The need for a balanced scorecard to monitor hospital performance

Hospitals or health-care establishments have been identified as one of the complex systems which have to simultaneously fulfill various roles to function effectively.[1] In general, apart from the equipment and infrastructure, any hospital comprises two major types of stakeholders, namely internal (doctors, nursing staff, and paramedical staff, etc.) and external (patients and their relatives).[1,2] In addition, the innovation/growth dimensions (provision of laparoscopic services or dialysis facilities) or financial/resources attribute (increasing hospital revenue, budgeting, staff training and retention, etc.) and also the internal processes (standard operating procedures for any task) should also be given due consideration.[1,2]