| dc.description.abstract | In the current 21st business arena, companies compete in a complex and challenging
context that is being transformed by many factors from globalisation, rapid change in
technology, aggressive competitors and political interference. It means that for
companies to gain and maintain a competitive edge they must develop and execute
strategic plans with precision. Thus the main purpose of the study was to determine
the challenges of balanced score card implementation in the health sector and
specifically at Kenyatta National Hospital which is a national referral hospital. The
findings from this study may particularly be useful in providing additional knowledge
to the Hospital and other organizations especially in the health sector on
implementation of the balanced score as a strategy implementation tool. The research
design that was used in this study was case study. Primary data was collected using
interview guide while secondary data was obtained from the Hospitals record. The
researcher thus interviewed eight (8) managers in the Executive Management
Committee of the Hospital. The researcher used content analysis to analyse the data
through describing phenomena, classifying it and seeing how the concepts
interconnect. It is established that Kenyatta National Hospital has a well-founded
strategic planning system. The hospital has had three strategic plans since 2005. The
first two strategic plans were based on log frame framework but the third strategic
plan (2013-2018) was based on balance score card approach. The use of the Balanced
score card was to align the day to day activities of the Hospital to the vision and
mission. The Balanced score card has three additional perspectives over and above the
traditional financial perspective. The other perspectives that is, learning and growth,
internal business process and customer perspectives are the drivers of the future
financial performance. The implementation of the balanced score card has challenges
which included but not limited to rigid organizational structure, lack of resources,
complaisant organization culture, lack of functional equipment, leadership, lack of
effective communication, negative stakeholder influence and cascading. The findings
of the study should be understood and valuated in light of the limitations of the study.
The study is especially useful to Kenyatta National Hospital. The study has also
highlighted institutional policy and practice recommendations to overcome the
challenges of strategy implementation using balanced scorecard. Also provide are
suggestions for further studies. | en_US |
