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strategy into a comprehensive set of performance measures that provides the framework
approachfordrivingorganizationalimprovementtowardpreselectedgoalswhichkeeps
trackofprogressthroughcarefullyselectedmeasures.TheBalancedScorecardisalsoan
integratedmanagementsystemconsistingofthreecomponents:1)strategicmanagement
system,2)communicationtool,and3)measurementsystem.Itresultsinacarefully
selectedsetofmeasuresderivedfromandlinkedtoanorganizationscorestrategies.
Themeasuresselectedforthescorecardrepresentatoolforleaderstousein
communicatingtoemployeesandexternalstakeholderstheoutcomesandperformance
driversbywhichtheorganizationwillachieveitsmissionandstrategicobjectives.
strategy.
Traditional Perspectives
ThereareanumberofbalancesintheBSC,amongwhicharethebalanceor
equilibriumbetweenfourhistoricaldomainsorperspectivesconsideredtobemutually
linkedintermsofstrategyandperformance:
1.LearningandGrowthPerspective
2.InternalProcessPerspective
3.CustomerPerspective
4.FinancialPerspectives
Paul Nivens analogy of the Balanced Scorecard is that of a tree (see Figure 1).
The Learning and Growth perspective are the roots, the trunk is the Internal Process
perspective, Customers are the branches, and the leaves are the Financial perspective.
continuous cycle of renewal and growth. Leaves (finances) fall to fertilize the ground
and root system, which stimulates growth throughout the organization. In this analogy,
learning and growth is the foundation on which all other perspectives are built. For
example, if a hospital assesses patient satisfaction and discovers patients arent satisfied
training in the area of customer service (Learning & Growth Perspective). Improved
customer service through a reduction of wait time in the emergency room (Internal
Figure 2. There are definite cause and effects between and among each of the four
Figure 2
Balances
One of the reasons the Balanced Scorecard has been so successful is that it is a
1.Balancebetweenfinancialandnonfinancialindicatorsofsuccess
2.Balancebetweeninternalandexternalconstituentsoftheorganization
3.Balancebetweenlagandleadindicatorsofperformance
Internalconstituentsmightincludeemployeeswhereasexternalconstituentsmight
includephysiciangroupsorinsurers.Lagindicatorsgenerallyrepresentpast
performanceandmightincludecustomersatisfactionorrevenue.Althoughthese
measuresareobjectiveandaccessible,theylackanypredictivepower.Leadindicators
aretheperformancedriversthatleadtotheachievementoflagindicatorsandoften
includethemeasurementofprocessesandactivities.Forexample,ERwaittimemight
representaleadingindicatorofpatientsatisfaction.ABalancedScorecardshould
containavarietyofdifferentmeasures.