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Increasing Competitiveness through the Implementation of Lean Management in Healthcare

Author

Listed:
  • J. Carlos Prado-Prado

    (Industrial Engineering School, University of Vigo (Spain), 36310 Vigo, Spain)

  • Jesús García-Arca

    (Industrial Engineering School, University of Vigo (Spain), 36310 Vigo, Spain)

  • Arturo J. Fernández-González

    (Industrial Engineering School, University of Vigo (Spain), 36310 Vigo, Spain)

  • Mar Mosteiro-Añón

    (Sleep Unit Department, Complexo Hospitalario Universitario de Vigo (Spain), 36213 Vigo, Spain)

Abstract

The main aim of this paper was two-fold: first, to design a participative methodology that facilitates lean management implementation in healthcare by adopting the action research approach; second, to illustrate the usefulness of this methodology by applying it to the sleep unit of a public hospital in Spain. This methodology proposes the implementation of lean management in its broadest sense: adopting both lean principles and some of its practical tools or practices in order to achieve competitive advantage. The complete service value chain was considered when introducing changes through lean management implementation. This implementation involved training and involving staff in the project (personnel pillar), detecting and analysing “waste” in value chain processes (processes pillar) and establishing control and measurement mechanisms in line with objectives (key performance indicators pillar) and putting in place improvement actions to achieve these objectives. The application of this methodology brought about an improvement in the management of patient flow in terms of effectiveness, efficiency and quality but also an internal transformation towards lean culture.

Suggested Citation

  • J. Carlos Prado-Prado & Jesús García-Arca & Arturo J. Fernández-González & Mar Mosteiro-Añón, 2020. "Increasing Competitiveness through the Implementation of Lean Management in Healthcare," IJERPH, MDPI, vol. 17(14), pages 1-26, July.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:4981-:d:382970
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    References listed on IDEAS

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    1. Prybutok, Victor R. & Ramasesh, Ranga, 2005. "An action-research based instrument for monitoring continuous quality improvement," European Journal of Operational Research, Elsevier, vol. 166(2), pages 293-309, October.
    2. Sandra G. Leggat & Timothy Bartram & Pauline Stanton & Greg J. Bamber & Amrik S. Sohal, 2015. "Have process redesign methods, such as Lean, been successful in changing care delivery in hospitals? A systematic review," Public Money & Management, Taylor & Francis Journals, vol. 35(2), pages 161-168, March.
    3. Manuel F. Suárez-Barraza & José A. Miguel-Davila, 2020. "Kaizen–Kata, a Problem-Solving Approach to Public Service Health Care in Mexico. A Multiple-Case Study," IJERPH, MDPI, vol. 17(9), pages 1-18, May.
    4. Andrew Castle & Rachel Harvey, 2009. "Lean information management: the use of observational data in health care," International Journal of Productivity and Performance Management, Emerald Group Publishing Limited, vol. 58(3), pages 280-299, March.
    5. Gutierrez, Debora M. & Scavarda, Luiz F. & Fiorencio, Luiza & Martins, Roberto A., 2015. "Evolution of the performance measurement system in the Logistics Department of a broadcasting company: An action research," International Journal of Production Economics, Elsevier, vol. 160(C), pages 1-12.
    6. Scherrer-Rathje, Maike & Boyle, Todd A. & Deflorin, Patricia, 2009. "Lean, take two! Reflections from the second attempt at lean implementation," Business Horizons, Elsevier, vol. 52(1), pages 79-88.
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    Cited by:

    1. 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.
    2. Oscar Morell-Santandreu & Cristina Santandreu-Mascarell & Julio J. Garcia-Sabater, 2021. "A Model for the Implementation of Lean Improvements in Healthcare Environments as Applied in a Primary Care Center," IJERPH, MDPI, vol. 18(6), pages 1-30, March.
    3. Juan A. Marin-Garcia & Tomas Bonavia, 2021. "Empowerment and Employee Well-Being: A Mediation Analysis Study," IJERPH, MDPI, vol. 18(11), pages 1-22, May.
    4. Gianmaria Gioga & Morena Crivellaro & Veronica Lazzaretto & Elena Debora Toffanello & Alessandro Villa & Lorenzo Cattelino & Andrea Segnalini, 2022. "Implementazione della metodologia Lean per l?ottimizzazione del punto tamponi: l?esperienza di Piove di Sacco," MECOSAN, FrancoAngeli Editore, vol. 2022(122), pages 137-156.

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