scholarly journals Implementation of Lean Management in a Multi-Specialist Hospital in Poland and the Analysis of Waste

2022 ◽  
Vol 19 (2) ◽  
pp. 800
Author(s):  
Agnieszka Zdęba-Mozoła ◽  
Anna Rybarczyk-Szwajkowska ◽  
Tomasz Czapla ◽  
Michał Marczak ◽  
Remigiusz Kozłowski
Keyword(s):  
Human Capital ◽  
Patient Admission ◽  
Middle Level ◽  
Healthcare Sector ◽  
Medical Documentation ◽  
Value Stream Mapping ◽  
Lean Management ◽  
Value Stream ◽  
The World ◽  
Before And After

At the beginning of the 21st century, Lean Management (LM) tools were introduced into the healthcare sector around the world. In Poland, there are still few LM implementations, and they are not of a comprehensive nature. The aim of this article is to present the application of the LM concept in a hospital in Poland as a tool for the identification and analysis of waste and its impact on the process of organizing the provision of medical services on the example of improvements in the process of patient admission. In the period from 1 July 2019 to 31 December 2019, a project of LM implementation was carried out at the Provincial Specialist Hospital in Wroclaw. The project was based on the method of value-stream mapping and 5Why. Standardized interviews (before and after the project) were conducted with people from the hospital management and middle-level managers. The implementation of LM tools resulted in the identification of a number of wastes, which have been divided into groups. The most important waste was paper medical documentation. Its change to an electronic form allowed for a better use of human capital resources; savings included 2.3 nursing positions and 1.09 medical staff positions.

scholarly journals The Role of Value Stream Mapping in Healthcare Services: A Scoping Review

2021 ◽  
Vol 18 (3) ◽  
pp. 951
Author(s):  
Juan A. Marin-Garcia ◽  
Pilar I. Vidal-Carreras ◽  
Julio J. Garcia-Sabater
Keyword(s):  
Scoping Review ◽  
Healthcare Services ◽  
The United States ◽  
Environmental Indicators ◽  
Sustainability Indicators ◽  
Healthcare Sector ◽  
Value Stream Mapping ◽  
Value Stream ◽  
Starting Point

Lean healthcare aims to manage and improve the processes in the healthcare sector by eliminating everything that adds no value by improving quality of services, ensuring patient safety and facilitating health professionals’ work to achieve a flexible and reliable organization. Value Stream Mapping (VSM) is considered the starting point of any lean implementation. Some papers report applications of VSM in healthcare services, but there has been less attention paid to their contribution on sustainability indicators. The purpose of this work is to analyze the role of VSM in this context. To do so, a scoping review of works from recent years (2015 to 2019) was done. The results show that most applications of VSM reported are in the tertiary level of care, and the United States of America (USA) is the country which leads most of the applications published. In relation with the development of VSM, a heterogeneity in the maps and the sustainability indicators is remarkable. Moreover, only operational and social sustainability indicators are commonly included. We can conclude that more standardization is required in the development of the VSM in the healthcare sector, also including the environmental indicators.

scholarly journals Implementing Lean Management Techniques at a Radiation Oncology Department

2018 ◽  
Vol 18 (3) ◽  
pp. 362
Author(s):  
Mustafa M. Al-Balushi ◽  
Zahid Al-Mandhari
Keyword(s):  
Radiation Oncology ◽  
Healthcare Sector ◽  
Lean Management ◽  
Total Quality ◽  
Royal Hospital ◽  
Value Stream ◽  
A Value ◽  
Healthcare Quality Assurance ◽  
Management Techniques ◽  
Value Stream Map

Objectives: Lean management (LM) principles were first developed by a Japanese manufacturing company to maximise value and minimise waste in the automotive industry. However, these principles can also be applied in the healthcare sector. This study aimed to illustrate the process of implementing LM principles in a radiation oncology department to streamline workflow and identify and reduce waste. Methods: This study took place in the Department of Radiation Oncology, Royal Hospital, Muscat, Oman, in December 2016. A value stream map (VSM) was created for the chain of processes followed in the department. A waste analysis was conducted to determine which processes did not add value for the patient or healthcare provider. Results: Based on the VSM analysis, only six out of 13 steps were found to be of value. Necessary and unnecessary non-value-adding activities were identified. Sources of waste included parking and registration. In addition, variabilities in workload were noted. Conclusion: Overall, LM principles improve workflow, reduce waste and enhance patient and staff satisfaction. In the current study, the application of LM principles helped to improve value in a radiation oncology department.Keywords: Health Services Administration; Healthcare Quality Assurance; Total Quality Management; Organization and Administration; Efficiency; Oman.

scholarly journals A critical analysis and optimization of the testing & validation activities inside an automotive partsfactory

2021 ◽  
Vol 343 ◽  
pp. 02011
Author(s):  
Lucian-Petru Păvăloi ◽  
Florin Negoescu
Keyword(s):  
Critical Analysis ◽  
Point Of View ◽  
Value Stream Mapping ◽  
Lean Management ◽  
Basic Principles ◽  
Value Stream ◽  
A Value ◽  
The Status

The scope of this paper is to critically analyze and optimize the solutions available from a Lean Management point of view, for the testing & validation department of an automotive factory. The paper will start with an analysis of the basic principles of Lean Management and how this can be applied successfully, followed by a Value Stream Mapping critical analysis of the status at a given time and the action taken with the scope of optimizing the process, concluding with an updated analysis of the new Value Steam Map, showcasing the advantages and the improvements achieved.

scholarly journals Zastosowanie koncepcji lean management w Szpitalnych Oddziałach Ratunkowych

2019 ◽  
pp. 46-52
Author(s):  
Urszula Cegłowska ◽  
Stanisław Brzozowski ◽  
Tomasz Hermanowski ◽  
Małgorzata Chmielewska
Keyword(s):  
Health Care ◽  
Value Stream Mapping ◽  
Lean Management ◽  
Value Stream

<p xss=removed><span xss=removed>Szpitalny oddział ratunkowy jest kluczową komórką organizacyjną w strukturze szpitala i nieefektywne zarządzanie nią może mieć wpływ na funkcjonowanie całego szpitala. Czas jest głównym czynnikiem rokowniczym w przypadku wielu stanów nagłych, optymalizacja funkcjonowania oddziałów ratunkowych, przy uwzględnieniu zwiększania efektywności udzielania świadczeń i obniżenia kosztów funkcjonowania, stanowią więc istotny obszar potrzebnych zmian. Lean management jest zbiorem metod oraz narzędzi wywodzących się z Systemu Produkcyjnego Toyoty i stosowanym w wielu sektorach przemysłu i usług, w ochronie zdrowia narzędzia lean wykorzystywane są przede wszystkim w Stanach Zjednoczonych, Australii oraz Kanadzie. Celem niniejszej publikacji było zestawienie wyników zastosowania lean w oddziałach ratunkowych w Europie. Przeprowadzono przegląd literatury w bazach Medline, Embase, Scopus oraz ProQuest z wykorzystaniem słów kluczowych „lean management”, „health care” oraz „value stream mapping”, uwzględniono artykuły opublikowane do dnia 15.11.2015. Wyniki przeglądu wskazują, że nieefektywne funkcjonowanie oddziałów ratunkowych ma przełożenie na wyższy współczynnik śmiertelności pacjentów, spadek satysfakcji personelu medycznego z wykonywanej pracy, spadek satysfakcji pacjentów z otrzymywanych świadczeń opieki zdrowotnej oraz nieefektywne zużycie ograniczonych zasobów. Podkreśla się szczególnie istotną kwestię koordynacji działań podejmowanych w różnych miejscach realizacji świadczeń oraz rolę multidysycyplinarnego zespołu medycznego. Wdrażając rozwiązania lean w obszarze oddziałów ratunkowych należy mieć na uwadze stopień skomplikowania procesu diagnostyczno-terapeutycznego oraz chęć uczenia się szpitala jako organizacji.</span><br></p>

Lean processes for optimizing OR capacity utilization: prospective analysis before and after implementation of value stream mapping (VSM)

2011 ◽  
Vol 396 (7) ◽  
pp. 1047-1053 ◽  
Author(s):  
Patric Schwarz ◽  
Klaus Dieter Pannes ◽  
Michel Nathan ◽  
Hans Jorg Reimer ◽  
Axel Kleespies ◽  
...  
Keyword(s):  
Capacity Utilization ◽  
Value Stream Mapping ◽  
Prospective Analysis ◽  
Value Stream ◽  
Before And After

Application of Lean Tool (Value Stream Mapping) in Minimisation of the Non-Value Added Waste (A Case Study of Tractor Industry)

2011 ◽  
Vol 110-116 ◽  
pp. 2062-2066 ◽  
Author(s):  
Paramdeep Singh ◽  
Harpuneet Singh
Keyword(s):  
Lean Manufacturing ◽  
Lead Time ◽  
Manufacturing System ◽  
Research Work ◽  
Value Added ◽  
Value Stream Mapping ◽  
Value Stream ◽  
Work In Process ◽  
Before And After ◽  
Traditional Manufacturing

Lean manufacturing has been proved to be an effective management philosophy for improving businesses in a competitive market by eliminating non-value added waste and improving in process operations. Value stream mapping is an important tool used to identify the opportunities for various lean techniques. The present research mainly focuses on the description of a model that is developed to contrast the “before” and “after” scenarios in detail in order to obtain the various benefits such as reduced production lead time, lower work in process inventory [1] and proper utilisation of the workforce. The current manufacturing system has been compared with the proposed pull (Kanban) system which shows the benefits of the proposed lean manufacturing system over the existing traditional manufacturing system. The present research work has been carried out at typical tractor industry which shows 50.5% reduction in total lead time in the future state value mapping of the crank case and the number of operators involved in processing of crank case has also been reduced from 22 to 18.

Development of supply chain value stream map for government-supported drug distribution system

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Anuj Dixit ◽  
Srikanta Routroy ◽  
Sunil Kumar Dubey
Keyword(s):  
Supply Chain ◽  
Distribution System ◽  
Management Practices ◽  
Drug Distribution ◽  
Healthcare Sector ◽  
Value Stream Mapping ◽  
Management Technique ◽  
Content Type ◽  
Value Stream ◽  
Healthcare Environment

PurposeThe requirement of high-quality government-supported healthcare services has necessitated the significance of recognizing new management practices to enhance patient satisfaction. Hence, the purpose of this study is to address the patient's enhanced custom needs through the implementation of supply chain value stream mapping (SCVSM) in government-supported drug distribution system (DDS) for enhanced patient's satisfaction.Design/methodology/approachThis study elucidates the role of one popular emerging management technique (i.e. SCVSM) in the healthcare sector by an investigative case study. The DDS in Rajasthan (India) was selected for this study. The data for this analysis were gathered in three ways (i.e. direct observation, documentary analysis and semi-structured interviews).FindingsThe outcome of this current study reveals that it is possible to apply the tool (SCVSM) to investigate the wastes in DDS to deliver the medicines at right time, right quantity and right quality. The application of SCVSM concluded that the various Kaizens (areas needed to improve) in lead time; transportation and routing should be adopted. The study further implemented kaizen on the current SCVSM and developed future SCVSM.Research limitations/implicationsAlthough various stages and functions exist in the healthcare supply chain, the current study is focused on the distribution system of drugs. The proposed approach provides a platform for both researchers and academicians to understand the existing DDS and to implement the SCVSM approach in the healthcare environment. The results show that the proposed SCVSM model is able to identify some operational bottlenecks and wastes which interfere in DDS.Originality/valueIt was observed that limited literature related to lean implementation on DDS and implementation of SCVSM on the healthcare environment in general and government-supported or public in specific are available. The current study on the application of SCVSM in DDS is unique in nature and will definitely add value to the existing literature of the application of value stream mapping (VSM) on the healthcare supply chain management field.

The Organization of Engineering Shop “Lean” Management System

2014 ◽  
Vol 682 ◽  
pp. 555-560
Author(s):  
Victoria V. Kokareva ◽  
Andrey N. Malyhin ◽  
V.G. Smelov
Keyword(s):  
Management System ◽  
Swot Analysis ◽  
Value Stream Mapping ◽  
Lean Management ◽  
Machine Shop ◽  
Discrete Simulation ◽  
Value Stream ◽  
Reducing Costs ◽  
Plant Simulation ◽  
Lean Management System

This article describes the analysis of the manufacturing enterprise (machine shop). We propose the methods and tools of optimization in order to build a "lean" management system. The purpose of constructing this management system is to eliminate losses, reducing costs, increasing productivity. We used SWOT-analysis tools, VSM (value stream mapping) and discrete simulation (Plant Simulation).

scholarly journals Pemborosan (Waste) di Instalasi Gawat Darurat RSI PKU Muhammadiyah Tegal

2020 ◽  
Vol 2 (02) ◽  
pp. 47-51
Author(s):  
Nurhidayat Nurhidayat ◽  
Firman Firman ◽  
Adi Utarini
Keyword(s):  
Action Research ◽  
Waiting Time ◽  
Cycle Time ◽  
Lead Time ◽  
Value Stream Mapping ◽  
Lean Management ◽  
Value Stream ◽  
Taking Action ◽  
Planning Action

Latar Belakang: Penerapan Jaminan Kesehatan Nasional (JKN) dengan cakupan kesehatan semesta meningkatkan jumlah kunjungan pasien ke rumah sakit, termasuk di Instalasi Gawat Darurat (IGD). Peningkatan di IGD ini menyebabkan waktu tunggu pemindahan pasien dari IGD ke ruang rawat inap pun semakin lama. Untuk mempersingkatnya, digunakan metode lean management. Tujuan: Menurunkan lama waktu tunggu pemindahan pasien dari IGD ke ruang rawat inap dengan cara mengidentifikasi pemborosan waktu tunggu, dan melakukan perbaikan faktor-faktor penyebab pemborosan. Metode: Diterapkan empat tahapan penelitian action research. Pertama, pengumpulan data awal pada diagnosing action, diikuti dengan identifikasi penyebab pemborosan dan solusinya pada tahap kedua, planning action. Ketiga, dilakukan perbaikan cepat pada tahap taking action, meliputi sosialisasi rencana implementasi, update ketersediaan ruang rawat inap, perakitan rekam medis di ruang rawat inap, penulisan resep dokter hanya untuk obat penggunaan di IGD. Penelitian diakhiri dengan evaluasi waktu tunggu dan tindak lanjut pada tahap evaluating action. Hasil: Terdapat delapan tahapan utama dalam alur proses pelayanan pasien IGD hingga pemindahan ke rawat inap. Pemborosan yang utama adalah: waste of overprocessing, waste of motion, dan waste of waiting. Beberapa penyebab utama pemborosan adalah kasus false emergency, kekurangan sumber daya (ruang tunggu dan SDM, papan informasi). Hasil pemetaan dengan Value Stream Mapping adalah rerata 69,9 menit lead time, yang turun menjadi 51,5 menit setelah pasca intervensi. Demikian pula terdapat penurunan waiting time dari 39,9 menit menjadi 28,5 menit, dan cycle time dari 30 menit menjadi 23 menit. Kesimpulan: Lean management dapat mengidentifikasi waste dan menurunkan lama waktu pemindahan pasien IGD ke ruang rawat inap. Lean management perlu dijadikan budaya sebagai salah satu proses dalam upaya perbaikan mutu. Diharapkan hasil intervensi cepat ini dapat dipertahankan oleh rumah sakit, agar menjadi berkelanjutan.

Implementing Lean Techniques on the Shop Floor Improvement of a Delivery Company

2014 ◽  
Vol 989-994 ◽  
pp. 2811-2814
Author(s):  
Jason Shay ◽  
Peter Iming Shieh
Keyword(s):  
Material Handling ◽  
Manufacturing Industries ◽  
Shop Floor ◽  
Value Stream Mapping ◽  
Lean Management ◽  
Value Stream ◽  
Operation Costs ◽  
Business Efficiency ◽  
Domestic Company ◽  
Future Condition

CTC Express is the leading domestic company in delivery service and wants to improve their business efficiency by establishing lean management in the shop floor activities. Lean management is generally adopted by the manufacturing industries as a significant technique to reduce waste and operation costs. This paper investigates the continuous improvement through value stream mapping, begins with describing the current situation and proposes the future condition. Several improvements were implemented in the company such as the transformation of automation process, better result in visual control and standardization processes. The new proposed system has shown being able to reduce the works of loading/unloading and in the same time to increase the performance of material handling in each cycle time.

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