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Assessing the readiness to implement lean in healthcare institutions – A case study

Author

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  • Narayanamurthy, Gopalakrishnan
  • Gurumurthy, Anand
  • Subramanian, Nachiappan
  • Moser, Roger

Abstract

We develop a lean readiness framework and an assessment methodology to quantify the readiness of healthcare institutions for implementing lean. We use stakeholder theory and work with a lean implementation team responsible for process improvement in a healthcare group to develop the framework. The framework uses fuzzy based input derived from the stakeholders of the healthcare institution to generate an overall ranking through ideal solution technique. The assessment method derives input from the readiness scores shared by various stakeholders. The ranking suggests future improvement areas to prepare the healthcare institution for a lean implementation project. We provide an alternative perspective of assessing the lean readiness of healthcare institutions before beginning a lean implementation project for both researchers and practitioners. Our research is the first to develop a lean readiness framework for healthcare institutions and demonstrate it using an assessment technique.

Suggested Citation

  • Narayanamurthy, Gopalakrishnan & Gurumurthy, Anand & Subramanian, Nachiappan & Moser, Roger, 2018. "Assessing the readiness to implement lean in healthcare institutions – A case study," International Journal of Production Economics, Elsevier, vol. 197(C), pages 123-142.
    • Handle: RePEc:eee:proeco:v:197:y:2018:i:c:p:123-142
    DOI: 10.1016/j.ijpe.2017.12.028
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    References listed on IDEAS

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    2. Frangeskou, Marianna & Erthal, Alice & Ndibalema, Rweyemamu, 2024. "Managing the tensions of standardized work processes in healthcare operations: The job crafting lens," Journal of Business Research, Elsevier, vol. 173(C).
    3. Yang, Yefei & Zhang, Xiaofei & Lee, Peter K.C., 2019. "Improving the effectiveness of online healthcare platforms: An empirical study with multi-period patient-doctor consultation data," International Journal of Production Economics, Elsevier, vol. 207(C), pages 70-80.
    4. Andreas Kakouris & Eleni Sfakianaki & Marios Tsioufis, 2022. "Lean thinking in lean times for education," Annals of Operations Research, Springer, vol. 316(1), pages 657-697, September.
    5. Pilar I. Vidal-Carreras & Julio J. Garcia-Sabater & Juan A. Marin-Garcia, 2022. "Applying Value Stream Mapping to Improve the Delivery of Patient Care in the Oncology Day Hospital," IJERPH, MDPI, vol. 19(7), pages 1-18, April.
    6. Kudrekodlu V. Prasad & Venkatesan Vasugi, 2023. "Readiness Factors for Sustainable Lean Transformation of Construction Organizations," Sustainability, MDPI, vol. 15(8), pages 1-23, April.
    7. Fournier, Pierre-Luc & Chênevert, Denis & Jobin, Marie-Hélène, 2021. "The antecedents of physicians’ behavioral support for lean in healthcare: The mediating role of commitment to organizational change," International Journal of Production Economics, Elsevier, vol. 232(C).

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