Penelitian ini bertujuan menyusun rencana strategis Rumah Sakit Budhi Graha (RSBG) Jambi tahun 2006-2010 dengan menggunakan pendekatan balanced scorecard (BSC). Lingkup penelitian meliputi formulasi strategi dan penyusunan action plan dengan BSC. Metode penelitian ini adalah action research. Pengambilan keputusan melibatkan staf RSBG yang dikumpulkan dalam Consensus Decision Making Group (CDMG). Data primer diperoleh melalui wawancara mendalam serta kuesioner terhadap staf RSBG. Data sekunder diperoleh dari data internal RSBG, Dinkes/Depkes, BPS serta literatur. Data primer dan sekunder yang didapat dipaparkan kepada anggota CDMG. Selanjutnya dilakukan analisis lingkungan eksternal dengan EFE dan lingkungan internal dengan IFE. Tujuan jangka panjang ditentukan secara konsensus, dilanjutkan dengan menentukan strategi alternatif dengan matriks TOWS dan matriks IE. Strategi terpilih ditentukan secara konsensus. Dengan kuesioner dan teknik delphi ditentukan tema-tema strategis yang penting untuk keberhasilan RSBG. Berdasarkan tema-tema strategis ditentukan tujuan, ukuran, target dan inisiatif dari keempat perspektif BSC yaitu perspektif keuangan, konsumen, proses bisnis internal dan pertumbuhan dan perkembangan. Selanjutnya ditentukan peta strategi berdasarkan BSC. Skor EFE = 1,66 menunjukkan respons RSBG terhadap peluang dan ancaman di bawah rata-rata atau cenderung tidak berespons. Skor IFE = 2,30 menunjukkan posisi RSBG secara internal lemah. Penentuan strategi alternatif dengan matriks TOWS dan IE menghasilkan satu strategi yaitu restrukturisasi. Strategi terpilih yang ditetapkan secara konsensus adalah restrukturisasi. Kemudian disusun berbagai tujuan, ukuran, target dan inisiatif sesuai BSC. RSBG disarankan untuk mengimplementasikan sistem manajemen strategis BSC secara menyeluruh dan lebih memperhatikan inisiatif-inisiatif perspektif pertumbuhan dan pembelajaran untuk mencapai keuntungan dalam jangka panjang. Kata kunci : rencana strategis, balanced scorecard, action research, consensus decision making group, restrukturisasi, peta strategi

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This research was purposed to arrange a strategic plan for Budhi Graha Hospital (BGH) Jambi using balanced scorecard (BSC) approach. The scope was strategy formulation and action plan arrangement. This was an action research. Decision taking was done by BGH staffs whom jointed to Consensus Decision Making Group (CDMG). Primary data was collected by deep interview and questioner. Secondary data was collected from internal data of BGH, Local Health Agency, Department of Health, Central for Statistical Bureau, and literatures. It was analyzed the environment using EFE and IFE. Alternative strategies generated using TOWS and IE matrix. Decision strategy was decided by consensus. It was collected the strategic themes which were important to BGH as critical success factors. Based on the strategic them, it was developed objectives, measures, targets and inisiatives of the four BSC?s perspectives, namely financial, costumer, internal bussiness process, growth and learning perspective. Then the strategy map drawed based on BSC. The EFE score = 1,66 meaned the respond to opportunities and threats was below average or went to no respond tendency. IFE score = 2,30 showed the position internally was weak. The generation of alternative strategies resulted to one strategy namely restructurization and was taken by consensus as the decision strategy. Then it was arranged objectives, measures, targets and inisiatives according to BSC. BGH was suggested to implement BSC as strategic management system comprehensively to all unit, and more concern to inisiatives in growth and learning perspective in order to get advantage in long-term. Keywords : strategic plan, balanced scorecard, action research, consensus decision making group, restructurization, strategy map