Performance Improvement Capability: Keys to Accelerating Performance Improvement in Hospitals

California Management Review, Vol. 45, No. 2. pp. 12-33, 2003

23 Pages Posted: 20 Jan 2009 Last revised: 21 Apr 2014

See all articles by Paul S. Adler

Paul S. Adler

University of Southern California - Management and Organization Department

patricia riley

University of Southern California

Seok-Woo Kwon

University of Calgary - Haskayne School of Business

Jordana Kanee Signer

Childrens Hospital Los Angeles

Ben Lee

University of Southern California - Annenberg School for Communication and Journalism

Ram Satrasala

University of Southern California - Annenberg School for Communication and Journalism

Abstract

Organizations differ considerably in their rate of performance improvement. Since any improvement trajectory is the fruit of a series of improvement projects, the proximate cause of this variation among organizations lies in the varied ways these projects are managed. The success of these projects depends, however, not only on the goals and efforts of the project team, but also on the context within which the projects are undertaken - and, more specifically, on the competencies on which the projects can draw. It is variation in these competencies - the organization's underlying "performance improvement capability" (PIC) - that explain the substantial and sustained differences in rates of improvement across organizations. This article describes the efforts of several hospitals to strengthen their PIC through 5 key components: 1. skills, 2. systems, 3. structure, 4, strategy, and 5. culture.

Keywords: Performance management, Hospitals, Organization theory

Suggested Citation

Adler, Paul S. and riley, patricia and Kwon, Seok-Woo and Signer, Jordana Kanee and Lee, Ben and Satrasala, Ram, Performance Improvement Capability: Keys to Accelerating Performance Improvement in Hospitals. California Management Review, Vol. 45, No. 2. pp. 12-33, 2003, Available at SSRN: https://ssrn.com/abstract=979048

Paul S. Adler (Contact Author)

University of Southern California - Management and Organization Department ( email )

Los Angeles, CA 90089
United States
213-740-0728 (Phone)
213-740-3582 (Fax)

Patricia Riley

University of Southern California ( email )

2250 Alcazar Street
Los Angeles, CA 90089
United States

Seok-Woo Kwon

University of Calgary - Haskayne School of Business ( email )

2500 University Drive, NW
Calgary, Alberta T2N 1N4
Canada

Jordana Kanee Signer

Childrens Hospital Los Angeles ( email )

4650 Sunset Boulevard
Los Angeles, CA 90027
United States

Ben Lee

University of Southern California - Annenberg School for Communication and Journalism ( email )

3502 Watt Way, Suite 304
Los Angeles, CA 90089
United States

Ram Satrasala

University of Southern California - Annenberg School for Communication and Journalism ( email )

3502 Watt Way, Suite 304
Los Angeles, CA 90089
United States

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