Preliminary Development of Value Scorecards as ICU Telemedicine Evaluation Tools

Nandita Nadig*, Liz Hynden, Katherine Sterba, James McElligott, Shawn Valenta, Emily Warr, Rebecca Beeks, Dee Ford

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Intensive care unit (ICU) telemedicine has grown exponentially to the point that approximately 10% of U.S. hospitals use such programs. However, no studies have focused on strategic decision tools in the context of rural hospitals. We applied the pervasive balanced scorecard framework and used a sequential, mixed methods design with qualitative and quantitative data sources. We then triangulated them to generate value scorecards for four rural South Carolina hospitals. Four domains, each with numerous components, were identified and compiled to create a composite value scorecard. Domains and numbers of components included organizational (n = 10), clinical (n = 5), financial (n = 8), and strategic (n = 3) effects of ICU telemedicine. When weighting each component within domains and then comparing across hospitals, we identified substantial variation in the relative value derived from ICU telemedicine. Our novel, multidimensional value scorecard could be prospectively applied by hospitals seeking a structured approach to decision-making for ICU telemedicine investments.

Original languageEnglish (US)
Pages (from-to)124-138
Number of pages15
JournalJournal of Healthcare Management
Issue number2
StatePublished - Mar 1 2021
Externally publishedYes

ASJC Scopus subject areas

  • Leadership and Management
  • Health Policy
  • Strategy and Management


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