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Development of Key Performance Indicators to Implement Balanced Scorecard to Small and Medium Size Dental Clinic  

Kim, Sangsuk (Hambak Smile Dental Clinic)
Kim, Myeng Ki (Dept. of Dental Services Managment and Informatics, Graduate School of Dentistry)
Choi, Hyungkil (SMD solution)
Publication Information
Korea Journal of Hospital Management / v.22, no.1, 2017 , pp. 40-50 More about this Journal
Abstract
The purpose of this study is to develop the KPIs(Key Performance Indices) needed to improve management and strategy in the dental clinic based on the four perspectives of BSC(Balanced Scorecard). The questionnaire was conducted on 52 dentists approved by Dental Managment Research Committee in Seoul National University as a panel. Using the Delphi technique, the top five KPIs for each point of perspective in BSC were extracted from KPI pools. In the third survey, the top five KPIs of all points were compared with each other through AHP(Analytic Hierarchy Process) method, and priority and overall importance rankings were calculated. The biggest difference in the three level AHP results was the customer perspective took priority to others. In the second survey, the financial perspective, which was number one, was pushed back. The overall significance of KPIs was in the order of customer, internal process, finance, learning and growth perspective, with the exception of medical profits (5th of 20) and new patient growth (10th of 20). We were able to overcome the limitations of the Delphi Technique with the AHP method. In general, the financial perspective in BSC is known to be the most important, but we conclude that the customer perspective is more important through the pairwise comparison survey. In the current dental service market, which is a long-term recession, excessive competition, customer satisfaction and customer relationship management seem to be the first goal to pursue in dental clinic.
Keywords
KPI; BSC; Delphi Technique; AHP method; Dental clinic;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Cha JB, Seo SY, Lee HY. A study on the factors affecting hospital profitability using mediating variable analysis. Korean J Health Econ Policy 2012;18(2):1-19.
2 Grigoroudis E, Orfanoudaki E, Zopounidis C. Strategic performance measurement in a healthcare organisation: a multiple criteria approach based on balanced scorecard. Omega 2012;40(1):104-119.   DOI
3 Kaplan RS, Norton DP. Using the balanced scorecard as a strategic management system. Harv Bus Rev 1996;74(1):75-85.
4 Cho HY, Jeon SY. A study on management performance measurement and the use of balanced scorecard in hospitals. J Korean Assoc Small Bus Stud 2003;1(1):153-189.
5 Shin SK. A study on causal relations among BSC performance measurement indexes - focused on the case of C university hospital. Korean Bus Rev 2007;20(2):119-133.
6 Hoque Z, James W. Linking balanced scorecard measures to size and market factors: Impact on organizational performance. J Manag Accounting Res 2000;12(1):1-17.   DOI
7 Kim SK, Lee CD, Park KW, Lim TJ. An empirical investigation on the causal relationships among the performance measures. Korean J Accounting Res 2006;11(2):93-116.
8 Lee BH. Performance indicators for dental hospital based on BSC. Korean Comput Accounting Rev 2007;6(1):45-64.
9 Chung HT, Kim YS, Kwak SM, Lee Y. The system dynamics model development for management performance forecasting of small and medium hospital. Korean Syst Dyn Rev 2007;8(2):209-234.
10 Chun JR. Application of the balanced scorecard for the performance measurement in health-care organization. J Korea Contents Assoc 2009;9(4):254-264.   DOI
11 Olson EM, Slater SF. The balanced scorecard, competitive strategy, and performance. Bus Horiz 2002;45(3):11-16.   DOI
12 Chang AM, Gardner GE, Duffield C, Ramis MA. A Delphi study to validate an advanced practice nursing tool. J Adv Nurs 2010;66(10):2320-2330.   DOI
13 Hwang SY. The development of an e-CRM activity scale in tourism industry: the case of hotels, travel agencies, airlines and restaurants [PhD dissertation]. Seoul: Sejong University; 2008.
14 Huh MH, SPSS scale analysis and nonparametric methods. Seoul: Data Solution; 2006.
15 Vaidya OS, Kumar S. Analytic hierarchy process: an overview of applications. Eur J Oper Res 2006;169(1):1-29.   DOI
16 Finan JS, Hurley WJ. The analytic hierarchy process: does adjusting a pairwise comparison matrix to improve the consistency ratio help? Comput Oper Res 1997;24(8):749-755.   DOI
17 Saaty TL. How to make a decision: the analytic hierarchy process. Eur J Oper Res 1990;48(1):9-26.   DOI
18 Kim DK, Kim HJ, Park YW. A study on the development of KPI in the super deluxe hotel business in seoul Korea using BSC. Korean J Hosp Tourism 2009;18(3):133-151.
19 Song SH, Gwon SH, Park JB, Hong SK. Application of the Delphi technique in modifying AHP method. Korean Manag Sci Rev 2009;26(1):53-64.
20 Choi H, Kim MK. Factors associated with dental revenue and income of self-employed dentist by using a quantile regression method. Health Policy Manag 2015;25(3):240-251.   DOI
21 Skulmoski GJ, Hartman FT, Krahn J. The Delphi method for graduate research. J Inf Technol Educ 2007;6:1-21.
22 Lee EH, Ahn SH. Development of key indicators for nurses performance evaluation and estimation of their weights for management by objectives. J Korean Acad Nurs 2010;40(1):69-77.   DOI
23 Choi JY, Kim JH. What factors are linked to profitability among hospitals?: a review on the research trends. Health Policy Manag 2013;23(4):397-414.   DOI
24 Yoo J, Kim S, Back S. The exploratory study on the effect of service recovery attributes on perceived justice and satisfaction. Asia Mark J 2001;3(2):69-91.
25 Donabedian A. The quality of care: how can it be assessed? JAMA 1988;260(12):1743-1748.   DOI