The director of the Paediatric Orthopaedic Clinic (the Clinic) at the Children's Hospital of Western Ontario has a better understanding of the process flow and bottlenecks at the Clinic and also has ideas for some possible solutions. The director can turn her thoughts to addressing a recurring issue raised by the hospital's management - how the Clinic's performance should be measured. The director pondered the mission of the hospital, which was to improve access to patient care and patient safety while sustaining the hospital's ability to deliver patient care into the future. She knew the Clinic was also committed to this mission, and she was prepared to evaluate the performance of the Clinic against this mission. Once again, the monthly executive meeting was looming, and the director wanted to be in a position to present a framework for her clinic's performance evaluation. This case is suitable for introducing the concept of performance measurement in a non-profit setting as well as the pitfalls associated with collecting the information. This is a follow-up case to Paediatric Orthopaedic Clinic at the Children's Hospital of Western Ontario (A), product # 9B08D001.
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