Development and implementation of a balanced scorecard in an academic hospitalist group
Article first published online: 18 JAN 2013
Copyright © 2013 Society of Hospital Medicine
Journal of Hospital Medicine
Volume 8, Issue 3, pages 148–153, March 2013
How to Cite
Hwa, M., Sharpe, B. A. and Wachter, R. M. (2013), Development and implementation of a balanced scorecard in an academic hospitalist group. J. Hosp. Med., 8: 148–153. doi: 10.1002/jhm.2006
- Issue published online: 4 MAR 2013
- Article first published online: 18 JAN 2013
- Manuscript Accepted: 22 NOV 2012
- Manuscript Revised: 20 NOV 2012
- Manuscript Received: 23 AUG 2012
Academic hospitalist groups (AHGs) are often expected to excel in multiple domains: quality improvement, patient safety, education, research, administration, and clinical care. To be successful, AHGs must develop strategies to balance their energies, resources, and performance. The balanced scorecard (BSC) is a strategic management system that enables organizations to translate their mission and vision into specific objectives and metrics across multiple domains. To date, no hospitalist group has reported on BSC implementation. We set out to develop a BSC as part of a strategic planning initiative.
Based on a needs assessment of the University of California, San Francisco, Division of Hospital Medicine, mission and vision statements were developed. We engaged representative faculty to develop strategic objectives and determine performance metrics across 4 BSC perspectives.
There were 41 metrics identified, and 16 were chosen for the initial BSC. It allowed us to achieve several goals: 1) present a broad view of performance, 2) create transparency and accountability, 3) communicate goals and engage faculty, and 4) ensure we use data to guide strategic decisions. Several lessons were learned, including the need to build faculty consensus, establish metrics with reliable measureable data, and the power of the BSC to drive goals across the division.
We successfully developed and implemented a BSC in an AHG as part of a strategic planning initiative. The BSC has been instrumental in allowing us to achieve balanced success in multiple domains. Academic groups should consider employing the BSC as it allows for a data-driven strategic planning and assessment process. Journal of Hospital Medicine 2013;8:148–153. © 2013 Society of Hospital Medicine