Creating efficient professional healthcare organizations

Ibañez, Vincent Martinez; Echagüen, Anna Ochoa de; Campos, Antônio Carlos de; Romea, Soledad

doi:10.1080/20479700.2020.1870347

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…Implementing this Lean project was crucial to improving results [ 32 ]. However, it necessarily required a first phase of designing circuits, structuring, and detecting the value of each stage of the process, reducing variability and establishing valid management indicators.…”

Section: Discussionmentioning

confidence: 99%

Economic Impact of Lean Healthcare Implementation on the Surgical Process

Sales Coll,

De Castro,

Ochoa de Echagüen

et al. 2024

Healthcare

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Objectives: The objective of this study was to analyse and detail surgical process improvement activities that achieve the highest economic impact. Methods: Over 4 years, a team of technicians and healthcare professionals implemented a set of Lean surgical process improvement projects at Vall d’Hebron University Hospital (VHUH), Barcelona, Spain. Methods employed in the study are common in manufacturing environments and include reducing waiting and changeover time (SMED), reducing first time through, pull, and continuous flow. Projects based on these methods now form part of the daily routine in the surgical process. The economic impact on the hospital’s surgical activity budget was analysed. Results: Process improvements have led to annual operational savings of over EUR 8.5 million. These improvements include better patient flow, better management of information between healthcare professionals, and improved logistic circuits. Conclusions: The current cultural shift towards process management in large hospitals implies shifting towards results-based healthcare, patient-perceived value (VBHC), and value-added payment. A Lean project implementation process requires long-term stability. The reason a considerable number of projects fail to complete process improvement projects is the difficulty involved in establishing the project and improving management routines. Few studies in the literature have investigated the economic impact of implementing Lean management a posteriori, and even fewer have examined actual cases. In this real case study, changes to surgical block management were initiated from stage zero. After being carefully thought through and designed, changes were carried out and subsequently analysed.

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Section: Discussionmentioning

confidence: 99%

Economic Impact of Lean Healthcare Implementation on the Surgical Process

Sales Coll,

De Castro,

Ochoa de Echagüen

et al. 2024

Healthcare

View full text Add to dashboard Cite

show abstract

“…The fifth paper provided an 'economic' impact from one of the five streams of work (surgery) purporting to have achieved saving of 8,563,817 € through reducing waste and reordering surgical schedule and a revenue of increase of 600,044 € due to increasing surgical activity [23]. There was no reference to the capture of these financial benefits and impact on the enterprise budget.…”

Section: Million" ([18] P455)mentioning

confidence: 99%

A systematic review of the evidence of how hospitals capture financial benefits of process improvement and the impact on hospital financial performance

Evans

Leggat

Samson

2023

BMC Health Serv Res

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Background Governments, funders and hospital managers around the world are looking for ways to address the continual growth in expenditure by reducing the level of waste in the healthcare delivery system and improving the value of care provided to patients. Process improvement methods are applied to increase high value care, reduce low value care and remove waste from care processes. The purpose of this study is to review the literature to identify the methods used by hospitals to measure and capture financial benefits from PI initiatives to identify best practice. The review also pursues the way hospitals collate these benefits at the enterprise level to achieve improved financial performance. Methods A systematic review was undertaken in line with the PRISMA process and employed qualitative research methods. Databases searched were Medline, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINHAL), Web of Science and SCOPUS. The initial search was conducted in in July 2021 with a follow up search conducted in February 2023 using the same search terms and databases to identify additional studies published in the intervening period. The search terms were identified through the PICO (Participants, Interventions, Comparisons and Outcomes) method. Results Seven papers were identified that reported reduction in care process waste or improvement of the value of care using an evidence-based PI approach and included financial benefits analysis. Positive financial impact was measured for the PI initiatives but none of the studies reported how these financial benefits were captured or applied at the enterprise level. Three of the studies suggested that sophisticated cost accounting systems were required to enable this. Conclusion The study demonstrates the paucity of literature in the field of PI and financial benefits measurement in healthcare. Where financial benefits are documented, they vary in terms of cost inclusions and the ‘level’ at which the costs were measured. Further research on best practice financial measurement methods is needed to enable other hospitals to measure and capture financial benefits arising from their PI programs.

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“…The fth paper provided an 'economic' impact from one of the ve streams of work (surgery) purporting to have achieved saving of 8,563,817 € through reducing waste and reordering surgical schedule and a revenue of increase of 600,044 € due to increasing surgical activity (25). There was no reference to the capture of these nancial bene ts and any impact on the enterprise budget.…”

Section: Financial Measurement and Realisation Approachmentioning

confidence: 99%

What is the evidence of how hospitals capture financial benefits of process improvement and does it impact hospital financial performance?: A systematic review

Evans

Leggat

Samson

2023

Preprint

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Title What is the evidence of how hospitals capture financial benefits of process improvement and does it impact hospital financial performance?: A systematic review Background Hospitals managers around the world are looking for ways to address the continual growth in expenditure by reducing the level of waste in the healthcare delivery system and improving the value of care provided to patients. Process improvement methods are being applied to increase high value care, reduce low value care and remove waste from care processes. The purpose of this study is to establish whether hospitals can measure and capture the financial benefits of process improvement (PI) through reducing process and clinical care waste and improving the value of care. Methods A systematic review was undertaken that followed the PRISMA process and employed qualitative research methods. Results Only six papers that reported a reduction in care process waste or improvement of the value of care using an evidence based PI approach and included financial benefits analysis were identified through the systematic review. In these papers, a positive financial impact was measured for the PI initiatives but none of the studies reported how the financial benefits were captured or applied to the enterprise level. Three of the studies suggested that sophisticated cost accounting systems were required to enable this. Conclusion The study demonstrates the paucity of literature in the field of PI and financial benefits measurement in healthcare. Where financial benefits are documented, they vary in terms of cost inclusions and the ‘level’ at which the costs were measured. Further research on best practice financial measurement methods is needed to enable other hospitals to measure and capture financial benefits arising from their PI programs.

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Creating efficient professional healthcare organizations

Cited by 4 publications

References 10 publications

Economic Impact of Lean Healthcare Implementation on the Surgical Process

Economic Impact of Lean Healthcare Implementation on the Surgical Process

A systematic review of the evidence of how hospitals capture financial benefits of process improvement and the impact on hospital financial performance

What is the evidence of how hospitals capture financial benefits of process improvement and does it impact hospital financial performance?: A systematic review

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