Practice and Challenges of Balanced Scorecard Implementation at St. Paul Hospital Millennium Medical College
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Date
2023-07
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Addis Ababa University
Abstract
This study examines the implementation of the Balanced Scorecard (BSC) by St. Paul Hospital Millennium Medical College (SPHMMC), a large public sector health organization in Ethiopia,
Qualitative research methods were used to collect data, including semi-structured interviews with 16 respondents and company documentation. Thematic analysis identified several challenges faced by SPHMMC in implementing the BSC, including lack of senior management engagement, the lack of an integrated reporting mechanism and automation, and the need for comprehensive training and communication to ensure successful implementation. To address these challenges, the study recommends embedding the BSC as a fundamental part of the organization performance management system and engaging the Senior Management Team in the implementation process. The potential benefits of BSC implementation in the healthcare sector include improving organizational performance, enhancing accountability, and enabling better decision-making. This study contributes to the existing body of knowledge on BSC implementation in the public and healthcare sectors, filling the gap in understanding the local teaching hospital context in Ethiopia. By understanding the challenges faced by SPHMMC and the strategies used to overcome them, healthcare organizations can develop effective strategies for BSC implementation, ultimately improving healthcare performance and outcomes
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Balanced Scorecard