Moving and resisting Lean: Saskatchewan’s contested implementation of Lean healthcare

Author(s):  
Justin Leifso
Keyword(s):  

2018 ◽  
Vol 23 (01/02) ◽  
pp. 67-69
Author(s):  
Stefan Beyer

Prozesse in einer Reha-Klinik können natürlich auch ohne Lean Management oder ein Prozesscontrolling ablaufen. Die Lean Philosophie kann aber dabei helfen, die Wettbewerbsfaktoren Zeit, Kosten und Qualität zu optimieren, um sich gegenüber den Wettbewerbern und im Reha-Markt langfristig zu behaupten.





2021 ◽  
Vol 266 ◽  
pp. 398-404
Author(s):  
Pavithra K. Rao ◽  
Aaron J. Cunningham ◽  
Daniel Kenron ◽  
Philip Mshelbwala ◽  
Emmanuel A. Ameh ◽  
...  


2021 ◽  
Author(s):  
Thomas Pyzdek
Keyword(s):  


Production ◽  
2018 ◽  
Vol 28 (0) ◽  
Author(s):  
José Daniel Rodrigues Terra ◽  
Fernando Tobal Berssaneti


Author(s):  
Federico Barnabè ◽  
Maria Cleofe Giorgino ◽  
Jacopo Guercini ◽  
Caterina Bianciardi ◽  
Vincenzo Mezzatesta

Purpose This paper aims to stimulate interest in the potentials of serious games within organizations. Through the examination of a case study, emphasis is given to serious games designed for health care (HC) organizations that are adopting lean thinking principles and tools. Design/methodology/approach The paper discusses how serious games can be designed and implemented in practice by describing a case study based on a HC organization. The program, now in its second year, has been used extensively to train HC professionals. Findings The article is based on the authors’ firsthand experience with serious games and the outcome of several projects carried out in the HC setting under analysis. Serious games were found to be powerful training and management development tools as well as engaging environments for professionals. Specifically, The Lean Healthcare Lab supported professionals in their use and implementation of several Lean principles and techniques. Research limitations/implications The article suggests the opportunity to evaluate the effectiveness of serious games also to improve team performance and develop leadership skills. Practical implications Serious games have an enormous potential in sustaining processes of both individual and organizational learning, as well as facilitating improved teamwork. Moreover, serious games are very effective educational tools when compared to more conventional programs. Originality/value The approach described in this study can be used to design and implement serious games in any type of organization, in particular, those employing highly skilled professionals. Additionally, this article highlights how serious games can provide learners with a simulated close-to-reality environment where they are challenged to develop policies and use a variety of Lean and management tools.



Healthcare ◽  
2015 ◽  
Vol 3 (4) ◽  
pp. 225-230 ◽  
Author(s):  
Anthony M. DiGioia ◽  
Pamela K. Greenhouse ◽  
Tanya Chermak ◽  
Margaret A. Hayden


2020 ◽  
Vol 3 (4) ◽  
pp. 509-521
Author(s):  
Wresni Anggraini ◽  
Anifah Naswan Ilhamda

Standar pelayanan minimal rumah sakit tentang waktu tunggu untuk rawat jalan yang ditetapkan oleh Kemenkes Nomor. 129/Menkes/SK/II/2008 adalah tidak lebih dari 60 menit.  Masalah yang dihadapi oleh Poli Tulip Rumah Sakit X Pekanbaru adalah waktu menunggu pasien lebih dari 60 menit.  Tujuan dari penelitian ini adalah memberikan usulan perbaikan untuk mengurangi waktu tunggu pasien.. Metode yang digunakan pada penelitian ini adalah  lean healthcare menggunakan analisis Value Stream Mapping (VSM) untuk menentukan nilai Process Cycle Efficiency (PCE). Berdasarkan current state value stream mapping nilai PCE saat ini adalah 16,85%, ini berarti efisiensi lini pada Poli Tulip Rumah Sakit X Pekanbaru masih sangat rendah. Proses usulan perbaikan efisiensi lini dengan cara mengidentifikasi dan mengurangi non value added activity dan waste yang paling sering terjadi pada proses pelayanan pasien. Ditemukan waste yang berpengaruh menyebabkan waste delay adalah waste unnecessary movement dan lost oppurtunity to retain or win customers yaitu sebesar 22,11%. Untuk mencari akar penyebab waste dilakukan root cause analysis. Akar penyebab masalah dari waste yang terjadi di lini pelayanan pasien bersumber dari faktor individual pegawai dan manajerial Rumah Sakit. Simulasi future state value stream mapping dengan menggunakan ARENA dilakukan untuk menguji usulan perbaikan, didapatkan  nilai PCE harapan sebesar 36,18 %, yang berarti dengan usulan perbaikan yang diberikan telah meningkatkan efisiensi jalur layanan pasien di Poli Tulip sebesar 19,33%.



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