Chitkara Open Access Journals - Blog

Introducing Performance management in Secondary Government hospitals in Kerala and Tamil Nadu using the Balanced Scorecard framework


  • K. EllangovanSecretary Health, Govt. of Kerala, Kerala
  • T. J. KamalanabhanProfessor, Deptartment of Management Studies, Indian Institute of Technology, Madras


Performance of hospitals, Balanced Score Card, Decentralized Planning


Kerala has introduced decentralized planning for more than a decade now. As part of this, the Local Self Governments (Panchayat Raj Institutions) are vested with the responsibility to run the hospitals. The new element of elected representatives coming in the area of hospital administration has created more confusion than before. Similarly, Tamil Nadu has implemented a hospital systems project to improve the performance of secondary care hospitals. This paper tries to analyze whether one of the popular performance assessment tool – Balanced Score Card could be used to create a better administrative environment to improve the performance of the secondary care hospital. The paper conclusively argues that, Balanced Score Card is an important option for these hospitals to improve their performance.



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