IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i7p4265-d786014.html
   My bibliography  Save this article

Applying Value Stream Mapping to Improve the Delivery of Patient Care in the Oncology Day Hospital

Author

Listed:
  • Pilar I. Vidal-Carreras

    (ROGLE, Departamento de Organización de Empresas, Universitat Politècnica de València, Camino de Vera s/n, 46021 Valencia, Spain)

  • Julio J. Garcia-Sabater

    (ROGLE, Departamento de Organización de Empresas, Universitat Politècnica de València, Camino de Vera s/n, 46021 Valencia, Spain)

  • Juan A. Marin-Garcia

    (ROGLE, Departamento de Organización de Empresas, Universitat Politècnica de València, Camino de Vera s/n, 46021 Valencia, Spain)

Abstract

Improving the delivery of patient care is an ongoing challenge in the National Health Service (NHS). This challenge is not insignificant in the process of chemotherapy administration for oncology patients. The present research is motivated by a public Spanish hospital in which oncology patients receive medical care in the Oncology Day Hospital (ODH). At the ODH, oncology patients receive different health services by different specialists on a single day. Any discoordination in patient flow will contribute to longer waiting times and stays in the ODH. As oncology patients tend to have special health conditions, any extra time in the hospital is a source of risk and discomfort. This study applies value stream mapping methodology in a Spanish ODH to improve this situation, reducing hospital waiting times and shorting the length of stay. For that purpose, the path of the oncology patients is mapped and the current state of the system is analyzed. Working at takt time and levelling the workload are proposed for improving the working conditions for healthcare personnel. As a result, the quality of service for oncology patients who need a well-defined care profile is improved. The singular characteristics of the Spanish NHS make it challenging to implement new ways of working, so this study has significant theoretical and managerial implications offering directions in which improvement is possible.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4265-:d:786014
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/7/4265/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/7/4265/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Nur Banu Demir & Serhat Gul & Melih Çelik, 2021. "A stochastic programming approach for chemotherapy appointment scheduling," Naval Research Logistics (NRL), John Wiley & Sons, vol. 68(1), pages 112-133, February.
    2. 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.
    3. Bohui Liang & Ayten Turkcan & Mehmet Erkan Ceyhan & Keith Stuart, 2015. "Improvement of chemotherapy patient flow and scheduling in an outpatient oncology clinic," International Journal of Production Research, Taylor & Francis Journals, vol. 53(24), pages 7177-7190, December.
    4. Eva Jordan & Janez Kušar & Lidija Rihar & Tomaž Berlec, 2019. "Portfolio analysis of a Lean Six Sigma production process," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 27(3), pages 797-813, September.
    5. Hicks, Chris & McGovern, Tom & Prior, Gary & Smith, Iain, 2015. "Applying lean principles to the design of healthcare facilities," International Journal of Production Economics, Elsevier, vol. 170(PB), pages 677-686.
    6. Wenchi Shou & Jun Wang & Peng Wu & Xiangyu Wang & Heap-Yih Chong, 2017. "A cross-sector review on the use of value stream mapping," International Journal of Production Research, Taylor & Francis Journals, vol. 55(13), pages 3906-3928, July.
    7. Michelle Alvarado & Lewis Ntaimo, 2018. "Chemotherapy appointment scheduling under uncertainty using mean-risk stochastic integer programming," Health Care Management Science, Springer, vol. 21(1), pages 87-104, March.
    8. 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.
    9. Véronique Nabelsi & Stéphane Gagnon, 2017. "Information technology strategy for a patient-oriented, lean, and agile integration of hospital pharmacy and medical equipment supply chains," International Journal of Production Research, Taylor & Francis Journals, vol. 55(14), pages 3929-3945, July.
    10. Agnieszka Zdęba-Mozoła & Anna Rybarczyk-Szwajkowska & Tomasz Czapla & Michał Marczak & Remigiusz Kozłowski, 2022. "Implementation of Lean Management in a Multi-Specialist Hospital in Poland and the Analysis of Waste," IJERPH, MDPI, vol. 19(2), pages 1-23, January.
    11. Carlos Zepeda-Lugo & Diego Tlapa & Yolanda Baez-Lopez & Jorge Limon-Romero & Sinue Ontiveros & Armando Perez-Sanchez & Guilherme Tortorella, 2020. "Assessing the Impact of Lean Healthcare on Inpatient Care: A Systematic Review," IJERPH, MDPI, vol. 17(15), pages 1-24, August.
    12. Kerim Dogan & Mumtaz Karatas & Ertan Yakici, 2020. "A model for locating preventive health care facilities," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 28(3), pages 1091-1121, September.
    13. Gallo, Pedro & Gené-Badia, Joan, 2013. "Cuts drive health system reforms in Spain," Health Policy, Elsevier, vol. 113(1), pages 1-7.
    14. Abdulmalek, Fawaz A. & Rajgopal, Jayant, 2007. "Analyzing the benefits of lean manufacturing and value stream mapping via simulation: A process sector case study," International Journal of Production Economics, Elsevier, vol. 107(1), pages 223-236, May.
    15. Juan A. Marin-Garcia & Pilar I. Vidal-Carreras & Julio J. Garcia-Sabater, 2021. "The Role of Value Stream Mapping in Healthcare Services: A Scoping Review," IJERPH, MDPI, vol. 18(3), pages 1-25, January.
    16. 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.
    17. Letícia Bianchini de Barros & Letícia de Camargo Bassi & Laura Passos Caldas & Alice Sarantopoulos & Eliete Boaventura Bargas Zeferino & Vinicius Minatogawa & Renata Cristina Gasparino, 2021. "Lean Healthcare Tools for Processes Evaluation: An Integrative Review," IJERPH, MDPI, vol. 18(14), pages 1-21, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Daniele La Forgia & Gaetano Paparella & Rahel Signorile & Francesca Arezzo & Maria Colomba Comes & Gennaro Cormio & Antonella Daniele & Annarita Fanizzi & Agnese Maria Fioretti & Gianluca Gatta & Miri, 2022. "Lean Perspectives in an Organizational Change in a Scientific Direction of an Italian Research Institute: Experience of the Cancer Institute of Bari," IJERPH, MDPI, vol. 20(1), pages 1-15, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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.
    2. Majed Hadid & Adel Elomri & Regina Padmanabhan & Laoucine Kerbache & Oualid Jouini & Abdelfatteh El Omri & Amir Nounou & Anas Hamad, 2022. "Clustering and Stochastic Simulation Optimization for Outpatient Chemotherapy Appointment Planning and Scheduling," IJERPH, MDPI, vol. 19(23), pages 1-34, November.
    3. Juan A. Marin-Garcia & Pilar I. Vidal-Carreras & Julio J. Garcia-Sabater, 2021. "The Role of Value Stream Mapping in Healthcare Services: A Scoping Review," IJERPH, MDPI, vol. 18(3), pages 1-25, January.
    4. 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.
    5. J. Vicente Tébar-Rubio & F. Javier Ramírez & M. José Ruiz-Ortega, 2023. "Conducting Action Research to Improve Operational Efficiency in Manufacturing: The Case of a First-Tier Automotive Supplier," Systemic Practice and Action Research, Springer, vol. 36(3), pages 427-459, June.
    6. Diego Tlapa & Ignacio Franco-Alucano & Jorge Limon-Romero & Yolanda Baez-Lopez & Guilherme Tortorella, 2022. "Lean, Six Sigma, and Simulation: Evidence from Healthcare Interventions," Sustainability, MDPI, vol. 14(24), pages 1-25, December.
    7. Serhat Gul, 2024. "Nursing care flexibility in chemotherapy appointment scheduling," Flexible Services and Manufacturing Journal, Springer, vol. 36(3), pages 918-945, September.
    8. Nur Banu Demir & Serhat Gul & Melih Çelik, 2021. "A stochastic programming approach for chemotherapy appointment scheduling," Naval Research Logistics (NRL), John Wiley & Sons, vol. 68(1), pages 112-133, February.
    9. Namakshenas, Mohammad & Mazdeh, Mohammad Mahdavi & Braaksma, Aleida & Heydari, Mehdi, 2023. "Appointment scheduling for medical diagnostic centers considering time-sensitive pharmaceuticals: A dynamic robust optimization approach," European Journal of Operational Research, Elsevier, vol. 305(3), pages 1018-1031.
    10. Karakaya, Sırma & Gul, Serhat & Çelik, Melih, 2023. "Stochastic scheduling of chemotherapy appointments considering patient acuity levels," European Journal of Operational Research, Elsevier, vol. 305(2), pages 902-916.
    11. Stadnicka, Dorota & Litwin, Paweł, 2019. "Value stream mapping and system dynamics integration for manufacturing line modelling and analysis," International Journal of Production Economics, Elsevier, vol. 208(C), pages 400-411.
    12. Hadid, Majed & Elomri, Adel & Mekkawy, Tarek El & Jouini, Oualid & Kerbache, Laoucine & Hamad, Anas, 2022. "Operations management of outpatient chemotherapy process: An optimization-oriented comprehensive review," Operations Research Perspectives, Elsevier, vol. 9(C).
    13. 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.
    14. Lee, Jung Young & McFadden, Kathleen L. & Lee, Min Kyung & Gowen, Charles R., 2021. "U.S. hospital culture profiles for better performance in patient safety, patient satisfaction, Six Sigma, and lean implementation," International Journal of Production Economics, Elsevier, vol. 234(C).
    15. Mona Issabakhsh & Seokgi Lee & Hyojung Kang, 2021. "Scheduling patient appointment in an infusion center: a mixed integer robust optimization approach," Health Care Management Science, Springer, vol. 24(1), pages 117-139, March.
    16. Agnieszka Zdęba-Mozoła & Remigiusz Kozłowski & Anna Rybarczyk-Szwajkowska & Tomasz Czapla & Michał Marczak, 2023. "Implementation of Lean Management Tools Using an Example of Analysis of Prolonged Stays of Patients in a Multi-Specialist Hospital in Poland," IJERPH, MDPI, vol. 20(2), pages 1-23, January.
    17. Ming-Feng Wu & Jen-Ying Li & Yu-Hsuan Lin & Wei-Chang Huang & Chi-Chih He & Jiunn-Min Wang, 2021. "Processing Cycle Efficiency to Monitor the Performance of an Intelligent Tube Preparation System for Phlebotomy Services," IJERPH, MDPI, vol. 18(17), pages 1-12, September.
    18. Donghui Yang & Yan Wang & Shue Mei, 2021. "How to balance online healthcare platforms and offline systems? A supply chain management perspective," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 42(2), pages 502-515, March.
    19. Alla Mostepaniuk & Turgay Akalin & Mohammad Reza Parish, 2023. "Practices Pursuing the Sustainability of A Healthcare Organization: A Systematic Review," Sustainability, MDPI, vol. 15(3), pages 1-21, January.
    20. Walker, Nathan L. & Styles, David & Coughlan, Paul & Williams, A. Prysor, 2022. "Cross-sector sustainability benchmarking of major utilities in the United Kingdom," Utilities Policy, Elsevier, vol. 78(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4265-:d:786014. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.