IDEAS home Printed from https://ideas.repec.org/a/spr/opsear/v58y2021i3d10.1007_s12597-020-00490-5.html
   My bibliography  Save this article

A lean approach to healthcare management using multi criteria decision making

Author

Listed:
  • Ramkrishna S. Bharsakade

    (NITIE)

  • Padmanava Acharya

    (NITIE)

  • L. Ganapathy

    (NITIE)

  • Manoj K. Tiwari

    (NITIE)

Abstract

Recent challenges induced by the global pandemic COVID-19 have highlighted the critical importance of coping with a sudden surge in demand for front line healthcare services. Motivated by the success of lean implementation in manufacturing systems, this study attempts to apply the lean principles in healthcare delivery environments. The lean approach begins with the identification of seven types of wastes in any production or service system. This study attempts to identify and prioritize the present in hospitals. The study contributes to the existing body of knowledge in two ways. First, we identify the various sources contributing to the seven basic wastes in healthcare delivery. Second, we prioritize the seven types of wastes and the dimensions contributing to these wastes using a Multi-Criteria Decision Making (MCDM). This paper used the fuzzy analytical hierarchy process approach, which is a well-accepted tool in MCDM. The study was conducted at select hospitals located in and around Pune city in India. We find that waiting, transportation, motion, and defects are dominant in adopting lean practices among the seven wastes. The findings of this study may guide hospital management in strategic planning in adopting a lean healthcare process. To our knowledge, this is one of the first studies to extract, and prioritise lean wastes within the context of the healthcare sector.

Suggested Citation

  • Ramkrishna S. Bharsakade & Padmanava Acharya & L. Ganapathy & Manoj K. Tiwari, 2021. "A lean approach to healthcare management using multi criteria decision making," OPSEARCH, Springer;Operational Research Society of India, vol. 58(3), pages 610-635, September.
    • Handle: RePEc:spr:opsear:v:58:y:2021:i:3:d:10.1007_s12597-020-00490-5
    DOI: 10.1007/s12597-020-00490-5
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s12597-020-00490-5
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s12597-020-00490-5?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Manoj Kumar Singh & Harish Kumar & M. P. Gupta & Jitendra Madaan, 2018. "Analyzing the Determinants Affecting the Industrial Competitiveness of Electronics Manufacturing in India by Using TISM and AHP," Global Journal of Flexible Systems Management, Springer;Global Institute of Flexible Systems Management, vol. 19(3), pages 191-207, September.
    2. Robinson, Stewart & Radnor, Zoe J. & Burgess, Nicola & Worthington, Claire, 2012. "SimLean: Utilising simulation in the implementation of lean in healthcare," European Journal of Operational Research, Elsevier, vol. 219(1), pages 188-197.
    3. Esha Saha & Pradip Kumar Ray, 2019. "Modelling and analysis of healthcare inventory management systems," OPSEARCH, Springer;Operational Research Society of India, vol. 56(4), pages 1179-1198, December.
    4. Radnor, Zoe J. & Holweg, Matthias & Waring, Justin, 2012. "Lean in healthcare: The unfilled promise?," Social Science & Medicine, Elsevier, vol. 74(3), pages 364-371.
    5. Pradeep Kumar & Sasadhar Bera & Tanusree Dutta & Shibashish Chakraborty, 2018. "Auxiliary Flexibility in Healthcare Delivery System: An Integrative Framework and Implications," Global Journal of Flexible Systems Management, Springer;Global Institute of Flexible Systems Management, vol. 19(2), pages 173-186, June.
    6. Vinayak Vishwakarma & Chandra Prakash Garg & Mukesh Kumar Barua, 2019. "Modelling the barriers of Indian pharmaceutical supply chain using fuzzy AHP," International Journal of Operational Research, Inderscience Enterprises Ltd, vol. 34(2), pages 240-268.
    7. Babak Daneshvar Rouyendegh & Asil Oztekin & Joseph Ekong & Ali Dag, 2019. "Measuring the efficiency of hospitals: a fully-ranking DEA–FAHP approach," Annals of Operations Research, Springer, vol. 278(1), pages 361-378, July.
    8. Zoe Radnor & Ruth Boaden, 2008. "Editorial: Lean in Public Services—Panacea or Paradox?," Public Money & Management, Taylor & Francis Journals, vol. 28(1), pages 3-7, February.
    9. Kajal Chatterjee & Sheikh Ahmed Hossain & Samarjit Kar, 2018. "Prioritization of project proposals in portfolio management using fuzzy AHP," OPSEARCH, Springer;Operational Research Society of India, vol. 55(2), pages 478-501, June.
    10. Amir Abbas Shojaie & Sepideh Babaie & Emel Sayah & Davood Mohammaditabar, 2018. "Analysis and Prioritization of Green Health Suppliers Using Fuzzy ELECTRE Method with a Case Study," Global Journal of Flexible Systems Management, Springer;Global Institute of Flexible Systems Management, vol. 19(1), pages 39-52, March.
    11. Calabrese, Armando & Costa, Roberta & Levialdi, Nathan & Menichini, Tamara, 2019. "Integrating sustainability into strategic decision-making: A fuzzy AHP method for the selection of relevant sustainability issues," Technological Forecasting and Social Change, Elsevier, vol. 139(C), pages 155-168.
    12. Loh, Hui Shan & Yuen, Kum Fai & Wang, Xueqin & Surucu-Balci, Ebru & Balci, Gökcay & Zhou, Qingji, 2020. "Airport selection criteria of low-cost carriers: A fuzzy analytical hierarchy process," Journal of Air Transport Management, Elsevier, vol. 83(C).
    13. Maureen S. Golan & Laura H. Jernegan & Igor Linkov, 2020. "Trends and applications of resilience analytics in supply chain modeling: systematic literature review in the context of the COVID-19 pandemic," Environment Systems and Decisions, Springer, vol. 40(2), pages 222-243, June.
    14. Ivanov, Dmitry, 2020. "Predicting the impacts of epidemic outbreaks on global supply chains: A simulation-based analysis on the coronavirus outbreak (COVID-19/SARS-CoV-2) case," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 136(C).
    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. Silvia Carpitella & Ilyas Mzougui & Joaquín Izquierdo, 2022. "Multi-criteria risk classification to enhance complex supply networks performance," OPSEARCH, Springer;Operational Research Society of India, vol. 59(3), pages 769-785, September.
    2. C. R. Vishnu & E. N. Anilkumar & R. Sridharan & P. N. Ram Kumar, 2023. "Statistical characterization of managerial risk factors: a case of state-run hospitals in India," OPSEARCH, Springer;Operational Research Society of India, vol. 60(2), pages 812-834, June.

    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. Assadej Vanichchinchai, 2021. "Assessing lean satisfaction and its enablers: a care provider perspective," Operations Management Research, Springer, vol. 14(1), pages 95-106, June.
    2. Clavijo-Buritica, Nicolás & Triana-Sanchez, Laura & Escobar, John Willmer, 2023. "A hybrid modeling approach for resilient agri-supply network design in emerging countries: Colombian coffee supply chain," Socio-Economic Planning Sciences, Elsevier, vol. 85(C).
    3. Shafiee, Mohammad & Zare-Mehrjerdi, Yahia & Govindan, Kannan & Dastgoshade, Sohaib, 2022. "A causality analysis of risks to perishable product supply chain networks during the COVID-19 outbreak era: An extended DEMATEL method under Pythagorean fuzzy environment," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 163(C).
    4. Yash Daultani & Atanu Chaudhuri & Sushil Kumar, 2015. "A Decade of Lean in Healthcare: Current State and Future Directions," Global Business Review, International Management Institute, vol. 16(6), pages 1082-1099, December.
    5. Seyed Hossein Razavi Hajiagha & Hannan Amoozad Mahdiraji & Maryam Behnam & Boshra Nekoughadirli & Rohit Joshi, 2022. "A scenario-based robust time–cost tradeoff model to handle the effect of COVID-19 on supply chains project management," Operations Management Research, Springer, vol. 15(1), pages 357-377, June.
    6. Agnetis, Alessandro & Bianciardi, Caterina & Iasparra, Nicola, 2019. "Integrating lean thinking and mathematical optimization: A case study in appointment scheduling of hematological treatments," Operations Research Perspectives, Elsevier, vol. 6(C).
    7. Ivanov, Dmitry & Dolgui, Alexandre, 2021. "OR-methods for coping with the ripple effect in supply chains during COVID-19 pandemic: Managerial insights and research implications," International Journal of Production Economics, Elsevier, vol. 232(C).
    8. Chowdhury, Priyabrata & Paul, Sanjoy Kumar & Kaisar, Shahriar & Moktadir, Md. Abdul, 2021. "COVID-19 pandemic related supply chain studies: A systematic review," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 148(C).
    9. Gupta, Himanshu & Yadav, Avinash Kumar & Kusi-Sarpong, Simonov & Khan, Sharfuddin Ahmed & Sharma, Shashi Chandra, 2022. "Strategies to overcome barriers to innovative digitalisation technologies for supply chain logistics resilience during pandemic," Technology in Society, Elsevier, vol. 69(C).
    10. Kingsley Opoku Appiah & Bismark Addai & Wesley Ekuban & Suzzie Owiredua Aidoo & Joseph Amankwah-Amoah, 2022. "Management research and the impact of COVID-19 on performance: a bibliometric review and suggestions for future research," Future Business Journal, Springer, vol. 8(1), pages 1-20, December.
    11. Raj, Alok & Mukherjee, Abheek Anjan & de Sousa Jabbour, Ana Beatriz Lopes & Srivastava, Samir K., 2022. "Supply chain management during and post-COVID-19 pandemic: Mitigation strategies and practical lessons learned," Journal of Business Research, Elsevier, vol. 142(C), pages 1125-1139.
    12. Kazancoglu, Yigit & Ekinci, Esra & Mangla, Sachin Kumar & Sezer, Muruvvet Deniz & Ozbiltekin-Pala, Melisa, 2023. "Impact of epidemic outbreaks (COVID-19) on global supply chains: A case of trade between Turkey and China," Socio-Economic Planning Sciences, Elsevier, vol. 85(C).
    13. Pareeyawadee Ponanake & Manat Pithuncharurnlap & Woranat Sangmanee, 2014. "Creating Hospitals’ Core Competencies with Lean Healthcare Strategies Entering the ASEAN Economic Community," Journal of Economics and Behavioral Studies, AMH International, vol. 6(9), pages 700-708.
    14. Farheen Naz & Anil Kumar & Abhijit Majumdar & Rohit Agrawal, 2022. "Is artificial intelligence an enabler of supply chain resiliency post COVID-19? An exploratory state-of-the-art review for future research," Operations Management Research, Springer, vol. 15(1), pages 378-398, June.
    15. Tortorella, Guilherme L. & Fogliatto, Flavio S. & Saurin, Tarcísio A. & Tonetto, Leandro M. & McFarlane, Duncan, 2022. "Contributions of Healthcare 4.0 digital applications to the resilience of healthcare organizations during the COVID-19 outbreak," Technovation, Elsevier, vol. 111(C).
    16. Rajak, Sonu & Mathiyazhagan, K. & Agarwal, Vernika & Sivakumar, K. & Kumar, Vikas & Appolloni, Andrea, 2022. "Issues and analysis of critical success factors for the sustainable initiatives in the supply chain during COVID- 19 pandemic outbreak in India: A case study," Research in Transportation Economics, Elsevier, vol. 93(C).
    17. Riccardo Aldrighetti & Ilenia Zennaro & Serena Finco & Daria Battini, 2019. "Healthcare Supply Chain Simulation with Disruption Considerations: A Case Study from Northern Italy," Global Journal of Flexible Systems Management, Springer;Global Institute of Flexible Systems Management, vol. 20(1), pages 81-102, December.
    18. Fang, Da & Guo, Yan, 2022. "Flow of goods to the shock of COVID-19 and toll-free highway policy: Evidence from logistics data in China," Research in Transportation Economics, Elsevier, vol. 93(C).
    19. Jelena Lukić & Mirjana Misita & Dragan D. Milanović & Ankica Borota-Tišma & Aleksandra Janković, 2022. "Determining the Risk Level in Client Analysis by Applying Fuzzy Logic in Insurance Sector," Mathematics, MDPI, vol. 10(18), pages 1-17, September.
    20. Sengazhani Murugesan Vadivel & Aloysius Henry Sequeira & Robert Rajkumar Sakkariyas & Kirubaharan Boobalan, 2022. "Impact of lean service, workplace environment, and social practices on the operational performance of India post service industry," Annals of Operations Research, Springer, vol. 315(2), pages 2219-2244, August.

    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:spr:opsear:v:58:y:2021:i:3:d:10.1007_s12597-020-00490-5. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.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.