Lean management et organisations de santé

As part of a PhD thesis in Management Sciences initiated in November 2016, we undertook a research work dedicated to managerial innovations in healthcare institutions, qualified as complex organizations. The success of any innovation is conditioned by its adoption and dissemination. The hospital establishment that carries our project is faced with the need to offer a service offering to cope with the competition. Our work focuses on the deployment of a lean approach and aims to study the managerial levers with regard to the mechanism of diffusion of this innovation within a complex organization.The literature highlights proximity management as a success factor for lean management. During a six-month immersion in a hospital located in the Grand-Duchy of Luxembourg, we will observe how to mobilize the skills of the local manager and the evolution of the creation and transfer mechanism. knowledge during successive stages of the implementation ofinnovation. The stated problem conditions the methodology used based on an intervention research. The creation of knowledge results from our interactions with the actors of the organization. The first results reveal the difficulty of mobilizing skills related to the complexity of hospitals, ie their compartmentalization, and the constraints of this function.