Performance measurement to drive improvements in healthcare practice

Mattias Elg (Department of Management and Engineering, HELIX VINN Excellence Centre, Linköping University, Linköping, Sweden)
Klara Palmberg Broryd (Department of Management and Engineering, Linköping University, Linköping, Sweden)
Beata Kollberg (Department of Management and Engineering, Linköping University, Linköping, Sweden)

International Journal of Operations & Production Management

ISSN: 0144-3577

Publication date: 11 November 2013



The purpose of this study is to contribute to the knowledge base on how performance measurement drives improvements in healthcare practice.


The study is based on a single in-depth case study. The critical incident technique (CIT) has been applied in order to identify significant occurrences of performance measurement in terms of events, incidents, processes, and issues identified by respondents from the case organization. These critical incidents have been analysed and interpreted using a theoretical framework suggesting that performance measurement may be applied for exploratory or regulatory purposes as well as ad hoc or continuously in healthcare practice.


The study suggests that performance measurement may be a versatile method for driving improvement in healthcare organizations. Six types of activities directly or indirectly drive improvement in the clinical department: continuous follow-up in formal arenas and meetings; improvement work; professional efforts; goal deployment; reporting based on external demands; and creating awareness in everyday clinical work. Healthcare organizations that strive to practice performance measurement as a driver for improvement need to find infrastructures in which it is being integrated into the daily life of organizational healthcare practice.


The study provides an original account of the prerequisites and actions for driving improvement through performance measurement in a healthcare setting. Since the operations management perspective in healthcare is significantly lacking, the study offers a unique perspective which may be the basis for both practice development and further scholarly inquiry and theory development.



The authors would like to thank VINNOVA and Vårdalstiftelsen for financing the research. The authors would also like to acknowledge the support from the healthcare staff who have collaborated with the researchers throughout the project. Special thanks are owed to Mari Bergling-Thorell, Göran Henriks, and Boel Andersson Gäre, who provided support and access to the practice field.


Elg, M., Palmberg Broryd, K. and Kollberg, B. (2013), "Performance measurement to drive improvements in healthcare practice", International Journal of Operations & Production Management, Vol. 33 No. 11/12, pp. 1623-1651.

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