Abstract
This contribution informs the functioning of performance management measurement systems during the pandemic from the specific standpoint of Italy, one of the first countries affected by it. As those management control systems must reflect the context in which they operate, they also have to change in relation to them. For this reason, strategies had to be put in place to balance two sometimes mutually exclusive needs, that of timeliness and accuracy of data. These last, respectively serve to support the operation management and strategic planning processes. The “resilience dimension” (i.e., the healthcare organizations’ capacity to proactively foresee, absorb, and adapt to shocks) was conceptualized and strictly monitored. Real-time information systems based on a few indicators and information related to COVID-19 became routinely addressed at all governance levels (central, regional, and local), also to meet the pressing demands of the media on the state of the pandemic. In the light of lessons learned and considerations made, two main threads of further research arise: the necessity to perform an in-depth analysis of what happened during the emergency period and the necessity to identify potential innovations to be made in the healthcare performance evaluation process.
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References
Adger WN (2006) Vulnerability. Glob Environ Chang 16(3):268–281
Agenas and Mes (2021) Analisi della capacità di resilienza del servizio sanitario nazionale nell’anno 2020. https://www.agenas.gov.it/covid19/web/file/Resilienza_Print_Version.pdf
Agenas (2021a) Programma Nazionale Esiti. Edizione 2020. https://www.agenas.gov.it/images/agenas/In%20primo%20piano/PNE/2020/Agenas_Report_PNE_2020.pdf
Agenas (2021b) Programma Nazionale Esiti. Edizione 2020. AGENAS_-_PNE_2021_-_Stampa.pdf
Barbazza E et al (2022) The experiences of 33 national COVID-19 dashboard teams during the first year of the pandemic in the World Health Organization European Region: a qualitative study. Digital Health 8:1–16
Bititci U et al (2012) Performance measurement: challenges for tomorrow. Int J Manag Rev 14(3):305–27. https://doi.org/10.1111/j.1468-2370.2011.00318.x
Blanchet K, Nam SL, Ramalingam B, Pozo-Martin F (2017) Governance and capacity to manage resilience of health systems: towards a new conceptual framework. Int J Health Policy Manag 6:431
Bosa et al. (2021a) Corona-regionalism? Differences in regional responses to COVID-19 in Italy. Health Policy
Bosa et al. (2021b) Response to COVID-19: was Italy (un)prepared? Health Econ Policy Law 1–13
Chenall RH (2003) Management control systems design within its organizational context: findings from contingency-based research and directions for the future. Acc Organ Soc 28:127–168
Damone A, Vainieri M, Brunetto MR, Bonino F, Nuti S, Ciuti G (2022) Decision-making algorithm and predictive model to assess the impact of infectious disease epidemics on the healthcare system: the COVID-19 case study in Italy. IEEE J Biomed Health Inform 26:8
Expert Group on Health Systems Performance Assessment (2016) So what? Strategies across Europe to assess quality of care. Health and Food Safety. https://doi.org/10.2875/03667
Expert Panel on Effective Ways of Investing in Health (EXPH) (2020) Opinion on the organisation of resilient health and social care following the COVID-19 pandemic. Public hearing 20 Oct 2020
Fattore G (1999) Clarifying the scope of Italian NHS coverage. Is it feasible? Is it desirable? Health Policy 50:123–142
Ferreira A, Otley D (2009) The design and use of performance management systems: an extended framework for analysis. Manag Account Res 20(2009):263–282
Horton R (2020) Offline: COVID-19 is not a pandemic. The Lancet 396(10255):874. https://doi.org/10.1016/S0140-6736(20)32000-6
Ivanković D et al (2021) Features constituting actionable COVID-19 dashboards: descriptive assessment and expert appraisal of 158 public web-based COVID-19 dashboards. J Med Internet Res 23(2):e25682. https://doi.org/10.2196/25682
Ministero della Salute (2021) Monitoraggio dei LEA attraverso la cd. Griglia LEA. Metodologia e Risultati dell’anno 2019. Maggio 2021. https://www.salute.gov.it/imgs/C_17_pubblicazioni_3111_allegato.pdf
Nuti S, Vola F, Bonini A, Vainieri M (2016) Making governance work in the health care sector: evidence from a ‘natural experiment’ in Italy. Health Econ Policy Law 11(01):17–38. https://doi.org/10.1017/S1744133115000067
Nuti S, Noto G, Vola F, Vainieri M (2018) Let’s play the patients music: a new generation of performance measurement systems in healthcare. Manag Decis. https://doi.org/10.1108/MD-09-2017-0907
Nuti S, Grillo Ruggieri T, Noto G, Vainieri M (2021) The challenges of hospitals’ planning & control systems: the path toward public value management. Int J Environ Res Public Health 18:2732. https://doi.org/10.3390/ijerph18052732
Nuti S et al (2020) Il Sistema di Valutazione della Performance dei Sistemi Sanitari Regionali. Report 2019. Pacini editore
Nuti S et al (2021a) Il Sistema di Valutazione della Performance dei Sistemi Sanitari Regionali. Report 2020. Pacini editore
Ricciardi W, Tarricone R (2021) The evolution of the Italian National Health Service. Lancet 398:2193–206
Sheldon TA, Wright J (2020) Twin epidemics of covid-19 and non-communicable disease. BMJ m2618. https://doi.org/10.1136/bmj.m2618
Tediosi F, Gabriele S, Longo F (2009) Governing decentralization in health care under tough budget constraint: what can we learn from the Italian experience? Health Policy 90:303–312
Testa et al (2021) Implementation of tele visit healthcare services triggered by the COVID-19 emergency: the Trentino Province experience. J Public Health 1–16. https://doi.org/10.1007/s10389-021-01609-8
Vainieri M, Mantoan D, Nuti S (2022) Does the healthcare system know what to cut under the pandemic emergency pressure? Lessons by the Italian health system. BMJOpen
Vainieri M., Noto G, Ferrè F, Rosella LC (2020) A performance management system in healthcare for all seasons? Int J Environ Res Public Health 17:5590. https://doi.org/10.3390/ijerph17155590i
Vola F, Benedetto V, Vainieri M, Nuti S (2022) The Italian inter regional performance evaluation system. Res Health Serv Reg
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Vainieri, M., Vola, F. (2023). The Challenges of Measuring Performance in Pandemic Times. Evidence from Italy. In: Persiani, N., Vannini, I.E., Romiti, A., Karasavvoglou, A., Polychronidou, P. (eds) Challenges of Healthcare Systems in the Era of COVID-19. Contributions to Management Science. Springer, Cham. https://doi.org/10.1007/978-3-031-43114-2_11
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