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He says, "We all know that, in business, having the right people in the right roles and making sure they’re very focused on the strategic initiatives at hand is what helps drive success."
Sometimes people will shift from one role to another - and maybe two or three times before they find the 'ideal' fit. If the person is the type of person you want in your organisation and they have a good attitude, be patient and help them find their niche. It is to your advantage! (My experience with it anyway...)
About method to chosoe the right KPI I think you first have to describe your strategy. If I refer to Kaplan & Norton : The formulation of strategy is an art. The description of strategy, however, should not be an art. If we can describe strategy in a more disciplined way, we increase the likelihood of successful implementation. With a Balanced Scorecard that tells the story of the strategy, we now have a reliable foundation. The best way is to establish a strategy map that describe the connections between the different perspectives (patient, finance, internal processes, learning & growth) and that will allow us to reach our strategic goal and ultimately realize our mission. To be clear we have to start from our mission / vision statement and determine the strategic goals that will lead us to the accomplishment of our mission f.e. : better formation of the nurses for blood test ( learning and growth perspective ) will lead to more efficient care ( less time to make a blood test internal processes perspective ) and help us to save some money (nurses can make more blood test an hour, less syringes used financial perspective ) and better quality of care (less painful, faster care > more patient treated a day, patient perspective ) We don't have to forget that in the context of healthcare institution (and generally for all non-profit organization) the patient/customer perspective has to be elevated to the top of our Balanced Scorecard even if finance stays an important perspective. In the nonprofit and public sectors, financial measures ensure we're achieving our results in an efficient manner that minimizes cost. Allowing us to reinvest money more easily in leaning and growth (hire more physician and nurses) or internal processes (buy a new scanner).