Att mäta eller inte mäta?
En kvalitativ undersökning om prestationsmätningar på en av Blekingesjukhusets kliniker
FöretagsekonomiBusiness administration - management controlPerformance measurementDiagnosis related groups (drg)Balanced scorecard (bsc)Health-care
Blekinge Hospital suffers from a budget shortage of 100 million SEK, while the
government now requires that hospitals will no longer be running a deficit.
Blekinge Hospital will then use their limited resources to survive in the
future and the activity must be enhanced in order to keep costs low without
having to lay off personnel. The idea is that the organisation should be more
efficient with a more efficient resource usage.
Performance measurement systems are important tools for achieving the policies
set out within an organization, measuring and evaluating performance is a way
to see where improvements in efficiency may be necessary in the business.
Balanced Scorecard (BSC) is one of several measuring systems, where the focus
is on measuring non-financial performances. Diagnosis Related Groups (DRG) is
another performance measurement systems used in healthcare so that comparisons
between hospitals can easily be performed. The purpose of this study was to
investigate what performance measurement systems that Blekinge Hospital uses
and how they are used. To examine this, qualitative interviews with politicians
and officials of the Blekinge county council and employees working at one of
Blekinge Hospital clinics has been conducted.
The result shows that the Blekinge Hospital has problems in maintaining and
evaluating the results of performance measurements. This is mainly due to time
and resource constraints, but also as a result of lack of communication down to
the clinics from the hospital's management and officials. On the other hand,
this study shows that Blekinge Hospital used DRG to a greater extent than the
BSC which was not used at all. We see this as a result of good communication
and understanding of what the measurement system is good at.