This paper discusses the governance tools used in the Basilicata region between 2007 and 2013. The case of the Basilicata region provides a natural experiment concerning the impact on performance of integrating different tools at regional level and provides evidences on the impact of two different ways of integrating regional mechanisms into local budget. It has been observed that, when regional management tools are integrated improvement is higher. The two local authorities introduced the same indicators into their budget but with a very different communication process. Findings show that the local health authority with the highest level of clarity in the goals communication among personnel, registered the highest improvements.
Keywords: Performance, governance, integration, communication, budget