title: Performance enhancement using a balanced scorecard in a Patient-centered Medical Home.
abstract: Oregon Health & Science University Family Medicine implemented a balanced scorecard within our clinics that embraces the inherent tensions between care quality, financial productivity, and operational efficiency. This data-driven performance improvement process involved: (1) consensus-building around specific indicators to be measured, (2) developing and refining the balanced scorecard, and (3) using the balanced scorecard in the quality improvement process. Developing and implementing the balanced scorecard stimulated an important culture shift among clinics; practice members now actively use data to recognize successes, understand emerging problems, and make changes in response to these problems. Our experience shows how Patient-centered Medical Homes can be enhanced through use of information technology and evidence-based tools that support improved decision making and performance and help practices develop into learning organizations.
authors.affiliation: Department of Family Medicine, Oregon Health & Science University, Portland, OR 97239, USA. safields@ohsu.edu
authors.forename: Scott A
authors.initials: SA
authors.lastname: Fields
authors.forename: Deborah
authors.initials: D
authors.lastname: Cohen
mesh_terms: D002983:Clinical Competence / Q000592:standards / Q000706:statistics & numerical data*; D004503:Education, Medical, Graduate / Q000379:methods; D004521:Educational Measurement / Q000379:methods*; D004522:Educational Status; D004526:Efficiency; D017598:Efficiency, Organizational / Q000592:standards / Q000706:statistics & numerical data*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007396:Internship and Residency / Q000592:standards / Q000706:statistics & numerical data; D017146:Models, Organizational; D009922:Oregon; D010348:Patient Care Team; D018802:Patient-Centered Care / Q000379:methods / Q000458:organization & administration*; D015397:Program Evaluation; D058996:Quality Improvement; D011787:Quality of Health Care / Q000592:standards / Q000706:statistics & numerical data*; D013647:Task Performance and Analysis