This chapter investigates the adequacy of BSC for a holistic evaluation of the workflow impacts of a PACS implementation. It asks whether a theoretical model such as BSC adequately captures the reality of how such technology is used. The approach taken is radical in that it is built on a consideration of the fundamentals of hospital strategy. The BSC is then modified to incorporate qualitative themes rather than performance measures to reflect the fundamentally qualitative nature of the clinical values of hospital strategy. In so doing, this chapter develops a framework that is relevant to a hospital’s not-for-profit and clinical strategies.
Key Terms in this Chapter
Balanced Scorecard (BSC): BSC is a framework that measures organizational performance along various perspectives in accordance with the organizational strategy and vision.
Information Systems: A system that comprises people, machines, and/or methods organized to collect, process, transmit, and disseminate data that represent information
Evaluation: The systematic acquisition and assessment of information using an overarching perspective to provide useful feedback about some sort of object/subject.
Hospital Strategy: An integrated set of actions with a focus on increasing the long-term prosperity and strength of hospitals relative to its environment and (strategic) goals.
P ACS-BSC Model: A Holistic Method. Based on the BSC, to evaluate PACS impact on workflow that is relevant to a hospital’s not-for-profit and clinical strategies
Strategy: A pattern of decision in a company that determines and reveals its objectives, purposes, or goals, produces the principal policies and plans for achieving those goals
and defines the range of business the company is to pursue: the kind of economic and human organization it is or intends to be, and the nature of the economic and noneconomic contribution it intends to make to its shareholders, employees, customers, and communities
Not for Profit: Not for profit is the concept of which the primary objective is to support some issue or matter of private interest or public concern for noncommercial purposes.
P ACS: A Picture Archiving and Communication System (PACS) is an (workflow) integrated system that is designed to streamline the processes of acquiring, storing, distributing, and displaying medical images throughout a hospital’s enterprise