Performance Measurement Framework Research Articles

International scientific cooperation in public health: A performance measurement framework based on the “Syphilis No!” Project in Brazil

In this article, we aim to propose indicators to evaluate the performance of international scientific cooperation in public health, based on the operation experience in Brazil’s “Syphilis No!” Project. This is an action research project, based upon Kaplan and Norton’s Balanced Scorecard Method, developed in five stages: (i) Reorganization of the indicators, (ii) validation of the new indicators, (iii) construction of the dimensions of the indicators, (iv) data collection for the indicators, (v) development of the framework for the “Syphilis No!” Project. The metrics and 34 indicators are presented and grouped into four dimensions: technical-scientific, investment, products, and impact. The cooperation that emerged from the project has built an international research network that has the potential to transcend syphilis research. The framework demonstrated that international scientific cooperations, focused on research and product development, have contributed to the promotion of public health policies and have enabled the exchange of knowledge, techniques, experiences, and technologies, fundamental to the international scientific cooperation of Brazilian universities. This contribution will have implications for studies in the field of international relations in health and education.

Exploring the perspectives and practices of humanitarian actors towards the Participation Revolution in humanitarian digital health responses: a qualitative study

BackgroundAs crises escalate worldwide, there is an increasing demand for innovative solutions to enhance humanitarian outcomes. Within this landscape, digital health tools have emerged as promising solutions to tackle certain health challenges. The integration of digital health tools within the international humanitarian system provides an opportunity to reflect upon the system’s paternalistic tendencies, driven largely by Global North organisations, that perpetuate existing inequities in the Global South, where the majority of crises occur. The Participation Revolution, a fundamental pillar of the Localisation Agenda, seeks to address these inequities by advocating for greater participation from crisis-affected people in response efforts. Despite being widely accepted as a best practice; a gap remains between the rhetoric and practice of participation in humanitarian response efforts. This study explores the extent and nature of participatory action within contemporary humanitarian digital health projects, highlighting participatory barriers and tensions and offering potential solutions to bridge the participation gap to enhance transformative change in humanitarian response efforts.MethodsSixteen qualitative interviews were conducted with humanitarian health practitioners and experts to retrospectively explored participatory practices within their digital health projects. The interviews were structured and analysed according to the Localisation Performance Measurement Framework’s participation indicators and thematically, following the Framework Method. The study was guided by the COREQ checklist for quality reporting.ResultsVaried participatory formats, including focus groups and interviews, demonstrated modest progress towards participation indicators. However, the extent of influence and power held by crisis-affected people during participation remained limited in terms of breadth and depth. Participatory barriers emerged under four key themes: project processes, health evidence, technology infrastructure and the crisis context. Lessons for leveraging participatory digital health humanitarian interventions were conducting thorough pre-project assessments and maintaining engagement with crisis-affected populations throughout and after humanitarian action.ConclusionThe emerging barriers were instrumental in shaping the limited participatory reality and have implications: Failing to engage crisis-affected people risks perpetuating inequalities and causing harm. To advance the Participation Revolution for humanitarian digital health response efforts, the major participatory barriers should be addressed to improve humanitarian efficiency and digital health efficacy and uphold the rights of crisis-affected people.

Strategic alignment in multispecialty hospitals: Implementing a balanced scorecard approach for optimal performance

The study investigates the relationship between strategic alignment, balanced scorecard (BSC) implementation, and optimal performance (OP) in multispecialty hospitals. Data from 530 healthcare professionals in Lucknow, Varanasi, Kanpur, and Prayagraj were collected using a cross-sectional design. Descriptive statistics, correlation analysis, and regression analysis were employed for data analysis. The results demonstrate significant positive relationships between strategic alignment, balanced scorecard, and optimal performance. Both strategic alignment and balanced scorecards were identified as significant predictors of optimal performance, indicating that higher scores in these constructs are associated with higher levels of performance. The findings underscore the critical role of strategic alignment and performance measurement frameworks in enhancing organizational performance in healthcare settings. However, the study faces limitations, including reliance on self-reported data and limited generalizability to other healthcare settings and regions. Future research should explore longitudinal or experimental designs and incorporate objective performance measures to enhance the validity and generalizability of the findings. Overall, the study contributes to understanding strategic management practices in healthcare organizations and highlights avenues for further research in this area.

A implementação do art. 26-A da LDBEN: desafios e possibilidades para a atuação do tribunal de contas

Law No. 10,693/2003 established an important public policy by adding art. 26-A in the National Education Guidelines and Bases Law (LDBEN), mandating the teaching of Afro-Brazilian history and culture in primary and secondary education establishments. This is a reparatory and anti-racist policy, motivated by the erasure of the collective memory and culture of the black Brazilian population. However, the effective application of art. 26-A is still incipient, showing that this discussion needs to be deepened in external control institutions, especially after the inclusion of the topic in the performance measurement framework of the Courts of Accounts. This work intends to discuss the possibilities of action by the Court of Accounts to implement art. 26-A, considering the role of this institution in evaluating public policies to ensure fundamental rights, such as education.

THE APPLICATION OF BALANCED SCORECARD SYSTEM AS A COMPREHENSIVE PERFORMANCE MEASUREMENT FRAMEWORK FOR JOINT STOCK COMPANIES

This thesis aims to explore the application of the Balanced Scorecard (BSC) system as a comprehensive performance measurement framework for joint stock companies. The Balanced Scorecard is a strategic management tool that provides a holistic view of organizational performance by incorporating financial and non-financial measures. This research investigates the benefits, challenges, and practical implementation of the BSC system in the context of joint stock companies.

A destination performance measurement framework: exploring the relationships among performance criteria and revisit intentions

ABSTRACT Measuring the success of tourism destinations is vital to policymakers, destination managers, researchers, and businesses. However, the processes and metrics vary considerably across academia, tourism organizations, and governments since destination performance is multi-dimensional and multi-stakeholder. The primary aim of this research was to develop a destination performance measurement framework. Survey data were obtained from 403 domestic tourists who visited Ladakh, India, rating 12 destination performance criteria to test the framework. Variance-based structural equation modeling (VB-SEM) was used and destination performance positively influenced destination revisit intentions. Destination performance also positively influenced new tourism products. New tourism products partly mediated the relationship between destination performance and revisit intentions. An importance-performance matrix analysis of the framework was conducted, and accessibility, activity, awareness, availability, and assurance were rated as highly important and influential in destination revisit intentions. The findings should be of practical value for destinations and those responsible for tourism planning, development, and marketing since they provide clear metrics for performance measurement.

Measuring the overall performance of mental healthcare providers

To date there have been no attempts to construct composite measures of healthcare provider performance which reflect preferences for health and non-health benefits, as well as costs. Health and non-health benefits matter to patients, healthcare providers and the general public. We develop a novel provider performance measurement framework that combines health gain, non-health benefit, and cost and illustrate it with an application to 54 English mental health providers. We apply estimates from a discrete choice experiment eliciting the UK general population's valuation of non-health benefits relative to health gains, to administrative and patient survey data for years 2013–2015 to calculate equivalent health benefit (eHB) for providers. We measure costs as forgone health and quantify the relative performance of providers in terms of equivalent net health benefit (eNHB): the value of the health and non-health benefits minus the forgone benefit equivalent of cost. We compare rankings of providers by eHB, eNHB, and by the rankings produced by the hospital sector regulator. We find that taking account of the non-health benefits in the eNHB measure makes a substantial difference to the evaluation of provider performance. Our study demonstrates that the provider performance evaluation space can be extended beyond measures of health gain and cost, and that this matters for comparison of providers.

Evaluation based on Relative Utility and Nonlinear Standardization (ERUNS) Method for Comparing Firm Performance in Energy Sector

The present paper introduces a new multi-criteria decision making (MCDM) model such as Evaluation based on Relative Utility and Nonlinear Standardization (ERUNS). The proposed method provides a number of unique features such as use of non-linear standardization combined with a new definition for calculating utility values of the alternatives and design flexibility. The new method is applied to compare the firm performances using Economic, Environment, Social and Governance (EESG) framework. Over the last few decades alongside economic gain, the firms have been equally emphasizing on environmental protection, social values and good governance. This paper aims to bring in the economic aspect in terms of market capitalization and enterprise value while uses rating scores for environment, social and governance to put forth an extended performance measurement framework. A set of eight leading firms belonging to the energy sector listed to NSE, India has been considered for the period FY 2022-23 as a case study. The criteria weights are calculated using the Logarithmic Percentage Change-driven Objective Weighting (LOPCOW) method. It is observed that ERUNS provides a stable and reliable ranking result free from the rank reversal issue. This paper shall be of interest to both analysts and practitioners in terms of its robust method and practical performance assessment framework.

Developing a systematic performance measurement framework for benchmarking steel modular building construction

PurposeModular construction is an innovative method that enhances the performance of building construction projects. However, the performance of steel modular construction has not been systematically understood, and the existing measurement methods exhibit limitations in effectively addressing the features of steel modular building construction. Therefore, this study aims to develop a new performance measurement framework for systematically examining the performance of steel modular construction in building projects.Design/methodology/approachThis study was conducted through a mixed-method research design that combines a comprehensive review of the state-of-the-art practices of construction performance measurement and a case study with a 17-story steel modular apartment building project in Hong Kong. The case project was measured with data collected from the project teams and other reliable channels, and the measurement practices and findings were referenced to establish a systematic performance measurement framework for steel modular construction.FindingsConsidering steel modular construction as a complex socio-technical system, a systematic performance measurement framework was developed, which considers the features of steel modular construction, focuses on the construction stage, incorporates the views of various stakeholders, integrates generic and specific key performance indicators and provides a benchmarking process. Multifaceted benefits of adopting steel modular construction were demonstrated with case study, including improved economic efficiency (e.g. nearly 10% cost savings), improved environmental friendliness (e.g. approximately 90% waste reduction) and enhanced social welfare (e.g. over 60% delivery trips reduction).Originality/valueThis paper extends the existing performance measurement methods with a new framework proposed and offers experience for future steel modular construction. The measured performance of the case project also contributes in-depth understanding on steel modular construction with benefits demonstrated. The study is expected to accelerate an effective uptake of steel modular construction in building projects.

A CONCEPTUAL MODEL TO ANALYZE THE EFFECTIVENESS OF INTERNATIONAL COOPERATION BETWEEN ORGANIZATIONS IN COMBATING ILLICIT DRUG TRAFFICKING ACROSS BORDERS

Globalization has facilitated cross-border exchanges of goods and services, but it has also led to the growth of transnational criminal networks and illicit activities such as drug trafficking. To counter international crimes, various cooperative efforts have emerged; however, these lack a universal performance measurement framework. This systematic review examines 23 relevant articles out of 57, aiming to propose a model for assessing international cooperation effectiveness in combating illicit drug trafficking. The study identifies six key areas for enhancing cooperation: Effective Strategies, Local and International Collaboration, Communication, Mutual Legal Assistance, Transnational Crime Rate, and Knowledge Sharing. The influence of globalization and global governance on tackling drug trafficking is also highlighted. The developed model serves as a practical and theoretical tool for academics and practitioners involved in evaluating and improving international cooperation.

Performance Measurement Framework for Prediction and Management of Construction Investments

Despite good ideas, great efforts, and high investments, many projects do not end with success. Projects often fail due to a lack of understanding of the project requirements and constraints necessary for overall success. Five selected projects were analyzed in detail through the multiple case study method followed by semi-structured interviews with 56 experts to develop a pattern for the future prediction of project success. This paper aims to identify key factors for project performance in a multi-stakeholder environment, define a performance measurement framework for construction investments, and establish a link between performance measurement and prediction of project performance. The findings could help researchers in modeling performance measurement tools for project managers to achieve their designated project goals, reach better decisions, and achieve full potential in their future projects.

Preliminary Framework of Lean Healthcare Sustainability Performance Measurement for Health Sector

Introduction: Lean sustainability has gained prominence in the health sector for operational and business advantages. However, understanding the link between lean and healthcare sustainability, especially in social and environmental aspects, remains limited. This study introduces a preliminary framework for measuring lean healthcare sustainability in hospitals. The framework aligns Critical Success Factors (CSFs) with sustainability objectives and business strategies to ensure successful and enduring lean deployment. Methods: The study was conducted among 52 Lean Agile Hospitals in Malaysia using a cross-sectional approach. The validated questionnaire was employed for data collection. A reliability test and Exploratory Factor Analysis (EFA) were also performed to assess and validate the framework using Statistical Package for Social Sciences (SPSS) version 27. Results: The content validation was 0.9, which indicates that the instrument is sufficient to measure the research objective. The data screening test was performed to eliminate problem observation. The overall reliability value was over 0.830 which depicts data consistency and stability. The Kaiser-Meyer-Olkin exceeded 0.6, Bartlett’s test was under 0.001 and factor loading was between 0.507 to 0.948, thus indicating a significant correlation matrix among at least some of the variables. Therefore, the latent factors were significant to specific items of the research. Conclusion: It is concluded that important CSF is aligned with the strategic level influence of lean deployment in healthcare, which has a specific impact on certain sustainability performance. Thus, this paper proposed a generic preliminary framework to measure lean healthcare sustainability.

Adjusting the library performance standards for consortia services: a case study

PurposeThis study proposes a framework for performance measurement of library consortia services by implementing the indicators listed in ISO 11620. The framework is validated by using real data from HEAL-Link, the national consortium of Greek academic and research libraries to calculate the indicators.Design/methodology/approachThe paper reports on the related work regarding the services consortia offer to their members and the known methods and tools for assessing consortia services; the HEAL-Link case study, the aggregation and handling of data, is presented; ISO 11620 performance indicators for HEAL-Link services are calculated, and the results are discussed in terms of what was learnt- about the consortium, about measuring consortia services performance, and about the standard.FindingsISO 11620 could be used to measure performance for assessing consortia services. The performance indicators’ results reflect the two major events (mergers and COVID pandemic) that took place during the time of the study. ISO 11620 offers a basic insight that could be well complemented with other tools and standards.Originality/valueThe current study suggests that a widely accepted, easily applied, benchmarking ISO standard could be used to measure common consortia services’ performance, thus contributing to consortia assessment.

A port performance measurement approach using a sustainability balanced scorecard based on stakeholders’ expectations

ABSTRACT This study aimed to integrate stakeholder theory into developing port performance management systems through the sustainable balanced scorecard (SBSC), which represents and reflects different stakeholders’ expectations in hybrid organizations, such as port communities. The study developed an integrated stakeholder-based framework for global performance measurement, ensuring a balance between the SBSC performance indicators and stakeholders’ consensus. Fifty-seven port performance indicators (PPIs) selected from the literature were categorized into six SBSC dimensions and assessed by 41 stakeholders in the Port of Radès using the failure mode and effects analysis (FMEA) technique. The framework fully considered the stakeholders’ perceptions, expectations, and satisfaction levels. Prioritizing the PPIs using an indicator priority number, inspired by the risk priority number approach of FMEA, fostered an effective balance between the performance dimensions in the SBSC. The developed framework can help port authorities reach a consensus on the most important strategic priorities, align port stakeholders’ expectations, prioritize their improvement actions, and gain a significant competitive advantage. The participative approach enabled by the integration of stakeholder theory promotes the effective use of global performance measurement systems. Emphasizing the governance and environmental dimensions of the SBSC contributes to enhancing port competitiveness.

Integrated Value Engineering and Risk Assessment Performance Measurement Framework in Ship-Manufacturing Industry towards Net Zero Emissions Using Fuzzy DEMATEL-AHP

This paper aims to apply the novel integrated Value Engineering and Risk Assessment (VENRA) framework for measuring shipyard performance based on the combination of fuzzy Decision Making Trial and Evaluation Laboratory (DEMATEL) and Analytic Hierarchy Process (AHP) tools. These are used to assess the criteria cause-effect and weight ranking analysis, considering the causal and affected groups while prioritising the criteria and sub-criteria ranking. A shipyard case study was used to apply the proposed framework, showing that the shipyard with a high personnel’s safety group is majorly more important than the environmental impact. The combination of hybrid MCDM tools has enhanced the process of determining the criteria analysis. Waste management has become the most impacting attribute amongst the criteria group, while the HSE department is the most critical criterion. However, the green energy used is still a minor factor as it is still not fully exploited within the existing shipyard and has not been fully supported by existing regulations yet.

Development of a micro-level circular economy performance measurement framework for automobile maintenance garages

Organizations across the world are thriving for ensuring sustainability in their operations and business practices. The circular economy is a recent development of this decade that enhances sustainability initiatives. Apart from manufacturing, the service sector also can contribute to the promotion of a circular economy. Maintenance service of automobiles is a promising service industry where circular economy concepts can be adopted and implemented. Several automobile OEMs (Original Equipment Manufacturers) are promoting the concepts of circular economy through their dealer garages. However, there is a requirement for a performance measurement framework for assessing the circular economy performance measurement of individual garages for continuous improvement. In this paper, an attempt is made to develop a framework for circular economy performance measurement of automobile garages using a graph theoretic approach. Various performance measurement attributes of circular economy performance of garages are identified through literature and garage visits. The interrelationships among attributes are modeled through a graph theoretical approach. A directed graph (digraph) of the circular economy performance (CEP) is developed, where its nodes represent circular economy performance attributes while the edges show the degree of interrelationships. An equivalent matrix to the digraph will generate a circular economy performance function (CEPF) that will result in the development of a circular economy performance index (CEPI). The developed framework is implemented for measuring the circular economy performance of an Indian automobile OEM's dealer facility. In ideal case, the value of Circular economy performance index ratio (CEPIR) should be ‘1’. In the illustrated case of a garage the estimated value of CEPIR is 0.234 which is considered to be poor that shows the garage needs changeover for improving CE initiatives. Further, sensitivity analysis was carried out and it was found that improvement in sustainable sourcing initiatives will result in proportional increases in the circular economy performance index. The developed index will help the garage organizations as well as their OEMs to have feedback on their practices for circular economy and understand the weak links.

Development of a novel integrated value engineering and risk assessment (VENRA) framework for shipyard performance measurement: a case study for an Indonesian shipyard

ABSTRACT Shipyard industries affect the performance of manufactured ships. A designed ship needs well-performed shipbuilders to construct the ship following quality, timeline, budget, and environmental impact of future challenges. Shipyard performance measurement, including shipbuilding, ship repair, and ship conversion, will remain important as it is a powerful tool for strategic enhancement. This study proposes a conceptual and transdisciplinary framework for shipyard performance measurement through integrated Value Engineering and Risk Assessment (VENRA). The framework comprises five criteria groups: Technical, Business, External, Personnel Safety, and Environment, assessed by integrated fuzzy DEcision-MAking Trial and Evaluation Laboratory (DEMATEL) and Weighted Evaluation Technique (WET) methods and applied to an Indonesian shipyard. ‘Shipyard’s manufacturing facility’ and ‘Manufacturing/building strategy’ are the most critical factors, while ‘Personnel’ and ‘Technology Level’ significantly influence other criteria. The framework can determine the shipyard’s lowest score within the prioritised criteria and sub-criteria to evaluate the cause–effect link and prioritise steps to improve performance.

Developing a multidimensional performance measurement framework for international construction joint ventures (ICJVs): the perspective of Ghana-hosted ICJVs' practitioners

PurposeInternational construction joint ventures (ICJVs) will fully realize their potential for success and effectively monitor performance when an adequate and suitable performance benchmark is established. However, existing studies fall short of adequately providing a mutually acceptable benchmark for assessing the performance of ICJVs. This study aims to develop an adequate and suitable performance measurement framework for ICJVs.Design/methodology/approachA twofold structured questionnaire survey, supplemented by semi-structured interviews, was used to collect data from the practitioners of ICJVs hosted in the developing country of Ghana. The data were analyzed by using descriptive statistics, confirmatory factor analysis (CFA) and a hybrid-fuzzy logic approach.FindingsA list of 30 performance indicators (PIs), defined by project performance, perceived satisfaction, company/partner performance, socio-environmental performance and performance of ICJV management, was validated and proved to be significant. Only 22 out of the 30 PIs, focusing on project efficiency, societal improvement and organizational goals are realized by the ICJV practitioners. Further, suitable determinants and viable quantitative ranges for measuring each PI are established to prevent different interpretations of the meanings of PIs and objectively express the level of success in quantitative terms. The results call for further investigation of the convergence between the practice of and research into some PIs (e.g. socio-environmental performance) and a range of different performance levels (PLs) in a more scientific manner.Practical implicationsThis study not only advances the knowledge base and practice of performance measurement in ICJVs but could also assist stakeholders and decision-makers to assess, compare and monitor the performance of different ICJV projects on common grounds objectively.Originality/valueThis study not only comprehensively assessed PIs – what to measure – but also systematically determined suitable determinants – how to measure – for each PI.

Pythagorean Fuzzy AHP Based Dynamic Subcontractor Management Framework

In construction projects, a significant part of construction work is done by subcontractors (SCs). Therefore, their management by main contractors (MCs) becomes an important issue as the density of SCs is created at the construction sites. In recent years, more focus on SC evaluation and selection in bidding process has been on the agenda whereas the subject of SC performance appraisal on-site during the project execution phase has been untended in the literature. Thus, this study aims to focus on the measurement and evaluation of the performance of SCs in the project execution phase, and to provide a tentative performance-based dynamic management framework that MCs will use in the management of SCs in order to take proactive measures. In line with the aim, a total number of 23 performance measurement criteria (PMC) under 7 main groups were determined as a result of a comprehensive literature review and expert evaluations. Knowing that not every criterion will have the same effect in performance measurement, pairwise comparisons of the criteria were made using the Pythagorean Fuzzy Analytic Hierarchy Process (PFAHP) method and their importance weights were determined. The PFAHP method was obtained by integrating the Pythagorean fuzzy set into the AHP method and chosen with the aim of improving the fuzzy AHP method and obtaining more consistent results by eliminating the uncertainty since Pythagorean fuzzy sets is more capable than fuzzy sets at expressing and handling uncertainty in uncertain environments. Lastly, a framework for SC performance measurement and evaluation on project execution phase is presented. It is believed that the presented framework will allow for a proactive management style that will enable effective decisions to be made while the project is ongoing, and a dynamic way of working instead of static and conventional work.

Performance measurement framework of green supply chain implementation in the context of Indian manufacturing organizations

Purpose This research aims to explore the various green supply chain management (GSCM) performance measures and develop the efficient performance measurement framework for evaluation of influence of GSCM adoption on organizational performance.Design/methodology/approach This research proposes a hybrid framework of Pythagorean fuzzy analytic hierarchy process and Pythagorean fuzzy weighted aggregated sum product assessment technique. The usefulness of proposed framework is validated using empirical case example of Indian manufacturing organization.Findings The finding reveals that the overall performance of case organization is 67.03% based on define set of performance measures. Further, the proposed framework has been validated with other three Indian automobile manufacturing organizations. The results obtained were confirmed with selected empirical case company. The proposed hybrid framework provides the effective path to measure and benchmark the impact of each performance measures on system performance.Research limitations/implications This research is limited to automobile sector of India; hence the results obtained in this study may not be comprehensibly used to other sectors due to different product and process fields.Originality/valueThis research aids the industrial practitioners to effectively implement the green supply chain management (GSCM) and helps them to boost the overall performance of business organizations in three dimensions of sustainability.