Preview

Internal Business Process Perspective

Better Essays
Open Document
Open Document
1042 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Internal Business Process Perspective
Internal Business Process Prospective
BUS 499 – Strategic Management
Module 3 Case
February 1, 2013

Duke Children’s Hospital fell into a crisis within the mid-1990s. Expenses were rising while dramatic reductions in net margin were occurring. Staff productivity fell and staff satisfaction was at an all-time low. They overcame the crisis by implementing the balanced scorecard. Their way of designing their scorecard catered to their business in healthcare. The higher officials of Duke Children’s Hospital made a three-step process in designing their balanced scorecard. “The three steps of proven rapid-fire approach are to: get connected, get results, and get smarter” (Meliones, 2001).
Step one consisted of establishing key linkages. By linking the mission, strategy, objectives, targets, key performance indicators, and initiatives across the organization, stakeholders within the hospital were able to stay on the same end goals. Each stakeholder was given information to diagnose opportunities for improvement. There were three vital areas that helped the scorecard stay connected. Key performance indicators linked the business and clinical aspects of healthcare. Staff satisfaction was related to preserving or increasing quality of care. Regulatory area maintained the compliance of laws and procedures within the organization.
Step two consisted of analyzing performance to get results. Data was collected to enhance the productivity and satisfaction of stakeholders within the hospital. The goal was to “improve performance in stakeholders while enhancing quality” (Meliones, 2001). This affects the customer perspective by increasing customer satisfaction. The key factor to help analyze data and improve efficiency was to implement new technology. By supplementing telephone calls with fax and email and setting up automated notifications, the “total denials decreased from fifteen percent to less than one percent” (Meliones, 2001).
Step three consisted



References: CQI (2012) Introduction to Quality. The Chartered Quality Institute. Retrieved August 24, 2012, from http://www.thecqi.org/Knowledge-Hub/Resources/Factsheets/Introduction-to-quality/ Meliones, Jon N.; Ballard, Richard; Liekweg, Richard; & Burton, William (2001, April). No mission (<-->) no margin: It 's that simple. Journal of Health Care. 27(3): 21-30. Retrieved May 17, 2010, from the library: https://coursenet.trident.edu Niven, P. (N.D.) Internal Process perspective. EPM Review. Retrieved May 17, 2010, from http://www.epmreview.com/Resources/Articles/InternalProcess-Perspective.html

You May Also Find These Documents Helpful

  • Powerful Essays

    Rohm, H. (2008, January). Using the Balanced Scorecard to Align Your Organization.http://www.balancedscorecard.org. Retrieved October 17, 2011, from http://www.balancedscorecard.org/Portals/0/PDF/BalancedPerformance_Article1.pdf…

    • 4721 Words
    • 13 Pages
    Powerful Essays
  • Good Essays

    HSM 541 Week 6 You Decide

    • 855 Words
    • 4 Pages

    Research has shown that hospitals are operating on tight budget all over the world, and they need to find way to reduce their costs and also try to manage productivity in all areas and job categories. I have developed some strategies and recommendations for Middlefield Hospital that will help us to improve the financial performance of the hospital. I will individually address each of the facts discovered by the management team and discuss the proposed recommendations for each.…

    • 855 Words
    • 4 Pages
    Good Essays
  • Best Essays

    The aim of this learning objective is to produce a critical evaluation-report on quality using a case study. Wallace and Gravells define quality as “the level to which a product or service meets the needs of the customer” (2007, p. 113). It can also be thought of in terms of value for money and maintaining standards. However, customers do not always know what they need or what should be included as part of a product. Value for money is subjective and can be complicated by preconceptions of more expensive products as being better quality and cheaper ones as being poorer quality. Moreover, maintaining standards does not mean keeping everything the same: rather, a product must be developed and improved upon in order to keep up-to-date and reflect advances in the sector. Quality can only be achieved through a process of quality assurance and dedication to total quality management (TQM) which requires long-term commitment to a culture of quality at all levels.…

    • 3687 Words
    • 15 Pages
    Best Essays
  • Good Essays

    This paper will propose how TriCity Medical Center will monitor performance, achieve regulatory and accreditation compliance, and improve overall organizational performance. It will describe ways TCMC will communicate with leadership to ensure alignment of organizational goals and gain buy-in from staff to achieve compliance with the standards and requirements issued by regulatory and accreditation bodies. Also it will determine how compliance with the regulations and development of risk- and quality-management systems for the organization contributes to the organization’s overall performance-management system.…

    • 1772 Words
    • 8 Pages
    Good Essays
  • Good Essays

    I believe that Cattaraugus County Rehabilitation Center (CCRC) had done an effective job of implementing a balance scorecard (BSC) approach in a fashion that reflects their organizational mission and vision. Although the BSC method has been used in the for-profit organizations for many years I believe that the CCRC has made a significant effort to ensure that it works for their organization. There was a lot of push back from the people who work at the center when it was first introduced, they believed it was just another quick-witted approach that would just fail, but as the new director of strategic management began to slowly improve the…

    • 848 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Buchbinder, S.B., & Shanks, N.H. (2012). Introduction to health care management (2nd ed.). Burlington, MA: Jones & Bartlett Learning.…

    • 716 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Week 1 Memo

    • 640 Words
    • 3 Pages

    The present memo describes the current state and design of a healthcare organization for providing strategic inputs to improve organization performance in treatment of patients and operational efficiency of medical process.…

    • 640 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Managing in a healthcare environment can often be hectic and present many challenges due to a constant change of policies and procedures. In order for any organization to be successful, the organization must identify goals and a plan to reach that goal set. To ensure that the organization is able to work effectively and provide quality care there are several processes available to produce quality care. These processes are strategic planning, performance improvement, and information systems. Each processes feeds directly into the next, when used correctly and simultaneously. These processes can greatly increase the quality of healthcare in an organization.…

    • 1575 Words
    • 6 Pages
    Better Essays
  • Better Essays

    When a group of individuals get together to talk about the health care industries they automatically think of hospitals and it is the first thing that the group thinks of. The hospitals use quality management to accomplish the long and short term goals that will improve the patient’s safety and the quality of care a patient receives. There are different program titles that represent quality improvement. There are a lot of different concepts, policies, and factors that a place needs to have for a successful organization. I will be talking about them within my paper.…

    • 2048 Words
    • 9 Pages
    Better Essays
  • Good Essays

    Roles and Functions Paper

    • 739 Words
    • 3 Pages

    As a manager, his day-to-day duties are accountable for the productivity, diversity, public scrutiny, confidentiality, customer expectation, safety, customer demand and participation to his employees. Considering that every health care manager’s responsibilities and duties may varies in every health care organization. As a manager he must understand the in and out of the business, and the involvement of his employees, and other stakeholders that directly or indirectly impact its success. Stakeholders refer to patients, suppliers, competitors and institutions that are affected in one way or another by organization’s performance. Furthermore, patient is the number one who utilizes the goods and services produced by health care organizations.…

    • 739 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    U.S. Department of Health & Human Services, Agency for Healthcare Research and Quality. (2013). Improving health care quality (02-P032). Retrieved from website: http://www.ahrq.gove/research/findings/factsheets/errors-safety/improving-quality/index.html.…

    • 2116 Words
    • 9 Pages
    Powerful Essays
  • Better Essays

    Since 1993, the Truven Health 100 Top Hospitals program has used both independent and objective research to guide hospital and health system performance. In this process, they analyze public data sources to compare hospitals to similar organizations. The 100 Top Hospitals program uses a balanced scorecard that incorporates public data, proprietary, peer-reviewed methodology and key performance metrics to arrive at an objective, independent analysis of hospital or health system performance. This research measures performance, organizational alignment, progress against business goals and demonstrates the value that an award winning organization provides to patients. (Truven Health Analytics, 2013)…

    • 993 Words
    • 4 Pages
    Better Essays
  • Good Essays

    The main purpose of managing quality improvements is to set up a structure by which to measure how the organization is doing out in the public sector. We need a process in place that will drive our improvement efforts when less than optimal results are identified through undesirable trends and benchmarking. They need to be measurable and be the same for all patients in the survey area. This data will assist us in developing the measures necessary to improve performance standards. A team will be organized that will include the Executive Director of our local hospice as well as the Medical Directors (3), that drive our management force. Defining an action plan to implement proper and effective data collection for our Quality Assessment and Performance Improvement (QAPI) program will entail establishing an overall goal first. This can be monitored regularly through weekly meetings of the team members to determine where they are in the process and what their findings have been so far.…

    • 647 Words
    • 3 Pages
    Good Essays
  • Best Essays

    Quality Insurance

    • 1721 Words
    • 7 Pages

    In today’s health care environment, competition remains high and many organizations are seeking new ways to improve their quality of care, as well as remain competitive with other health care organizations in the process. Various methods exist today for organizations to integrate quality improvement strategies to help in the measurement of performance improvements. This paper will discuss:1) several methodologies, the pros and cons that exist with these methods, 2) describe information technology applications, how they may be used to improve patient falls, 3)discuss how benchmarking and milestones are involved in managing the use of quality indicators, and finally,4) describe how performance and quality measures are aligned to an organization’s mission, vision, and strategic plan, and how these measurements align with Self-Regional Hospital’s mission, vision, and strategic plan for improvement.…

    • 1721 Words
    • 7 Pages
    Best Essays
  • Good Essays

    Top Ten Bsc Mistakes

    • 1682 Words
    • 7 Pages

    Monday, December 20, 2010 7:47:51 PM The Top Ten Balanced Scorecard Mistakes: Best of Reader Feedback A few weeks ago, we asked for input from this community in compiling a list of the top 10 mistakes of the balanced scorecard. Obviously we touched a nerve because we were overwhelmed by great feedback. Thank you for all your insightful comments. We’ve sorted through your observations and boiled them down into a list. Any such list is necessarily subjective, so we hope this generates more discussion and feedback. 1. Lack of focus: Too many people, too many objectives, too many metrics, and too many scorecards When it comes to scorecards, less is more. Too often, beginners start out with too many people, too many objectives, too many metrics, and too many scorecards. When an organization tries to juggle too many things, it inevitably cannot deliver on all of them. When too many people are involved, the process slows to a crawl. Often these groups wind up with too many objectives because they cannot reach consensus on a few key ones. This kind of confusion obscures clear lines of accountability and discourages employees. Therefore, err on the side of less at the beginning. Weed out objectives by asking yourself tough questions: Can you realistically manage all the objectives on your list? Are they complementary or conflicting? What is the impact of not doing them? Do they really matter? Similarly, less is more when it comes to teams. When starting a BSC process, don’t involve so many people that it becomes unwieldy or political. Limit it to a few people who know what they’re doing and who have executive support and the authority to make the appropriate changes. They should have a broad understanding of the organization and good people skills so that they can inspire others. Rather than holding big meetings, assign team members to work individually with other players or business units to tackle specific questions and then present their findings to the group. 2. Biting…

    • 1682 Words
    • 7 Pages
    Good Essays