A Model of Evaluating the Agile of Health care Institute using a Stable Balanced Score Card (Case study: selected Hospitals in Guilan province)

Subject Areas : Business Strategy

Faegheh  Saharkhiz Roshandel ¹ (Department of Management, Faculty of Management, Tehran North Branch, Islamic Azad University, Tehran, Iran)
jalal  haghighat monfared ² (Department of industrial management, Faculty of management, Islamic Azad University Central Tehran branch, Tehran , Iran)
Hossein  Adab ³ (Department of Management, Central Tehran Branch, Islamic Azad University, Tehran, Iran)

Received: 2021-08-28 Accepted : 2022-02-11 Published : 2022-03-01

Keywords: Health Care Institute, Hospital, Agile Evaluation, Stability Balanced Scorecard,

Abstract :

Organizations face many challenges in the current unpredictable and changing business in which superiority in competition is one of their main goals. In this trend, the field of production has moved towards a paradigm called "Agile Production". If an organization wants to be agile, it must shorten the workflow of the process and provide the conditions for saving time.If a hospital is agile, it can respond when faced with internal and external changes and compete with other hospitals and provide appropriate and fast services to patients. Today, hospitals are currently trying to continuously evaluate their performance due to the increasing advancement of technology. A method in evaluating the performance of the organization is the Balanced Score Card (BSC) approach. In this, indicators measure the desired goals in the organization in four aspects of Internal process, Growth and Learning, Financial and Customer. In this approach, important aspects of sustainable development are ignored , therefore, the new method of Sustainable Balanced Score Card (SBSC) is used to evaluate the performance, which takes into account the environmental index.This study aimed to determine the factors that can be important for evaluating agility in the hospital and then classify them based on the perspectives of SBSC. In the next step, using a questionnaire and statistical hypothesis test, the effectiveness of these factors was confirmed. Then, the importance of each perspective in the field of agility was determined by hierarchical analysis, and this model was presented using the scoring method.Accordingly, the "Economic" index had the highest priority and the "Environmental" index had the lowest priority. Due to the high importance of the Economic index, suggestions were made, the most important of which is the use of long-term loans for the promotion and development of hospitals, effective cooperation, and the use of various insurance services of insurance organizations, considering inventory and tools. , Equipment, essential devices in the warehouse for greater efficiency.Regarding the innovation of this research, we can refer to the evaluation of agility from the perspective of the scorecard by considering the criterion of stability in the hospital.

References:

Abbasi Bastami, R., Ehtesham Rasi, R., & Abedi, S. (2020). Supplier's selection based on lean-green production indictors by goal programming, fuzzy DEMATEL and fuzzy quality function development. Shiraz Journal of System Management, 6(3), 169-204, https://doi.org/10.30495/jsm.2021.678900

Abdi Talarpashti, M., Mahmoudi, Gh., Jahani, M. A. (2017). Ranking of Factors Affecting the Agility Supply Chain of Iranian Hospitals. Scientific Journal of Qazvin University of Medical Sciences, 21(1),  [In Persian]

Aghaei, A., Salehi Sadeghiani, J., Ghorbanizadeh, V., Mickaeli, F., Aghaei, V. (2014). Naja Agile Supply Chain Pattern. Quarterly Journal of Resource Management in Law Enforcement, 2(2) , [In Persian]

Bani Hashemi, S. A., Heidernia, Z., Allahyari, V. (2019). Ranking of Factors Affecting the Promotion of Organizational Agility in the Public Sector with the A. T. Kearney  Model and TOPSIS Method with a Case Study of Birjand Hospitals. Journal of Health Management, 4 (91), 41-53, [In Persian]

Doz, Yves L., Mikko, K. (2010). Embedding Strategic Agility A Leadership Agenda for Accelerating. Long Range Planning, 43, 370-382, Https://doi.org/10.1016/j.lrp.2009.07.006

Ebrahimian Jelodar, Y., Ebrahimian Jelodar, M. (2011). Organizational Agility: Responsiveness and Organizational Flexibility. Police Human Development Quarterly, 39(8), 34-13, [In Persian]

Farsijani, H., Qayyumi Ghahroudy, S. (2017). Principles of Lean-Agile Management. Barayand Pooyesh Publications.

Farzaneh, M., Isaei, M. T., Alavi, Seyed B. (2014). Providing a model for the success of agile methodology analysis in the software product maintenance phase from the perspective of software analysts. Journal of Management Research in Iran, 18(2), 149-179, [In Persian]

Fathian, M., Sheikh, A. (2009). Providing a Model for Developing Agility in Organizations. Sharif Industrial Engineering and Management, 1-2(2), 127-138, [In Persian]

Fathian, M., Golchinpour, M., Khosrow Shahi, S. (2005). Agility Strategies in Production Organizations. Tadbir Magazine, 175, 37-44, [In Persian]

Figge, F., Hahn, T., Schaltegger, S., Wagner, M. (2012). The Sustainability Balanced Score Card – Linking Sustainability Management to Business Strategy. Business Strategy and the Environment, 11, 269–284, Https://Doi.org/10.1002/bse.339

Goldman, S. L., Nagel, R. (1993). Management, Technology, and Agility: The Emergence of New Era in Manufacturing. International Journal of Technology Management، 8، 1/2 ،18 -38, Https://Doi.org/10.1504/IJTM.1993.025758

Hamidi, N., Hassanpour, A., Kiai, M., Mousavi, Seyed H. (2019). The Role of Human Resources Management in Organizational Agility. Journal of Industrial Management, Faculty of Humanities, Islamic Azad University, Sanandaj Branch, Fourth Year, No. 8, [In Persian]

Hormozi, A. M. (2001). Agile manufacturing: the next logical step. Benchmarking: An International Journal, Vol. 8, Iss 2, pp.132-143, http://doi.org/10.1108/14635770110389843

Ibrahim Nejad, S., Emami, R., (2009). Measuring Agility of Production Organizations in Fuzzy Environments. Tadbir Magazine, No. 207, 32-38,  [In Persian]

Imam Verdi Malek, S., Hassanpour, H. A., Nourang, A. (2015). Presenting a Lean Assessment Model of Garment Supply Chain Agility. Supply Chain Management Quarterly, Volume 17, Number 49, [In Persian]

Irajpour, Alireza, Haji Lu, Morteza, (2016). Identification and Prioritization of Organizational Performance Evaluation Indicators Based on Stable Balanced Scorecard (SBSC) and MCDM Methods Using Linguistic Variables. Journal of Development and Transformation Management, 24, 81-94, [In Persian] 

Iranzadeh, S., Fattahi Sarand, V., Tahouni, A., (2013). Evaluation of agile production in different groups of small and medium industries of East Azerbaijan province based on agility capabilities by Fuzzy Topsis method. Journal of Productivity Management; Seventh Year _ No. 26, 15-41, [In Persian]  

Jafarnejad, Ahmad, Shahai, Behnam. (2017). Introduction to Agile Organization and Agile Production. Publications of Mehraban Book Publishing Institute.

Kaplan, R.S., Norton, D.P. (2005). The Balanced Scorecard: Measures That Drive Performance. Harvard Business Review, July – August.

Khatami Firoozabadi, Ali, Izadkhah, Mohammad Mehdi. (2013). Designing a Strategic Model for Performance Evaluation in Construction Companies by Combining BSC and AHP Methods. Organizational Culture Management, Volume 11, Number 3, pp. 5-27, Https://Doi.org/10.22059/jomc.2013.36079, [In Persian]

 Khorshid, S. (2010). Assessment and ranking of agile production capabilities in Khuzestan steel industry with hierarchical fuzzy entropy methodology. Quarterly Journal of Industrial Management, Faculty of Humanities, Islamic Azad University, Sanandaj Branch, Year 5; Issue 11, 20.1001.1.20085885.1389.2.1.3.5 , [In Persian]

Kuruppalil, Zaki. (2018). Measuring Leanness and Agility of Job Shops: A Rating Scale Based on Expert Consensus. Journal of Business and Management Sciences, Vol. 6, No. 3, 112-117, DOI:10.12691/jbms-6-3-8

Latifian, Sudabeh, Karimi, Hadi, (2018). The Success of the Strategic Plan of Imam Reza(AS) Hospital - Mashhad. Volume 4, Issue 4, PP. 65-82, 20.1001.1.23222301.2018.4.4.4.4

Mahmoudi, Gh., Jahani, M. A., Abdi, M., Yaminfirooz, M., Bahrami, M.A. (2018). Agile design of public hospitals in Iran. Bali Medical Journal, 7(2), 285-289, https://doi.org/10.15562/bmj.v7i2.797

Mishra, Vinaytosh, Samuel, Cherian and Sharma, S. K. (2018). Lean, agile and leagile healthcare management –A case of chronic care. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT, doi:10.1080/20479700.2018.1428520

Moradi, Alnaz, Alam Tabriz, A., Zandieh, M. (2015). Explaining the Network Analysis Process of Performance Evaluation with a Stable Balanced Scorecard Approach. Two Quarterly Journal of Business Management Exploration, Spring and Summer, No. 13, pp. 229-246, 20.1001.1.2645386.1394.7.13.11.7, [In Persian]

Mullah Hosseini, A., Mostafavi, Sh. (2017). Evaluating organizational agility using fuzzy logic. Tadbir Magazine; No. 186; 18-23, [In Persian]

Navaie, Hamidreza,  Haghighat Monfared, Jalal, Radfar, Reza, (2013), "The Effect of Application of Information Technology on Organizational Agility Using the Fuzzy Method (Case Study of the Informatics Services Corporation)"; Shiraz Journal of System Management, Vol. 1, No. 4, 99-118

Rajabzadeh Qatari, A., Keramat Panah, M., Shahroudi, K., Keramatpanah, A. (2015). Comparative design of pure supply chain model-agility model with structural-interpretive modeling and DEMATEL approach. Journal of Organizational Resource Management Research, Volume 5, Number 2, 49-71, [In Persian]

Sayadi Turanlu, H., Zanjirchi, Seyed M., Karami, M. (2017). Providing a framework for evaluating organizational agility with emphasis on the role of information technology with the approach of network data envelopment analysis with the study of ceramic tile industries in Yazd province. Journal of Operations Research in its Applications, Fourteenth Year, Second Issue (53), pp. 19-40, [In Persian]

Sharifi، H & Zhang، Z. (2001). Agile manufacturing in practice application of a methodology. International Journal of Operations and Production Management; Vol. 21, No. 5/6, pp. 772-794, DOI:10.1108/01443570110390462

Soleimani, Leila, Safari, Saeed. (2019). Identification and prioritization of performance evaluation indicators of non-profit educational institutions with a combined approach of BSC, ANP and DIMATEL. International Conference on Applied Research in Industrial Management and Engineering

 Tolf, S., Nyström, M. E., Tishelman, C., Brommels, M. and Hansson J. (2015). Agile, a guiding principle for health care improvement? International Journal of Health Care Quality Assurance; Vol. 28 No. 5, pp. 468-493, https://doi.org/10.1108/IJHCQA-04-2014-0044

Tseng, Y., Lin, T. (2011). Enhancing enterprise agility by deploying agile drivers، capabilities and providers. Information Sciences, 181, 3693–3708, https://doi.org/10.1016/j.ins.2011.04.034

Valmohammadi, CHangiz, Firooz, Negin. (2017). Evaluation of Organizational Performance Using BSC Technique with Case Study. Management Quarterly, Year 7, No. 18, [In Persian]

Yaghoubi, Nour Mohammad, Rahat Dahmardeh, Mahboobeh. (2010). Analytical approach to effective factors on organizational agility. Journal of Basic and Applied Scientific Research; 1(1); 76-87

Yusuf, Y. Y., Sarhadi, M & Gunasekaran, A. (2000). Agile manufacturing: The drivers'، concepts and attributes. International Journal of Production  Economics; vo,62; 33–43, https://doi.org/10.1016/S0925-5273(98)00219-9

Zitkiene, R., Deksnys, M. (2018). Organizational Agility Conceptual Model. Montenegrin Journal of Economics, Vol. 14, No. 2, 115-129, Https://Doi.org/10.14254/1800-5845/2018.14-2.7

Zhang, Z., Sharifi, H. (2000). A Methodology for Achieving Agility in Manufacturing Organizations. International Journal of Operations & Production­ Management, Vol. 20, No.4, Https://Doi.org/10.1108/01443570010314818