Kendall L. Stewart, M.D.
The possibilities for measurement are endless. Since we all want to succeed without expending any real effort, your colleagues will initially lobby for easy measures. Then they will argue for measures they can personally control; it’s much harder to persuade others to go along with you to achieve results. Some things are too labor intensive to measure and all metrics can and will be criticized for being inaccurate or misleading.
1. Begin with your core organizational values. Every organization now posts its mission, vision and values on any empty wall. What measures would bring those values to life? If teamwork is one of your core values, how exactly would you measure that? Since there are just so many core values to go around, it is likely that your colleagues and competitors are pursuing similar values. How do they measure their success in conforming to the organizational values they espouse? This approach brings the added value of helping you to identify comparative data, which will aid you in judging your relative performance.
2. Choose measures with some scientific validity. By their nature, measures of employee and customer satisfaction are measures of perception. But standard surveys have advanced to the point that they are highly reliable and predictive given their validated methodologies and the large databases most vendors now maintain.
3. Include some process and some outcome indicators in your balanced scorecard. Exceptional performance on key process indicators will reassure you that you are doing the right things to achieve the outcomes you seek. Outcome indictors reveal whether you are actually delivering the outcomes you intended.
How do you decide on the results you want to achieve?

