Use of the balanced scorecard to improve the quality of behavioral health care.
As the debate over managed care continues, measuring quality has increasingly become a focus in health care. One approach to measuring quality is the use of a scorecard, which summarizes a critical set of indicators that measure the quality of care. The author describes the Balanced Scorecard (BSC), a tool developed for use in businesses to implement strategic plans for meeting an organization's objectives, and shows how the BSC can be adapted for use in behavioral health care. The scorecard addresses quality of care at five levels: financial, customer, outcomes, internal processes, and learning and growth. No more than four or five realistic objectives are chosen at each level, and an indicator for the achievement of each objective is designed. The BSC integrates indicators at the five levels to help organizations guide implementation of strategic planning, report on critical outcomes, and offer a report card for payers and consumers to make informed choices.
Santiago
J M
JM
Carondelet Health Network, Tucson, Arizona 85745, USA. docjose@azstarnet.com
D001524:Behavioral Medicine / Q000592:standards*; D006801:Humans; D007255:Information Services; D008329:Managed Care Programs / Q000592:standards*; D011570:Psychiatry / Q000592:standards / Q000706:statistics & numerical data; D011785:Quality Assurance, Health Care / Q000379:methods*; D019984:Quality Indicators, Health Care / Q000592:standards* / Q000706:statistics & numerical data; D014481:United States