Walking the tightrope: creation of the physician scorecard at the Rouge Valley Health System.

INTRODUCTION / GOAL Using resources efficiently while raising the bar on quality is an ongoing struggle within the healthcare system. Achieving this delicate balance is a key determinant of an organization’s ability to meet its strategic direction. Recognizing that individual physician performance drives both cost and quality of care, Rouge Valley Health System, a twohospital and multi-site organization serving 530,000 residents of east Toronto and west Durham, sought to align physician leadership and accountability with that of the organization through the introduction of the Physician Scorecard.