In an increasingly competitive market, it is essential that organizations form and implement an effective organizational performance management system to help obtain a competitive advantage. The performance management system should include several activities that will help develop the organization's objectives; it should also help monitor organizational progress and make adjustments to achieve goals more effectively with minimal obstacles (Shackleton, 2007). Peel Memorial Hospital in Brampton, Ontario, along with other regional hospitals and health facilities, was facing major challenges. Cultural differences and the merging of non-acute and community services; this put enormous pressure on management. Management had to ensure that “alignment, direction, and purpose were embedded in the organization” (Harber, 1998). Peel Hospital did not have effective goals and objectives, it lacked measurable targets, and its mission statement was unclear. The hospital needed a well-defined and specific vision statement, measurable goals and a good strategic plan. Employees were unclear about the hospital's goals. The hospital has launched numerous training programs focusing on comprehensive and continuous quality management (QCI). This raised difficult questions. Hospital staff and management wanted to know if time, money and energy were the critical clinical and business process. Peel Hospital partnered with Xerox Quality Services because the organization had a lot of experience managing integrated structures and Xerox was able to help Peel Hospital resolve some existing issues (Harber, 1998). Peel Hospital was introduced to the Balanced Scorecard solution as the best solution. This helped the organization achieve the strategic objectives of the organization. The main objective of performance management is to link individual objectives to organizational objectives; Performance management also helps develop skills by developing clear job descriptions and helping provide a more specific mission statement. ReferencesHarber, BW (1998). The Balance dashboard: solution at Peel Memorial Hospital. HospitalQuarterly. Retrieved March 22, 2010 from form GB522-14M. Kellen, V. (2003). Measuring business performance. Retrieved March 23, 2010 from EBSCO Host.12Manage (nd). History of the balanced scorecard. Retrieved March 23, 2010 from http://www.12manage.com/methods_balancedscorecard.html. Shackleton, C. (2007). Organizational performance management. Retrieved March 23, 2010 from EBSCO Host.