C 161 Principles of Organizational Performance Management.docx

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Running head: PRINCIPLES OF ORGANIZATIONAL PERFORMANCE
Principles of Organizational Performance Management
Western Governors University
C161

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Running head: PRINCIPLES OF ORGANIZATIONAL PERFORMANCE
Principles of Organizational Performance Management
The population being targeted for the following balanced score card is a progressive care
unit. This 28-bed step-down unit specializes in acutely ill adults with medical diagnosis, surgical
interventions and trauma management. This highly skilled unit is classified critical care and
follows the American Association of Critical Care Nurses model of progressive care as a part of
the critical care continuum. These patients are moderately stable, require patient specific
resources and ongoing nursing vigilance. The unit has a mixed patient population that allows for
nursing diversity and fosters a broad base of knowledge by all staff. Nursing assignments are
made on a shift by shift basis and take into consideration both staff skill level and current patient
acuity (St Charles Health System, 2019).
Balanced Scorecard
Indicator Outcome
Measure/Goal
Necessary
Processes
Drivers
Performance Decrease Emergency
Department (ED)
order to Progressive
care admit time.
Reduce readmission
rates.
Improve
communication
between the ED and
bed board navigator.
Utilize existing
communication tool
within the electronic
health record.
Increased
reimbursement to the
facility.
Increase HCAHPS
scores.
Increase patient
satisfaction scores.
Quality Decrease CAUTI
events.
Decrease hospital
acquired pressure
ulcers.
Provide evidence-
based catheter care
and maintenance
education to patients
and staff.
Utilize indwelling
catheter management
Improved patient
outcomes.
Increased patient
satisfaction.
Reduce inappropriate
indwelling catheter

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PRINCIPLES OF ORGANIZATIONAL PERFORMANCE
protocol to ensure
removal as soon as
indication no longer
exists.
use.
Patient Safety Prevent falls with
injury.
Increase medication
barcode scanning
rate.
Perform fall
assessment at
admission and every
shift.
Create and implement
an ongoing fall plan of
care based on each
shift assessment.
Increase patient
safety.
Decrease patient
mortality and
morbidity.
Decrease patient
length of stay.
Employee
Engagement
Increase the Number
of PCCN certified
nurses on the unit.
Increase employee
engagement score.
Offer the PNCC
course to all nurses
on the unit.
Offer incentives and
course reimbursement
for all staff who
complete the
certification.
Improved nurse
competency.
Improved patient
outcomes.
Increase nurse
retention.
Necessary Processes
As electronic medical records become the norm in healthcare, opportunities exist to
streamline communication, facilitate patient flow and create value for both the health system and
its patients (Nelson et al., 2016). To implement this necessary process two main things will need
to happen. First, St Charles utilizes a bed board navigator that assigns all patients coming from
the ED, post-operative care area and direct admits. This position reviews the data and ensures
that each patient is going to the correct inpatient domain. Unfortunately, the current