scholarly journals Standardization of Procedures to Contain Cost and Reduce Variability of Care After the Pandemic

2021 ◽  
Vol 8 ◽  
Author(s):  
Federico Raveglia ◽  
Riccardo Orlandi ◽  
Arianna Rimessi ◽  
Fabrizio Minervini ◽  
Ugo Cioffi ◽  
...  

The coronavirus disease 2019 (COVID-19) pandemic has changed many aspects of our private and professional routine. In particular, the lockdowns have severely affected the entire healthcare system and hospital activities, forcing it to rethink the protocols in force. We suggest that this scenario, in spite of the new challenges involving so far complex healthcare providers, may lead to the unique opportunity to rethink pathways and management of patients. Indeed, having to resume institutional activity after a long interruption that has completely canceled the previously existing schemes, healthcare providers have the unique opportunity to overcome obsolete and “we have always done in this way” model on the wave of the general desire to resume a normal life. Furthermore, the pandemic has highlighted some flaws in our health system, highlighting those critical issues that most need to be addressed. This article is a review of pre-pandemic literature addressing the use of Lean Six Sigma (LSS) and standardization processes in thoracic surgery to improve efficiency. Our goal is to identify the main issues that could be successfully improved along the entire pathway of a patient from the first referral to diagnosis, hospitalization, and surgical operation up to convalescence. Furthermore, we aim to identify the standardization processes that have been implemented to achieve significant improvements in patient outcomes while reducing costs. The methods and goals that could be used in the near future to modernize our healthcare systems are drawn up from a careful reading and interpretation in light of the pandemic of the most significant review articles in the literature.

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Hadijah Iberahim ◽  
Izmahariz Azman ◽  
Mohd Haniff Shahri ◽  
Nur Fara Ellyanie Abdul Hamid

Lean Six Sigma (LSS) is a method that helps an organization to maximize profit and minimize cost. One of the essential factors for a successful LSS project is the availability of employees who are willing to engage. Employee engagement brings about a strong sense of belonging and high productivity. Consequently, engaged employees will work harder to achieve the mission of the organization. This paper discusses a case of LSS project with a low level of employee engagement. As a result, LSS was less likely helpful in sustaining company’s performance. The purpose of this study is to identify factors that contribute to employee engagement in LSS practices. Review of the relevant literature suggests four variables, which include goal clarity, management support and trust, knowledge sharing and transfer, and teamwork. The questionnaire survey applied census in collecting feedback from 80 respondents. Statistical analysis results indicate that goal clarity, management support, and trust are significant to employee engagement. However, knowledge sharing and transfer as well as teamwork are not substantial. It is recommended for the organization to give attention to all the four factors. This paper extended understandings on critical inputs to a successful implementation of LSS for sustainable company’s performance and growth. Keywords: Lean Six Sigma, Employee Engagement, Goal Clarity, Management Support and Trust, Teamwork, Knowledge Sharing.


2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Sehul H. Patel ◽  
Dr. Darshak A. Desai

Author(s):  
Fernando Forcellini ◽  
Milton Pereira ◽  
Helio Aisenberg Ferenhof ◽  
Arthur Boeing Ribeiro

2020 ◽  
Author(s):  
Elizabeth A. Necka ◽  
Carolyn Amir ◽  
Troy C. Dildine ◽  
Lauren Yvette Atlas

There is a robust link between patients’ expectations and clinical outcomes, as evidenced by the placebo effect. These expectations are shaped by the context surrounding treatment, including the patient-provider interaction. Prior work indicates that the provider’s behavior and characteristics, including warmth and competence, can shape patient outcomes. Yet humans rapidly form trait impressions of others prior to any in-person interaction. Here, we tested whether trait-impressions of hypothetical medical providers, based purely on facial images, influence participants’ choice of medical providers and expectations about their health following hypothetical medical procedures performed by those providers in a series of vignettes. Across five studies, participants selected providers who appeared more competent, based on facial visual information alone. Further, providers’ apparent competence predicted participants’ expectations about post-procedural pain and medication use. Participants’ perception of their similarity to providers also shaped expectations about pain and treatment outcomes. Our results suggest that humans develop expectations about their health outcomes prior to even setting foot in the clinic, based exclusively on first impressions. These findings have strong implications for health care, as individuals increasingly rely on digital services to choose healthcare providers, schedule appointments, and even receive treatment and care, a trend which is exacerbated as the world embraces telemedicine.


2010 ◽  
Author(s):  
Jay Mandelbaum ◽  
Heather W. Williams ◽  
Anthony C. Hermes

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