Health Care : Current Reviews

The implementation of the balanced scorecard in the clinical departments

2^nd Annual Congress and Medicare Expo on Primary Care & General Pediatrics

September 19-20, 2016 Phoenix, USA

Mateusz Gilewicz and Robert Parzonko

Warsaw School of Economics, Poland

Posters & Accepted Abstracts: Health Care: Current Reviews

Abstract:

Aim: The Balanced Scorecard (BSC) has been implemented in many hospitals worldwide providing positive results in the area of effectiveness, patient�??s satisfaction and reaching financial goals. Only few hospitals in Poland implemented the balance scorecard, none of them was a clinical hospital. Authors attempted to implement this method into the obstetrics and gynecology departments in one of clinical hospitals in Warsaw. The aim was to find out if this management tool will enhance effectiveness and quality of medical services in polish single payer healthcare system. Methods: The researches were divided into two stages. The purpose of the first stage was to design the strategy map and the balanced scorecard. First series of workshops were held with hospital managers, the director of obstetrics and gynecology departments, physicians and nurses. Within 40 hours of discussion, nine strategic goals with more than 60 potential measures and initiatives have been defined. The purpose of the second stage was to implement designed balanced scorecard, monitor the defined measures and the results of the implementation into the departments. Results: Implementation team did not manage to monitor all the measures in previously planned time period. Physicians and nurses resisted to implement improvements because it required additional working hours and there was no financial motivation for them. However, there were some promising initiatives among the departments. Therefore, the quality of services increased, the series of new procedures were introduced and housing conditions were improved. As a consequence, some measures such as number of treated patients, number of given births slightly improved. Unfortunately, no financial goals were met. Conclusion: Polish single payer healthcare system does not promote effectiveness and also does not promote the quality of care provided. Potential outcomes does not motivate the hospital managers to make the implementation or use the balanced scorecard. This causes many difficulties in the researches, because successful implementation demands strong support from a hospital managers. This is an example of how single payer healthcare system needs to improve the way of contracting in order to promote quality of care and effectiveness of internal processes.

Biography :

Email: mjgil@wp.pl