Lean management and operational performance in health care

2019 ◽  
Vol 69 (1) ◽  
pp. 1-21 ◽  
Author(s):  
Rasha Zuhair Alkhaldi ◽  
Ayman Bahjat Abdallah
Keyword(s):  
Health Care ◽  
Structural Equation ◽  
Operational Performance ◽  
Equation Modeling ◽  
Lean Management ◽  
Total Quality ◽  
Validity And Reliability ◽  
Private Hospitals ◽  
Content Type ◽  
The Impact

Purpose The purpose of this paper is to examine the impact of lean management (LM) on operational performance (OP) in the context of health care in Jordanian private hospitals. LM is measured using four bundles: total quality management (TQM), human resource management (HRM), just-in-time system (JIT) and total productive maintenance (TPM). The study also investigates the effects of OP dimensions on hospitals’ business performance (BP). Design/methodology/approach The study is based on survey data collected from 260 respondents from 25 private hospitals in Jordan. Validity and reliability analyses were performed using SPSS and Amos, and the study hypotheses were tested using structural equation modeling. Findings The study found that the TQM bundle affects quality performance positively, but does not affect efficiency and accessibility performances, while the HRM bundle positively affects all OP dimensions. Furthermore, the JIT bundle positively contributes to both efficiency and accessibility performances, while the TPM bundle positively influences quality and accessibility performances. Moreover, the results have demonstrated that OP dimensions of quality and accessibility significantly and positively affect hospitals’ BP. Originality/value This study is one of the first to adapt the four lean bundles popularized in the manufacturing sector and apply them in a health-care context. It examines the effects of the four lean bundles on hospitals’ OP in terms of efficiency, quality and accessibility. In addition, the study demonstrates the role of OP dimensions in improving private hospitals’ BP.

Impact of RFID and information sharing on JIT, TQM and operational performance

2014 ◽  
Vol 37 (11) ◽  
pp. 970-989 ◽  
Author(s):  
Pamela J. Zelbst ◽  
Kenneth W. Green, Jr ◽  
Victor E. Sower ◽  
Roger D. Abshire
Keyword(s):  
Path Analysis ◽  
Information Sharing ◽  
Radio Frequency Identification ◽  
Structural Equation ◽  
Operational Performance ◽  
Equation Modeling ◽  
Rfid Technology ◽  
Total Quality ◽  
Content Type ◽  
The Impact

Purpose – This aim of this paper, from a systems perspective, is to focus on the effects of Radio Frequency Identification (RFID) technology adoption and information sharing within a manufacturing facility on the just-in-time (JIT) and total quality management (TQM) practices and the subsequent impact on operational performance of manufacturing firms. Design/methodology/approach – Data were collected from 104 manufacturing managers, supervisors and quality professionals and analyzed using a path analysis methodology. Findings – RFID technology utilization and supply chain information sharing combine to enhance a manufacturing organization’s JIT and TQM capabilities which lead to improve operational performance. Research limitations/implications – Although the sample size is large enough to support path analysis, it is not of sufficient size to support structural equation modeling. This limitation precludes assessing the model as a whole. Direct and indirect effects are assessed, however. Practical implications – Manufacturing managers are provided with a framework for assessing the synergistic impact of combining RFID technology and information sharing on the JIT and TQM capabilities and the subsequent impact on the operational performance of the firm. Originality/value – A systems approach to assessing the impact of a combination of RFID technology and information sharing on operations programs is developed and tested. The results verify the importance of implementing RFID technology within an information sharing environment and support the proposition that RFID technology enhances both JIT and TQM capabilities.

Impact of social and technical lean management on operational performance in manufacturing SMEs: the roles of process and management innovations

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ayman Bahjat Abdallah ◽  
Rasha Zuhair Alkhaldi ◽  
Majed M. Aljuaid
Keyword(s):  
Structural Equation ◽  
Design Methodology ◽  
Innovation Management ◽  
Operational Performance ◽  
Equation Modeling ◽  
Management Innovation ◽  
Lean Management ◽  
Mediating Effects ◽  
Validity And Reliability ◽  
Content Type

PurposeThe purpose of the current study is to address a debatable issue in the extant literature regarding lean management (LM), innovation and operational performance (OP) relationships in the manufacturing SMEs. It conceptualizes LM in terms of social and technical aspects and investigates their effects on process innovation, management innovation and OP. The mediating roles of process and management innovations on social/technical-OP relationships are also explored.Design/methodology/approachThe study analyzes survey data gathered from 268 manufacturing SMEs belonging to different industry types in Jordan. Validity and reliability tests of the first and second order constructs were performed. Structural equation modeling (SEM) was used to test the study hypotheses.FindingsBoth social and technical LM were found to positively affect OP. Social LM positively affected both process and management innovations. However, the effect of technical LM on both types of innovation was not significant. In addition, process and management innovations positively mediated social LM-OP relationship. Nonetheless, neither type of innovation showed mediating effects on technical LM-OP relationship.Originality/valueThis study is one of the first to highlight the proposed relationships, in general, and in the context of SMEs in a developing country context, in particular. It offers important implications for the managers of SMEs to benefit from LM implementation and avoid its failure, enhance innovation efforts by focusing on social LM practices and subsequently achieve higher levels of OP.

TQM, SCM and operational performance: an empirical study of Indian pharmaceutical industry

2019 ◽  
Vol 26 (1) ◽  
pp. 331-370 ◽  
Author(s):  
Sanjay Sharma ◽  
Sachin Modgil
Keyword(s):  
Supply Chain ◽  
Pharmaceutical Industry ◽  
Inventory Management ◽  
Structural Equation ◽  
Management Practices ◽  
Operational Performance ◽  
Equation Modeling ◽  
Total Quality ◽  
Content Type ◽  
The Impact

Purpose The purpose of this paper is to investigate the impact of total quality management (TQM) and supply chain management (SCM) practices on operational performance, and their interlinkage between each other. Design/methodology/approach Constructs those are critical to pharmaceutical quality and supply chain have been identified with the help of literature and experts from industry. The impact of TQM practices on supply chain practices and on operational performance has been evaluated. Similarly, the impact of supply chain practices on operational performance has been evaluated. Further, alternate models are tested and evaluated through structural equation modeling. Findings It was observed during testing of alternate models that TQM practices have a direct impact on operational performance. However, TQM practices also directly impact supply chain components, which, in turn, influence overall operational performance. In comparison of alternate models, the model in which TQM practices affect supply chain practices and supply chain practices further affect the operational performance is found most appropriate. Practical implications This study provides some useful implications from industry point of view. TQM practices are critical to pharmaceutical industry. TQM practices are the core of attaining a smooth supply chain, which will have greater impact to achieve operational performance. Strategic supplier partnership, procurement management, information sharing, and quality and inventory management practices are driven by TQM practices. This tri-linkage helps to achieve the desired operational performance. Originality/value There are very limited studies that have considered both the areas together to achieve better operational performance. In pharmaceutical industry, both TQM and SCM are the critical areas for any organization to drive its growth.

The influence of soft and hard TQM on quality performance and patient satisfaction in health care: investigating direct and indirect effects

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rasha Zuhair Alkhaldi ◽  
Ayman Bahjat Abdallah
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Indirect Effects ◽  
Primary Data ◽  
Equation Modeling ◽  
Total Quality ◽  
Quality Performance ◽  
Private Hospitals ◽  
Content Type ◽  
Health Care Context

PurposeThe present study conceptualizes total quality management (TQM) in terms of soft and hard aspects and examines their effects on quality performance and patient satisfaction. The indirect effects of soft and hard TQM on patient satisfaction through quality performance are also investigated.Design/methodology/approachA multi-item questionnaire was prepared to gather primary data from a sample of 312 medical employees in private hospitals in Jordan. The measurement model was evaluated for validity and reliability and determined to be acceptable. Structural equation modeling (SEM) was applied to test the research hypotheses.FindingsThe results revealed that soft TQM has a strong positive effect on quality performance and patient satisfaction. Hard TQM was found to positively affect quality performance but to a lesser extent compared to soft TQM. The effect of hard TQM on patient satisfaction, meanwhile, was not significant. Quality performance positively mediated the relationship between TQM – both soft and hard – and patient satisfaction.Originality/valueThis study is one of the first to conceptualize TQM in terms of soft and hard aspects in a health care context. It offers valuable insights for managers of private hospitals looking to enhance quality performance and patient satisfaction. The results reveal that soft TQM is the primary driver of quality performance and patient satisfaction in the health care context, which is in stark contrast to the manufacturing sector.

scholarly journals Evaluating the Impact of Organizational Culture Features on Implementing Total Quality Management (TQM) by Focusing on the Business Ethics as a Mediator (Case Study: Shirin Asal Company)

2021 ◽  
Vol 5 (3) ◽  
pp. p49
Author(s):  
Tavakoli Abdullah ◽  
Jarihi Shiva
Keyword(s):  
Organizational Culture ◽  
Quality Management ◽  
Business Ethics ◽  
Total Quality Management ◽  
Structural Equation ◽  
Equation Modeling ◽  
Total Quality ◽  
Validity And Reliability ◽  
Statistical Population ◽  
The Impact

This was an applied study regarding the objective and a descriptive-correlational one concerning the data collection approach, which was focused on evaluating the impact of organizational culture on applying total quality management along with stressing the mediating role of business ethics. A total of 148 employees of Shirin Asal Company (Tehran Branch) constituted the research statistical population that Cochran’s formula was used to choose 106 subjects as the sample size by a simple random sampling method.Standard questionnaires were employed to gather the essential data. The validity and reliability of variables were also examined and approved. The reliability rates for business ethics, organizational culture, and total quality management were calculated to be equivalent to 0.78, 0.89, and 0.90, respectively. The structural equation modeling method assisted with the Smart PLS2 software was utilized for data analysis. Revealed by the research findings, organizational culture influences business ethics and total quality management. Business ethics was also found to act as a mediating variable in the relationship between organizational culture and total quality management. In conclusion, organizational culture and business ethics affect the satisfactory implementation of TQM, which somehow requires managers and stakeholders to particularly consider these components.

The impact of innovation strategies on the relationship between supplier integration and operational performance

2019 ◽  
Vol 49 (2) ◽  
pp. 156-177 ◽  
Author(s):  
Jose Benedicto Duhaylongsod ◽  
Pietro De Giovanni
Keyword(s):  
Structural Equation ◽  
Group Analysis ◽  
Operational Performance ◽  
Equation Modeling ◽  
Data Set ◽  
Content Type ◽  
Supplier Integration ◽  
Innovation Strategies ◽  
The Impact ◽  
The Relationship

Purpose The purpose of this paper is to investigate whether implementing certain innovation strategies and adopting a portfolio of innovations improve the relationship between supplier integration (SI) and operational performance (OP). Design/methodology/approach The authors test several research hypotheses by using a data set of 173 firms. Data were collected by interviewing managers, presidents and directors, from ten European countries and across nine different industries. The authors use structural equation modeling to estimate the relationships between SI and OP. The authors apply multi-group analysis to test the effects of certain innovation strategies and a portfolio of innovations on these relationships. Findings The authors show that SI improves internal OP but has no direct effect on external OP. The latter can only be improved through well-performing internal operations. The adoption of an incremental product innovation strategy improves the relationship between internal and external OP and leads to more effective SI. Other types of innovations do not help in improving the impact of SI on OP. Finally, the adoption of a portfolio of innovations does not enhance the influence of SI on OP. Thus, firms should focus on a small number of innovations rather than expanding their innovation portfolio to improve the effectiveness of SI on OP. Practical implications When firms aim to improve the impact of SI on OP, they should concentrate on incremental product innovations. Other strategies obtained by combining process, incremental and radical innovations are not adequate for that purpose. An expanded portfolio of innovations does not improve the effect of supplier innovation on OP. Originality/value This research suggests how the impact of SI on OP can be improved by adopting certain innovation strategies and without diversifying the portfolio of innovation projects.

The impact of lean practices on the operational performance of SMEs in India

2019 ◽  
Vol 119 (2) ◽  
pp. 317-330 ◽  
Author(s):  
Vinod Yadav ◽  
Rakesh Jain ◽  
Murari Lal Mittal ◽  
Avinash Panwar ◽  
Andrew Lyons
Keyword(s):  
Structural Equation ◽  
Design Methodology ◽  
Production Management ◽  
Operational Performance ◽  
Equation Modeling ◽  
Lean Thinking ◽  
Content Type ◽  
Lean Practices ◽  
The Impact ◽  
The Relationship

PurposeAlthough lean thinking is deemed to be a gold standard of modern production management, a lot of scepticism still remains regarding its applicability in small- and medium-sized enterprises (SMEs). The purpose of this paper is to understand the perception of lean in SMEs and establish the relationship between lean adoption and operational performance.Design/methodology/approachWith the help of a survey, data were collected from 425 SMEs in India and analyzed using structural equation modeling.FindingsOperational performance of the firms was found to be positively related to lean implementation.Originality/valueThis study also furnishes practitioners with a better understanding of lean thinking in SMEs and its impact on performance.

Do governmental, technological and organizational factors influence the performance of financial management systems?

Kybernetes ◽  
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Yu Chen ◽  
Shengbin Hao ◽  
A. Li
Keyword(s):  
Financial Management ◽  
Structural Equation ◽  
Organizational Factors ◽  
Insurance Companies ◽  
Management Systems ◽  
Equation Modeling ◽  
Validity And Reliability ◽  
Content Type ◽  
The Impact

PurposeThe critical issue in financial management is investigating the role of government in an organization's economy. Governmental facilities, loans and long-term financial plans may affect the performance of financial management systems. Financial management systems may be affected by various other factors, such as organizational, technological and governmental factors. Studying and investigating the influence of organizational, technological and governmental factors on financial management systems' performance is the primary goal of this paper.Design/methodology/approachFinancial management has always been affected by the increasing role of technology. Also, the use of financial software, the entry of computer-based computing and math planning are examples of technology entry to financial management that has led to changes in recent years. Data were collected from the insurance offices through a questionnaire. Distributed questionnaires were conducted on a Likert scale. The causal model has been appraised by the structural equation modeling (SEM) method that has been utilized to assess the validity and reliability of the model. The software has been used to evaluate the questionnaire, and the hypotheses of the research are evaluated using SPSS 22 and SMART-PLS software.FindingsThe results showed that organizational, technological and governmental factors directly affect financial management systems' performance. For this reason, the role of organizational, technological and governmental factors on the success of financial management systems in insurance companies must be considered for decision-making in the future.Research limitations/implicationsThis study includes some restrictions required to be examined in assessing the outcomes. First, sample research was selected from the managers of the insurance offices in Harbin, China. So, the sample size is not big, and the generalization of the results is limited. Second, the current research might have ignored other variables, which affect the performance of financial management systems. Future researchers intend to investigate the impact of investments and projects on financial management systems' performance as a proposal. Nevertheless, the subsequent investigation can assess vital factors like investments and plans on financial management systems' performance.Practical implicationsThe research also includes insurance companies and all departments and individuals associated with financial management systems somehow.Originality/valueIn the current article, the performance of financial management systems is highlighted, and the method to resolve the issue has been utilized as an experimental example. This article's introduced model supplies a comprehensive framework to investigate the impact of organizational, technological and governmental factors on financial management systems' performance.

Training characteristics and employees' performance among the nurses in Pakistan

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mitho Khan Bhatti ◽  
Bahadur Ali Soomro ◽  
Naimatullah Shah
Keyword(s):  
Health Care ◽  
Cognitive Ability ◽  
Structural Equation ◽  
Equation Modeling ◽  
Motivation To Learn ◽  
Performance Goal ◽  
Content Type ◽  
And Performance ◽  
The Impact

PurposeThis paper aims to explore the training characteristics and employees' performance among the nurses in Pakistan.Design/methodology/approachThe study employed cross-sectional data through random sampling of trained health nurses from the Government sector hospitals of Pakistan. The survey questionnaire is applied as the primary tool to acquire data. In total, the authors utilized 306 valid cases to infer the final results.FindingsThe structural equation modeling (SEM) underlines a positive and significant impact of cognitive ability and performance goal on employees' performance. On the other hand, there is an insignificant impact of motivation to learn on performance among the nurses of Pakistan.Practical implicationsBroadly, the findings of the study would provide some new insights to understand the performance of nurses in the health care sector through the outcomes of the training characteristics. Further, the results would be a way out to make a better quality of health care enhanced with the support of training. It may contribute to the growth in quality of work and improve work productivity by boosting up and uplifting training characteristics. The research arena would enrich the inclusive theoretical framework of performance and contribute to the domain literature and methodological validation.Originality/valueThe study confirms the role of training characteristics towards performance among the nurses of the public health sector of Pakistan. The investigation would further validate the impact of cognitive ability and the motivation to learn and performance goals on performance globally.

When feature-based production capabilities challenge operations

2019 ◽  
Vol 40 (2) ◽  
pp. 221-242 ◽  
Author(s):  
Pietro De Giovanni
Keyword(s):  
Economic Performance ◽  
Economic Benefits ◽  
Operational Performance ◽  
Equation Modeling ◽  
Total Quality ◽  
Content Type ◽  
Trade Offs ◽  
Advanced Planning ◽  
Feature Based ◽  
The Impact

Purpose The purpose of this paper is to explore the influence that competitors and supply chain (SC) partners have on firms’ feature-based production capabilities (FBPC). Also, it analyzes the consumers’ customization options, the operational challenges and the need for servitization as a service-operations strategy to bypass the product complexity created through features. The author assesses the impact of FBPC on performance and uses some moderators to explore the operational implications in depth. Design/methodology/approach The author tests research hypotheses through structural equation modeling using a sample of 172 manufacturing firms. The author analyzes the links existing among constructs and tests the influence of certain operational moderators within the network of relationships. Findings FBPC are highly dictated by competitors’ and SC partners’ decisions, while servitization is a vital prerequisite to guarantee a valuable customization option. Although operational performance is highly challenged by FBPC, only good consumer experiences with features enhance economic performance. The analysis of moderators reveals that advanced planning systems, vendor managed inventory and distribution requirement planning enable firms to better exploit their operations. Total quality management helps firms to offer higher levels of servitization while reverse logistics needs careful evaluation to balance the trade-offs between higher operational performance and supply structure changes. Originality/value This research empirically tests the influence of both competitors and suppliers when firms acquire FBPC. The author investigates consumers’ requests for features and the benefits that servitization can supply when goods become too complex. The author tests how FBPC affect operations as well as the implications for economic performance. Finally, the author searches for moderators to assess the overall economic benefits of FBPC and better appreciate the operational implications.

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