide you with high-quality low cost clutches you can subsequently publish in addition to market a great infinite benefit likely! If you want model in addition to vogue -- this may be the right small business intended for replica burberry bags. Clutches undoubtedly are a sizzling vogue equipment in addition to advertise extremely well. Advertising below wholesale clutches put in at home in addition to enjoyment, and generate income though accomplishing chanel replica.