scholarly journals Benefits of Blockchain Initiatives for Value-Based Care: Proposed Framework

10.2196/13595 ◽  
2019 ◽  
Vol 21 (9) ◽  
pp. e13595 ◽  
Author(s):  
Rongen Zhang ◽  
Amrita George ◽  
Jongwoo Kim ◽  
Veneetia Johnson ◽  
Balasubramaniam Ramesh
Keyword(s):  
Health Care ◽  
Balanced Scorecard ◽  
Evaluation Framework ◽  
Disruptive Technologies ◽  
Blockchain Technology ◽  
Nonfinancial Performance ◽  
Strategic Goals ◽  
And Performance ◽  
Value Based Care

Background The potential of blockchain technology to achieve strategic goals, such as value-based care, is increasingly being recognized by both researchers and practitioners. However, current research and practices lack comprehensive approaches for evaluating the benefits of blockchain applications. Objective The goal of this study was to develop a framework for holistically assessing the performance of blockchain initiatives in providing value-based care by extending the existing balanced scorecard (BSC) evaluation framework. Methods Based on a review of the literature on value-based health care, blockchain technology, and methods for evaluating initiatives in disruptive technologies, we propose an extended BSC method for holistically evaluating blockchain applications in the provision of value-based health care. The proposed method extends the BSC framework, which has been extensively used to measure both financial and nonfinancial performance of organizations. The usefulness of our proposed framework is further demonstrated via a case study. Results We describe the extended BSC framework, which includes five perspectives (both financial and nonfinancial) from which to assess the appropriateness and performance of blockchain initiatives in the health care domain. Conclusions The proposed framework moves us toward a holistic evaluation of both the financial and nonfinancial benefits of blockchain initiatives in the context of value-based care and its provision.

scholarly journals Benefits of Blockchain Initiatives for Value-Based Care: Proposed Framework (Preprint)

2019 ◽  
Author(s):  
Rongen Zhang ◽  
Amrita George ◽  
Jongwoo Kim ◽  
Veneetia Johnson ◽  
Balasubramaniam Ramesh
Keyword(s):  
Health Care ◽  
Balanced Scorecard ◽  
Evaluation Framework ◽  
Disruptive Technologies ◽  
Blockchain Technology ◽  
Nonfinancial Performance ◽  
Strategic Goals ◽  
And Performance ◽  
Value Based Care

BACKGROUND The potential of blockchain technology to achieve strategic goals, such as value-based care, is increasingly being recognized by both researchers and practitioners. However, current research and practices lack comprehensive approaches for evaluating the benefits of blockchain applications. OBJECTIVE The goal of this study was to develop a framework for holistically assessing the performance of blockchain initiatives in providing value-based care by extending the existing balanced scorecard (BSC) evaluation framework. METHODS Based on a review of the literature on value-based health care, blockchain technology, and methods for evaluating initiatives in disruptive technologies, we propose an extended BSC method for holistically evaluating blockchain applications in the provision of value-based health care. The proposed method extends the BSC framework, which has been extensively used to measure both financial and nonfinancial performance of organizations. The usefulness of our proposed framework is further demonstrated via a case study. RESULTS We describe the extended BSC framework, which includes five perspectives (both financial and nonfinancial) from which to assess the appropriateness and performance of blockchain initiatives in the health care domain. CONCLUSIONS The proposed framework moves us toward a holistic evaluation of both the financial and nonfinancial benefits of blockchain initiatives in the context of value-based care and its provision.

scholarly journals Blockchain in Health Care Innovation: Literature Review and Case Study From a Business Ecosystem Perspective (Preprint)

2020 ◽  
Author(s):  
Shuchih Ernest Chang ◽  
YiChian Chen
Keyword(s):  
Health Care ◽  
Life Cycle ◽  
Literature Review ◽  
Case Studies ◽  
Paradigm Shift ◽  
Potential Health ◽  
Business Ecosystem ◽  
Blockchain Technology ◽  
The Impact

BACKGROUND Blockchain technology is leveraging its innovative potential in various sectors and its transformation of business-related processes has drawn much attention. Topics of research interest have focused on medical and health care applications, while research implications have generally concluded in system design, literature reviews, and case studies. However, a general overview and knowledge about the impact on the health care ecosystem is limited. OBJECTIVE This paper explores a potential paradigm shift and ecosystem evolution in health care utilizing blockchain technology. METHODS A literature review with a case study on a pioneering initiative was conducted. With a systematic life cycle analysis, this study sheds light on the evolutionary development of blockchain in health care scenarios and its interactive relationship among stakeholders. RESULTS Four stages—birth, expansion, leadership, and self-renewal or death—in the life cycle of the business ecosystem were explored to elucidate the evolving trajectories of blockchain-based health care implementation. Focused impacts on the traditional health care industry are highlighted within each stage to further support the potential health care paradigm shift in the future. CONCLUSIONS This paper enriches the existing body of literature in this field by illustrating the potential of blockchain in fulfilling stakeholders’ needs and elucidating the phenomenon of coevolution within the health care ecosystem. Blockchain not only catalyzes the interactions among players but also facilitates the formation of the ecosystem life cycle. The collaborative network linked by blockchain may play a critical role on value creation, transfer, and sharing among the health care community. Future efforts may focus on empirical or case studies to validate the proposed evolution of the health care ecosystem.

Public-sector reforms and balanced scorecard adoption: an Ethiopian case study

2017 ◽  
Vol 30 (6) ◽  
pp. 1230-1256 ◽  
Author(s):  
Belete Jember Bobe ◽  
Dessalegn Getie Mihret ◽  
Degefe Duressa Obo
Keyword(s):  
Public Sector ◽  
Balanced Scorecard ◽  
Political Ideology ◽  
Performance Monitoring ◽  
Management Practices ◽  
Actor Network Theory ◽  
Content Type ◽  
Public Sector Reforms ◽  
And Performance

Purpose The purpose of this paper is to examine adoption of the balanced scorecard (BSC) by a large public-sector health organisation in an African country, Ethiopia as part of a programme to implement a unified sector-wide strategic planning and performance monitoring system. The study explains how this trans-organisational role of the BSC is constituted, and explores how it operates in practice at the sector-and organisation-levels. Design/methodology/approach The study employs the case-study method. Semi-structured interview data and documentary evidence are analysed by drawing on the concept of translation from actor-network theory. Findings The case-study organisation adopted the BSC as a part of broader public-sector reforms driven by political ideology. Through a centralised government decision, the BSC was framed as a sector-wide system aimed at: aligning the health sector’s strategic policy goals with strategic priorities and operational objectives of organisations in the sector; and unifying performance-monitoring of the sector’s organisations by enabling aggregation of performance information to a sector level in a timely manner to facilitate health sector policy implementation. While the political ideology facilitated BSC adoption for trans-organisational use, it provided little organisational discretion to integrate financial administration and human resource management practices to the BSC framework. Further, inadequate piloting of information system use for the anticipated BSC model, originating from the top-down approach followed in the BSC implementation, inhibited implementation of the BSC with a balanced emphasis between the planning and performance monitoring roles of the BSC. As a result, the BSC underwent a pragmatic shift in emphasis and was reconceptualised as a system of enhancing strategic alignment through integrated planning, compared to the balanced emphasis between the planning and performance monitoring roles initially anticipated. Originality/value The study provides a theory-based explanation of how politico-ideological contexts might facilitate the framing of novel roles for the BSC and how the roles translate into practice.

scholarly journals Alternative payment approaches for advancing comprehensive medication management in primary care

2020 ◽  
Vol 18 (4) ◽  
pp. 2238
Author(s):  
Katherine Pham
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Delivery ◽  
Medication Management ◽  
Fee For Service ◽  
Care Providers ◽  
Care Community ◽  
Improved Outcomes ◽  
And Performance ◽  
Value Based Care

The increasing prevalence of complex, chronic conditions has profound implications on the growing demand and cost of health care. The Center for Medicare and Medicaid Innovation is testing data-driven approaches to care delivery and payment that are drawn from innovative practices of health care providers and other partners in the health care community. The shift from fee-for-service to value-based care and performance-based payment places increased priority on improved outcomes at lower costs. To advance comprehensive medication management, pharmacists need to understand the opportunities in the evolving value-based payment models and align medication optimization with the specific goals and incentives of these models.

scholarly journals Strategy Map Development for the Central Bank of Nepal Using Balanced Scorecard

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Shova Niroula ◽  
Qingmei Tan ◽  
Aswin Parajuli
Keyword(s):  
Central Bank ◽  
Balanced Scorecard ◽  
Relevant Literature ◽  
Future Research ◽  
Internal Process ◽  
Road Map ◽  
Strategic Goals ◽  
Strategy Map ◽  
And Performance ◽  
Key Indicators

This paper focuses on how the development of the strategy map for the Central Bank of Nepal is done by linking the key measures with the four perspectives of Balanced Scorecard perspectives (finance, customer, internal process, and learning and growth). The central bank is a vital part of an economy, and therefore it should not limit its strategy implementation and performance measurement within the financial perspectives only. So, this paper serves the purposes of creating a road map for discovering the key indicators to create the strategy map and to support future research in the Nepalese banking field. In the absence of a previous strategy map, the strategic goals of the bank were derived from the relevant literature, the bank’s vision, mission, goals, and mandates followed by the expert’s selection. A list of the bank’s strategic goals was derived from the survey questionnaire corresponding to the four perspectives of Balanced Scorecard. The measures of perspective were studied by factor analysis. The research therefore uses a descriptive-exploratory method. Finally, the strategy map was developed and the result consisted of the strategic goals and measures in financial, customer, internal process, and learning and growth.

scholarly journals To the Problem of Increased Efficiency in Health Care Strategic Management

2019 ◽  
pp. 50-55 ◽  
Author(s):  
Sergey Dvoynikov ◽  
Svetlana Arhipova
Keyword(s):  
Health Care ◽  
Strategic Management ◽  
Balanced Scorecard ◽  
Health Facilities ◽  
The Balanced Scorecard ◽  
The Road ◽  
Road Map ◽  
Modern Health Care ◽  
And Performance ◽  
Key Indicators

Introduction. Modern health care is a leader in the social sector in terms of the number of public-private partnership projects. Monitoring of the implementation of strategic projects proves that the targets on the key indicators of the road map are reached. However, experts give a negative assessment of the availability and quality of medical care. Methods. The article describes the experience of using the balanced scorecard as an instrument for linking the key health care indicators and performance indicators of individual health facilities. Principles underlying cohesion and balance of the separate elements of the system are justified. Methods for identifying a statistically significant causal relationship between indicators are analyzed. A general model for the assessment of the attainment of the strategic goals by taking into account the three-level healthcare system is proposed. Results. The presented details on the structure of indicators could be used by managers of health facilities for the development of their own strategies. The article concluded that further specification on the methodology of obtaining objective information to assess the success in health care strategic management is necessary.

Cases Illustrating Risks and Crisis Management

2012 ◽  
pp. 838-857
Author(s):  
Simona Mihai Yiannaki
Keyword(s):  
Risk Factors ◽  
European Union ◽  
Risk Management ◽  
Crisis Management ◽  
Balanced Scorecard ◽  
Global Financial Crisis ◽  
Balance Scorecard ◽  
Risk And Crisis Management ◽  
And Performance

Undoubtedly, the nature of the relationships between business and risk factors in one country or another does not fit exactly into a “model” nor does it have a pure placebo effect. Yet, models’ simplicity may appeal to managers and regulators in understanding important business risks and crisis related phenomena. Backed by this idea, this research underpins a comparative study on SMEs handling risk and crisis management according to a new tailored model of a balance scorecard. This new model of a risk and crisis management aims at improving both SMEs management adaptation and performance across all of crisis’ stages, something not attempted so far in the literature. The application of such a ‘balanced-scorecard’ comes from the author’s experience as a banker financing various SMEs industries, as a bank consultant on risk management as well as primarily from the results of a survey performed on a sample of 48 Romanian and Cypriot SMEs, equal-proportionally selected from the area of trading, manufacturing, and services. The results of this case study show, coincidently or not, that there is a significant improvement of the financial performance of the SMEs that employed this model compared to those that did not. The monitoring period: 11/2009-06/2010 was employed as a representative one for the latest global financial crisis which affected the entire European Union region, as well.

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