The hospital environment of most Western countries is currently undergoing
dramatic changes. Competition among hospitals is increasing, and economic i
ssues have become decisive factors for the allocation of medical care. Hosp
itals therefore require management tools to respond to these changes adequa
tely. The balanced scorecard is a method of enabling development and implem
entation of a business strategy that equally respects the financial require
ments, the needs of the customers, process development, and organizational
learning. This method was used to derive generally valid success factors fo
r hospital management based on an analysis of an academic hospital in Switz
erland. Strategic management, the focus of medical services, customer orien
tation, and integration of professional groups across the hospital value ch
ain were identified as success factors for hospital management.