Future developments in healthcare performance management

The paper highlights the challenges coming from performance management in healthcare, where multiple different objectives have to be pursued necessarily. Literature suggests to start from quality performance, following the sand cone theory, but considering a multidimensional concept of healthcare quality. Moreover, new managerial approaches coming from industrial context and adapted to healthcare, as lean management and risk management, can give a contribution in improving quality performance. Therefore emerges the opportunity to analyze them considering overlaps and links, in order to grasp possible synergies and to investigate the opportunity to develop an integrated methodology enabling to improve performance.