Management by Objectives and Care Sector
I am an MBO fan, so my short answer is 'yes, sure'. Any organization and hence any manager should aim to be effective first and efficient second. Read the works of Bill Reddin
like "Output-Oriented Manager" or "Output-Oriented Organization". All of his books are out of print, which tells us a lot about the state of MBO today.
But through amazon.co.uk you can get hold of them. They give excellent and practical examples of how to become O-O or MBO. You then should be able to translate that to your own organization and setting.
At the moment I am writing a book on MBO (in Dutch alas for you), because I see a renaissance for MBO. So I am quite into the subject at the moment.
Good luck. And if I can be of assistance, do not hesitate to call upon me. Maybe you would be a good case study in my book ;-).