Cohos Evamy, Calgary, Alberta, CANADA.
HERD. 2010 Winter;3(2):63-83. doi: 10.1177/193758671000300207.
Using the environment as a strategic tool is one of the most cost-effective and enduring approaches for improving public health; however, it is one that requires multiple perspectives. The purpose of this article is to highlight an innovative methodology that has been developed for conducting comprehensive performance evaluations in public sector health facilities in Canada.
The building performance evaluation methodology described in this paper is a government initiative. The project team developed a comprehensive building evaluation process for all new capital health projects that would respond to the aforementioned need for stakeholders to be more accountable and to better integrate the larger organizational strategy of facilities.
The Balanced Scorecard, which is a multiparadigmatic, performance-based business framework, serves as the underlying theoretical framework for this initiative. It was applied in the development of the conceptual model entitled the Building Performance Evaluation Scorecard, which provides the following benefits: (1) It illustrates a process to link facilities more effectively to the overall mission and goals of an organization; (2) It is both a measurement and a management system that has the ability to link regional facilities to measures of success and larger business goals; (3) It provides a standardized methodology that ensures consistency in assessing building performance; and (4) It is more comprehensive than traditional building evaluations.
The methodology presented in this paper is both a measurement and management system that integrates the principles of evidence-based design with the practices of pre- and post-occupancy evaluation. It promotes accountability and continues throughout the life cycle of a project. The advantage of applying this framework is that it engages health organizations in clarifying a vision and strategy for their facilities and helps translate those strategies into action and measurable performance outcomes.
将环境作为一种战略工具来改善公共卫生是最具成本效益和持久的方法之一；然而，这需要多方面的视角。本文的目的是强调一种创新的方法，该方法已被开发用于对加拿大公共部门卫生机构进行全面绩效评估。
本文所述的建筑绩效评估方法是一项政府倡议。项目团队为所有新的资本卫生项目开发了一个全面的建筑评估流程，以满足利益相关者需要更加负责并更好地整合设施的更大组织战略的上述需求。
平衡计分卡是一种多范式、基于绩效的商业框架，是该倡议的基础理论框架。它应用于题为“建筑绩效评估计分卡”的概念模型的开发，该模型提供了以下好处：（1）它说明了一个将设施更有效地与组织的总体使命和目标联系起来的过程；（2）它既是一个衡量和管理系统，有能力将区域设施与成功措施和更大的业务目标联系起来；（3）它提供了一种确保评估建筑绩效一致性的标准化方法；（4）它比传统的建筑评估更全面。
本文提出的方法既是一种衡量和管理系统，它将循证设计原则与预入住和入住后评估实践相结合。它促进了问责制，并贯穿于项目的整个生命周期。应用该框架的优势在于，它使卫生组织能够阐明其设施的愿景和战略，并帮助将这些战略转化为行动和可衡量的绩效成果。
