Implementation of the Health Balanced Scorecard in theHealth Center of Varis, Greece. Measuring clinical indicators for gynecologycancer.

Michael Dandoulakis, Popi Gialedaki, Paolo Sklavounos, George Barsamis, Kiriaki Dandoulaki, Dimitrios Drosos, Dimitra Iosifina Papageorgiou

Keywords: quality improvement, health balanced scorecard, cervical cancer, breast cancer.

Evaluation is key to quality improvement. The adoption of tools, such as the Health Balanced Scorecard (HBSC), can help in the monitoring of the performance of a healthcare system or unit. HBSCis adjustable to the needs of every health unit and assists clinicians ingoal setting, strategy implementationand outcomes assessment. Certain clinical indicators (CI)are chosen for the evaluation.

Research questions:
Ιs cervical and breast cancer prevention effective in Vari Health Center (VHC), Greece?

Data were collected from all women of the list of a family doctor (F.D).Performance index (PI)was measured for all these women.The number of women on the list of an F.D. of VHC, who should have undertaken the pap test and mammography, was set as a denominator. For the determination of the numerator the data were obtained from the electronic personal health record(ΕΡΗΡ)with the written consent of patients.These 2 P.I. are included in HBSC of VHS. Data were processed with SPSS 21.

Data were obtained from 14 6women of the list of a family F.D. of VHC, which should have done past test and mammography. 10 of them had done mammography and none of them had done pap test.

The HBSC assists clinicians in assessing the quality of gynecology cancer (G.C.) prevention. G.C. prevention is very poor in VHC. There will be an effort for personal invitation for all the women of the F.D. list.

Points for discussion: