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Management and Cost Accounting

Mike Tayles, Colin Drury

Chapter 21

Strategic Performance Management - all with Video Answers

Educators


Chapter Questions

Problem 1

What are the major issues to be addressed in developing a framework for managing organizational performance? (p. 583)

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Problem 2

Describe the various generic strategies that an organization can adopt to achieve organizational competitive advantage. (pp. 583-584)

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Problem 3

How do different competitive strategies influence the choice of performance measures? (p. 584)

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Problem 4

What is the purpose of a balanced scorecard? (pp. 585-589)

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02:46

Problem 5

Describe the four perspectives of the balanced scorecard. (pp. 589-593)

Ameer Said
Ameer Said
Numerade Educator
02:37

Problem 6

Prowide examples of performance measures within each of the four perspectives of the balanced scorecard. (pp. 589-593)

Ameer Said
Ameer Said
Numerade Educator

Problem 7

Identify and describe the core objectives of the customer perspective. (p. 590)

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01:26

Problem 8

Describe the three principal internal business processes that can be included within the internal business perspective. (p. 591)

Ameer Said
Ameer Said
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03:55

Problem 9

What is manufacturing cycle efficiency? (p. 592)

Mahnoor Khan
Mahnoor Khan
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Problem 10

Describe three principal categories within the learning and growth perspective. (pp. 592-593)

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Problem 11

Explain the differences between lag measures and lead measures. (p. 593)

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01:49

Problem 12

Explain what is meant by cause-andeffect relationships within the balanced scorecard. (pp. 593-595)

Alyssa Mae L.
Alyssa Mae L.
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Problem 13

Discuss the benefits and limitations of the balanced scorecard. ( $\rho \rho .597-599$ )

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Problem 14

Which of the following are suitable measures of performance at strategic level?
1 Return on investment
2 Market share
3 Number of customer complaints
(a) 2 and 3
(b) 1 and 3
(c) 2 only
(d) 1 and 2

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Problem 15

Nicholson Co. sells mobile telephones. It supplies its customers with telephones and wireless telephone connections. Customers pay an annual fee plus a monthly charge based on calls made.

The company has recently employed a consultant to install a balanced scorecard system of performance measurement and to benchmark the results against those of Nicholson Co.'s competitors. Unfortunately, the consultant was called away before the work was finished. You have been asked to complete the work. The following information is available:

Nicholson Co.
Operating information for the year ended 30 Nowember $20 \times 0$
$$
\begin{array}{lr}
\text { Sales revenue } & \$ 480 \text { million } \\
\text { Sales attributable to new products } & \$ 8 \text { million } \\
\text { Average capital employed } & \$ 192 \text { million } \\
\text { Profit before interest and tax } & \$ 48 \text { million } \\
\text { Average numbers of customers } & 1,960,000 \\
\text { Average number of telephones returned for repair } & \\
\quad \text { each year } & 10,000 \\
\text { Number of bill queries } & 12,000 \\
\text { Number of customer complaints } & 21,600 \\
\text { Number of customers lost } & 117,600 \\
\text { Average number of telephones unrepaired at the } & \\
\quad \text { end of each day }
\end{array}
$$
It is assumed that there are 365 days in the year.
(a) Calculate the following ratios and other statistics for Nicholson $\mathrm{Co}$. for the year ended 30 November 20x0:
(i) return on capital employed;
(ii) return on sales (operating margin):
(iii) asset turnower;
(iv) average wait for a telephone repair (to the nearest whole number).
(6 marks)
(b) Calculate the following statistics for Nicholson Co. (Give your answers to two decimal places.):
(i) percentage of customers lost per annum;
(ii) percentage of sales attributable to new product.
(2 marks)
(c) Complete the following explanation of a balanced score-card.
(i) A balanced scorecard measures performance from four perspectives: customer, learning and growth, financial success and
a. non-financial success
b. business process flexibility
c. business process efficiency
(ii) The scorecard is balanced in that it requires managers to
a. achieve on an equal number of KPls in each perspective
b. offset bad performance in one area with good performance in another
c. deliver performance in all four areas

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01:51

Problem 16

VFM. A government is trying to assess schools by using a range of financial and non-financial factors. One of the chosen methods is the percentage of students passing five exams or more.

Which of the three 'E's' in the value for money framework is being measured here?
(a) Economy
(b) Efficiency
(c) Effectiveness
(d) Expertise

Sanchit Jain
Sanchit Jain
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Problem 17

Balanced scorecard objectives and performance measures. $Y Y$ is a large banking organization. It has a branch in most of the towns in the country in which it operates. The bank's business is mainly concerned with private individuals. It is a very 'traditional' bank that offers only 'over the counter' services during limited opening hours.

At a recent board meeting, the directors of the bank stated that they were worried that the bank was losing customers to the new style banks that offer a much more friendly service, longer opening hours, internet banking and a diverse range of banking services.

It has now been decided that the bank will pursue strategies to achieve the goal of being 'The bank that people choose' and will use a balanced scorecard to monitor progress towards that goal.

Required:
Produce, for each of the three non-financial perspectives of a balanced scorecard, an objective and a performance measure that the bank could use. (In your answer you must state each perspective, and the objective and performance measure for that perspective and explain why they support the goal of $\mathrm{YY}$ becoming 'The bank that people choose'.)

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Problem 18

Balanced scorecard performance. The People's Bank is a bank based in the country of Nawkrei. It has a total of 65 branches across the country and also offers online banking (access to services via computer) and telephone banking (access to customer service agents ower the telephone) to its customers. Recently, The People's Bank also began offering its customers a range of mobile banking services, which can be accessed from customers' smartphones and tablet computers. Its customer base is made up of both private individuals and business customers. The range of services it offers includes:
- current accounts;
- savings accounts;
- credit cards;
- business and personal loans;
- mortgages (loans for property purchases).

The People's Bank's vision is to be 'the bank that gives back to its customers' and their purpose is 'too help the people and businesses of Nawkrei to live better lives and achieve their ambitions'. In order to achieve this, the bank's values are stated as:
1 Putting customer's need first, which irvolves anticipating and understanding customers' needs and making products and services accessible to as many customers as possible. The People's Bank has recently invested heavily in IT security to prevent fraud and also invested to make more services accessible to disabled and visually impaired customers.
2 Making business simple, which involves identifying opportunities to simplify activities and communicating clearly and openly.
3 Making a difference to the communities they serve, which involves primarily helping the disadvantaged and new homeowners but also supporting small and medium-sized businesses (SMEs) and acting fairly and responsibly at all times

Extracts from The People's Bank's balanced scorecard are shown below:
TABLE CAN'T COPY.
Required:
(a) Explain why the balanced scorecard approach to performance measurement is more useful to measure performance for The People's Bank than a traditional approach using solely financial performance measures.
(4 marks)
(b) Using all the information provided, including The People's Bank's vision and values, discuss the performance of The People's Bank in 20X6.

Note: use each of the four headings of the balanced scorecard to structure your discussion

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01:54

Problem 19

Financial and non-financial performance. Jungle $\mathrm{Co}$. is a very successful multinational retail company. It has been selling a large range of household and electronic goods for some years. One year ago, it began using new suppliers from the country of Slabak, where labour is very cheap, for many of its household goods. In $20 \times 4$ Jungle Co. also became a major provider of 'cloud computing' services, investing heavily in cloud technology. These services provide customers with a way of storing and accessing data and programs over the internet rather than on their computers' hard drives.

All Jungle Co. customers have the option to sign up for the compary's 'Gold' membership service, which provides next day delivery on all orders, in return for an annual service fee of $$\$ 40$$. In September 20X5, Jungle Co. formed its own logistics company and took over the delivery of all its parcels, instead of using the services of international delivery companies.

Over the last year, there has been worldwide growth in the electronic goods market of 20 per cent. Average growth rates and growth profit margins for cloud computing service providers have been 50 per cent and 80 per cent respectively in the last year. Jungle Co.'s prices have remained stable year on year for all sectors of its business, with price competitiveness being crucial to its continuing success as the leading global electronic retailer.

The following information is available for Jungle Co. for the last two financial years:
TABLES CAN'T COPY.
Required:
Discuss the financial and non-financial performance of Jungle Co. for the year ending 31 August $20 \times 6$.

Note: There are 7 marks available for calculations and 13 marks available for discussion.
ACCA Performance Management

Muhammad Ahsan
Muhammad Ahsan
Numerade Educator

Problem 20

Advanced: EVA ${ }^{(\mathrm{TM})}$, key performance indicators for critical success factors, JIT, kaizen costing and zero defects. Iron Chicken (IC) is a multinational business which manufactures commercial building control systems. Building control systems include heating and air-conditioning systems, lighting controls, power and water monitoring and security systems (e.g. keypad access, alarms and CCTV). IC's manufacturing takes place at a number of factory sites where some products have a long product life and are simple and mass-produced while other products are complex and have a short product life due to changing technologies. IC's mission statement is 'to create value for shareholders through control products which improve productivity, save energy and increase comfort and safety'.

A new chief executive officer (CEO) has been appointed to address a decline in IC's share price in the last three years. This CEO has identified that the business has grown through acquisition and as a result she stated, 'Senior management have focused on making corporate deals and not making control systems.' The CEO has declared that the business must focus on optimizing its value generation rather than just getting larger through acquisitions.

You are a performance management expert within IC. The CEO has tasked you with aiding her in aspects of her improvement programme. First, she wants your views on the use of EVA(TM) as the key performance metric at IC. You have been supplied with the current EVA ${ }^{(\mathrm{rM})}$ calculation (Appendix 1) but there is some doubt about whether the junior management accountant who has done this work was sufficiently trained in the method. So, the CEO needs you to evaluate its accuracy and the assumptions which form part of the calculation.

Second, the CEO believes that the poor performance of the company can be addressed by ensuring that the mission statement flows down into the performance management of the business. To that end, the following critical success factors (CSFs) have been identified and the CEO wants you to suggest additional key performance indicators (KPIs) for these.
Required:
Write a report to the CEO of Iron Chicken to:
(a) evaluate the accuracy of the $\mathrm{EVA}^{(1 \times)}$ calculation and the assumptions in Appendix 1. Advise the CEO on your results, providing calculations as needed.
(b) for each of the three critical success factors at IC, briefly explain a weakness of the current KPI associated with that CSF and then provide a justified alternative KPI.
(c) explain what the three improvement projects are, how they will help to meet the CSFs at IC and comment on the impact of each project on the existing three KPIs.
(d) assess the impact of the proposed, new information system on the three improvement projects.
Professional marks will be awarded for the format, style and structure of the discussion of your answer:

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Problem 21

Balanced scorecard. Squarize is a large company which, for mary years, operated solely as a pay-TV broadcaster. However, five years ago, it started product bundling, offering broadband and telephone services to its pay-TV customers. Customers taking up the offer were then known in the business as 'bundle customers' and they had to take up both the broadband and telephone services together with the pay-TV service. Other customers were still able to subscribe to pay-TV alone but not to broadband and telephone services without the pay-TV service.

All contracts to customers of Squarize are for a minimum three-month period. The pay-TV box is sold to the customer at the beginning of the contract; however, the broadband and telephone equipment is only rented to them.

In the first few years after product bundling was introduced, the company saw a steady increase in profits. Then, Squarize saw its revenues and operating profits fall. Consequently, staff bonuses were not paid, and staff became dissatisfied. Several reasons were identified for the deterioration of results:
1. In the economy as a whole, discretionary spending had been severely hit by rising unemployment and inflation. In a bid to save cash, many pay-TV customers were cancelling their contracts after the minimum three-month period as they were then able to still keep the pay-TV box. The box comes with a number of free channels, which the customer can still continue to receive free of charge, even after the cancellation of their contract.
2 The compary's customer service call centre, which is situated in another country, had been the cause of lots of complaints from customers about poor service, and, in particular, the number of calls it sometimes took to resolve an issue.
3 Some bundle customers found that the broadband service that they had subscribed to did not work. As a result, they were immediately cancelling their contracts for all services within the 14 day cancellation period permitted under the contracts.

In a response to the above problems and in an attempt to increase revenues and profits, Squarize made the following changes to the business:
1 It made a strategic decision to withdraw the pay-TVbroadband-telephone package from the market and, instead, offer each service as a standalone product.
2 It guaranteed not to increase prices for a 12-month period for each of its three services.
3 It transferred its call centre back to its home country and increased the level of staff training given for call centre workers.
4 It investigated and resolved the problem with customers' broadband service.

It is now one year since the changes were made and the finance director wants to use a balanced scorecard to assess the extent to which the changes have been successful in improving the performance of the business.

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Problem 22

Balanced scorecard (customer perspective) and the reward management system. Victoria-Yeeland Logistics (Victoria) is a logistics support business, which operates a fleet of lorries to deliver packages of goods on behalf of its customers within the country of Yeeland. Victoria collects packages from its customers' manufacturing sites or from the customers' port of importation and delivers to the final user of the goods. The lorries are run and maintained from a set of depots spread throughout Yeeland.

The overall objective of Victoria is to maximize shareholder wealth. The delivery business in Yeeland is dominated by two international companies and one other domestic business and profit margins are extremely tight. The market is saturated by these large operators and a number of smaller operators. The cost base of Victoria is dominated by staff and fuel, with fuel prices being highly volatile in the last few years.

In order to improwe performance measurement and management at Victoria, the chief financial officer (CFO) plans to use the balanced scorecard. However, she has been pulled away from this project in order to deal with an issue with refinancing the business' principal lending facility. The CFO has already identified some suitable metrics but needs you, as her assistant, to complete her work and address any potential questions which might arise when she makes her presentation on the balanced scorecard to the board. The CFO has completed the identification of metrics for three of the perspectives (Appendix 1) but has yet to complete the work on the metrics for the customer perspective. This should be done using the data given in Appendix 2.

Additionally, two issues have arisen in the reward management system at Victoria, one in relation to senior management and the other for operational managers. Currently, senior management gets a fixed salary supplemented by an annual bonus awarded by the board. Shareholders have been complaining that these bonuses are not suitable. The operational managers also get bonuses based on their performance as assessed by their management superiors. The operational managers are unhappy with the system. In order to address this, it has been suggested that they should be involved in bonus target setting as otherwise there is a sense of demotivation from such a system. The CFO wants an evaluation of this system of rewards in light of the introduction of the balanced scorecard and best practice.

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Problem 23

Balanced scorecard and problems with interpreting performance measures. Soup operates passenger rail services in Deeland, a technologically advanced country. with high demand for fast reliable rail travel from business and leisure passengers. Many passengers choose train travel because they see it as less harmful to the environment than other forms of transport.

Soup's main objective is to maximize shareholder wealth. Since becoming licensed to operate routes in Regions A and B by the Deeland government five years ago, Soup has consistently delivered increased dividends and share prices for irvestors. In its initial appraisal of the licensing opportunity. Soup expected to operate the routes for at least 15 years, however, their licence may not be renewed when it expires in three years' time. The government has warned Soup it 'is unhappy about high returns to shareholders while there are many reports of poor passenger service, overcrowded trains and unreliable services on certain routes and at busy times'. that region. The railway track, stations and other infrastructure are managed by the government which charges the operators a fee. There are several stations along the route which are only used by Soup trains and others where Soup trains do not stop at all.

Soup's trains are 25 years old, originally purchased cheaply from an operator whose licence was withdrawn by the government. Soup believes the low price it paid is a key competitive advantage enabling them to steadily increase their return on capital employed, the company's main performance measure, to a level well in excess of their rivals. The shareholders are pleased with the growth in passenger numbers over the last five years, which is the other performance measure Soup uses.

Soup's ageing trains spend increasing time undergoing preventative maintenance, safety checks or repairs. A recent television documentary also showed apparently poor conditions on board, such as defective heating and washroom facilities and dirty, torn seating. Passengers complained in the program of difficulties finding a seat, the unreliability of accessing wireless internet services and even that the menu in the on-board cafe had not changed for five years.

Soup's CEO responded that unreliable internet access arose from the rapid growth in passengers expecting to access the internet on trains. She said Soup had never received any formal complaints about the lack of choice in the on-board cafe, nor had she heard of a recent press report that Soup's trains were badly maintained, so causing harm to the environment.

The CEO has asked you, as chief management accountant, for your advice. 'In view of the gowernment's warning, we must develop performance measures balancing the needs of passengers with the requirements of the shareholders', she has said. 'I don't want to know how to improve the actual performance of the business; that is the job of the operational managers, nor do I just want a list of suggested performance measures. Instead I need to know why these performance measures will help to improve the performance of Soup.'
The following data applies to Soup:
$$
\begin{array}{lrr}
& \text { Region A } & \text { Region B } \\
\hline \text { Number of services per day } & & \\
\text { Peak times } & 4 & 4 \\
\text { Other times } & 6 & 8 \\
\text { Number of passengers per day } & & \\
\text { Peak times } & 2,500 & 1,400 \\
\text { Other times } & 2,450 & 1,850
\end{array}
$$

Soup owns its fleet of diesel powered trains. Each train in Region A has seven coaches with 70 passenger seats available per coach. In the less busy Region B, each train has six coaches each with 70 seats. As a condition of the licence, Soup runs a set number of services at both busy and quieter times in both regions. Soup has two larger rivals, both operating electric trains, which cause less harm to the environment than diesel powered trains. They run on the same routes in both regions.

The government regulates fares charged to passengers, which are the same per distance travelled for every operator in Required:
(a) Advise the CEO on how the use of the balanced scorecard could improve the performance management system of Soup.
(b) Using the performance data given, evaluate the comments of the Deeland government that Soups trains are overcrowded.
(c) Assess the problems Soup may encounter in selecting and interpreting performance measures when applying the balanced scorecard to its performance management system.

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Problem 24

Evaluation of a performance management system using the performance pyramid (see Learning Note 21.1). Cod Electrical Motors (Cod) manufactures electrical motors for some of the 24 different European domestic appliance manufacturers. Their motors are used in appliances such as washing machines and refrigerators. Cod has been in business for over 50 years and has obtained a reputation tor producing reliable, low-cost motors. Cod has recently rewritten its mission statement, which now reads:
'Cod Electrical Motors is committed to providing competitively priced, high quality products, with service exceeding customer expectations, We will add value to our business relationships by investing in product development and highly trained personnel.'
The board has recognized that its existing key performance indicators (KPIs) do not capture the features of the corporate mission. It is worried that the staff see the mission statement as a public relations exercise rather than the communication of Cod's vision.

The monthly board papers contain a simple performance summary which is used as the key performance measurement system at that level.

Example of board papers for November 20x7:
Cod Electrical Motors
Key performance indicators for November $20 \times 7$
Required:
(a) Assess whether the current key performance indicators (KPls) meet the expected features of a modern performance measurement system.
(7 marks)
(b) Explain how the performance pyramid (Lynch and Cross) can help Cod's board to reach its goal of a coherent set of performance measures.
(6 marks)
(c) Evaluate the current system using the performance pyramid and apply the performance pyramid to Cod in order to suggest additional KPls and a set of operational performance measures for Cod.
(12 marks)

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Problem 25

Evaluation of performance management system using perform pyramid and a discussion of myopia, gaming and ossification. Graviton Clothing (Graviton) is a listed manufacturer of clothing with a strong reputation for producing desirable, fashionable products which can attract high selling prices. The company's objective is to maximize shareholder wealth. Graviton's products are sold through its own chain of stores. Graviton's markets demand designs which are in tune with current fashion trends which can alter every few weeks. Therefore, the business's stated aim is to focus production on these changing market trends by maintaining flexibility to adapt to that market demand through close control of all stages of the supply chain (design, manufacture and distribution).

The chief executive officer (CEO) is unhappy with the current performance measurement system at Graviton. The system was created about five years ago by the finance director who has subsequently retired. The aim of the system was to provide the company with a list of measures which would cover performance at the strategic, tactical and operational levels of management. An example of the most recent performance report is given in Table 1.
Table 1: Graviton Performance Dashboard Report for the year to Sep $20 \times 7$
$$
\begin{array}{lrrrc}
\hline & & & & \begin{array}{c}
\text { Change } \\
\end{array} \\
& 20 \times 7 & 20 \times 6 & 20 \times 5 & 20 \times 7 / 20 \times 6 \\
\hline \text { Financial } & & & & \\
\begin{array}{l}
\text { Revenue }(\$ \mathrm{~m}) \\
\text { Operating Profit }(\$ \mathrm{~m})
\end{array} & 1,723 & 1,570 & 1,413 & 9.7 \% \\
\text { ROCE } & 15.8 \% & 15.9 \% & 15.9 \% & 1.9 \% \\
\begin{array}{l}
\text { Design } \\
\text { Design awards won }
\end{array} & 3 & 2 & 3 & 50.0 \% \\
\begin{array}{l}
\text { Manufacture } \\
\text { Average time to }
\end{array} & 22.2 & 22.3 & 22.1 & -0.4 \% \\
\text { market (days) } & & & & \\
\begin{array}{l}
\text { Distribution } \\
\text { Deliveries on time }
\end{array} & 87.0 \% & 86.8 \% & 87.3 \% & 0.2 \%
\end{array}
$$
Commentary:
- The revenue growth of the business remains strong in a difficult market.
- Return on capital employed matches the industry average of about $16 \%$.
- Time to market for new designs has been maintained at 22 days by paying overtime to designers in order to meet production schedules.

Recent press reports about Graviton have been mixed, with positive comments about the innowative new designs and much admiration over the growth of sales which the business has achieved. However, there has been some criticism from customers of the durability of Graviton's clothes and from institutional investors that the dividend growth is not strong.

The CEO believes that there are major gaps in the current list of key metrics used by Graviton. She wants an evaluation of the current system and suggestions for improvements. However, she has warned you that the board wants a reasoned argument for each measure to be included in the list in order to awoid overloading each level of management with too much data.

Although rapidly growing, Graviton has had some problems in the last few years which have appeared on recent internal audit reports. It was found that a senior manager at factory site 1 has been delaying invoicing for completed orders in order to ensure that profit targets are met in both the current and the next accounting period. At factory site 2 , there has been excellent return on a low capital employed figure although there is a significant adverse variance in the equipment repairs account.

The board is dominated by long-serving executives who are sceptical of change, given Graviton's growth over the past three years. At a recent board meeting, they have shared the CEO's concern about data overload and also have pointed out a variety of problems with the use of performance measures. They presented the CEO with a list of three common problems (myopia, gaming. ossification) and argued that the current good performance of the business did not justify changing the performance measurement system. The CEO needs to know if these problems apply to Graviton and if they do, then what can be done to manage them.

Required:
(a) Evaluate the current performance measurement system using the performance pyramid of Lynch and Cross. (See IM21.8 Appendix 1 for Lynch and Cross's performance pyramid.)
(b) Assess whether the three problems listed by the board apply to Graviton and suggest appropriate performance management solutions to them.

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Problem 26

Performance measurement in non-profit organizations.
(a) The absence of the profit measure in not-for-profit (NFP) organizations causes problems for the measurement of their efficiency and effectiveness.
Required:
(i) Explain why the absence of the profit measure should be a cause of the problems referred to.
(9 marks)
(ii) Explain how these problems extend to activities within business entities which have a profit motive. Support your answer with examples.
(4 marks)
(b) A public health clinic is the subject of a scheme to measure its efficiency and effectiveness. Among a number of factors, the 'quality of care provided' has been included as an aspect of the clinic's service to be measured. Three features of 'quality of care provided' have been listed:
- clinic's adherence to appointment times;
- patients' ability to contact the clinic and make appointments without difficulty:
- the provision of a comprehensive patient health monitoring programme.
Required:
(i) Suggest a set of quantitative measures that can be used to identify the effective level of achievement of each of the features listed.
(9 marks)
(ii) Indicate how these measures could be combined into a single 'quality of care' measure.
(3 marks)

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01:02

Problem 27

Health service performance indicators in a NPO. Tosemary and Rhyme Hospital (TRH) is a small hospital for the treatment of patients with only minor injuries. Patients arriving at TRH with more serious injuries are referred to a larger hospital nearby. Those with minor injuries are admitted into TRH and wait to be seen by a doctor. After treatment, most patients leave the hospital and need not return. If their treatment has failed, however, they are re-admitted for additional treatment.

Patients do not have to pay for treatment at TRH, which is a not-for-profit, public sector hospital. It is funded entirely by the government from taxation and a fixed level of funding is received from the government each year. It is up to TRH to allocate its funding to different areas, such as doctors' salaries, medicines and all other costs required to run a hospital.
TRH's objectives are:
- to give prompt access to high-quality medical treatment for patients:
- to provide value for money for the taxpayer, as measured by the '3Es' framework of economy, efficiency and effectiveness;
- to contribute to medical science by developing innovative ways to deliver treatment to patients.
It has been suggested to TRH that the hospital has inadequate performance measurement systems in place to assess whether it is achieving its objectives, and that insufficient attention is given to the importance of non-financial performance indicators. You have been asked for your advice and have met with some of the doctors to get their opinions.

One senior doctor has told you: 'I think TRH always delivers value for money. We've always achieved our total financial budgets. Doctors here work much longer hours than colleagues in other hospitals, often without being paid for working overtime. There is not enough government funding to recruit more doctors. At busy times, we've started referring more patients arriving at TRH to the larger hospital nearby. This has helped reduce average waiting times. Patients arriving at TRH are now seen by a doctor within 3 hours 50 minutes rather than 4 hours as was previously the case. So, we're already doing all we can. I don't know how much time we spend developing innovative ways to deliver treatment to patients though, as most of the performance data we doctors receive relates to financial targets."

Recent performance data for TRH and national average information has been provided in Appendix 1. This is indicative of the data which the doctors at TRH receive.
Required:
(a) Explain why non-financial performance indicators are particularly important to measure the performance of not-for-profit organizations such as TRH.
(b) Justify one performance measure for each of the components of the value for money framework used at TRH and, using that measure, evaluate whether TRH is delivering value for money. (10 marks)
(c) Evaluate the extent to which the management style at TRH can be said to be budget constrained and advise on the implications of this approach for managing TRH's performance.
TABLES CAN'T COPY.

Akhil Choudhary
Akhil Choudhary
Numerade Educator