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A Hawthorne strategy: implications for performance measurement and improvement.

T R Lied1, V A Kazandjian

  • 1Association of Maryland Hospitals and Health Systems, Lutherville, MD 21093-6087, USA.

Clinical Performance and Quality Health Care
|June 3, 1999
PubMed
Summary

The Hawthorne strategy enhances performance by using external observations to boost internal commitment and accountability. This approach encourages continuous improvement through individual and institutional evaluation.

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Area of Science:

  • Organizational Psychology
  • Behavioral Science
  • Performance Management

Background:

  • The Hawthorne effect describes performance improvements due to observation.
  • Existing research focuses on the impact of experimentation on performance.
  • The Hawthorne effect is a well-documented phenomenon in behavioral studies.

Purpose of the Study:

  • To propose a novel "Hawthorne strategy" for indefinite performance improvement.
  • To leverage the Hawthorne effect as an active construct for strategic enhancement.
  • To develop a framework that moves beyond the passive observation of the Hawthorne effect.

Main Methods:

  • Utilizing external performance observations to drive internal commitment.
  • Increasing focus on individual responsibility and its link to performance outcomes.

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  • Implementing institutional recognition and reinforcement for performance-enhancing behaviors.

    • Main Results:

    • Enhanced focus on individual responsibility and accountability.
    • Strengthened perceived connection between individual efforts and organizational performance.
    • Fostered a culture of self-evaluation among care providers at all levels.

    Conclusions:

    • The proposed Hawthorne strategy offers a sustainable approach to continuous performance improvement.
    • This strategy transforms the passive Hawthorne effect into an active performance enhancement tool.
    • Encouraging self-evaluation among individuals, groups, and institutions leads to sustained performance gains.