Improving processes in a small health‐care network

Özdemir

et al. 2017

JHA

Until recently, hospitals have adapted a series of quality standards to improve the quality of their services. However, these standards do not provide any cost reduction that is worth mentioning within which qualified personnel, material and indirect costs are already very high. To overcome this problem, lean production techniques have been integrated to the healthcare processes in the last few years. This study aimed to reduce costs by both improving and shortening the time of Social Security Instituition (SSI) based invoicing processes of a public hospital in Bursa, Turkey during the period of 2013-2014. To accomplish this goal various lean tools such as value stream mapping, poka-yoke, kaizen and standardization were presented and implemented. For validation purposes, montly SSI cuts, total income and process times before and after the lean transformation were analysed and compared. Furthermore, patient satisfaction surveys were carried out in order to investigate the negative effects of cost oriented lean studies. Results reveal that a clear improvement in total income is achievable, while maintaining the patient satisfaction levels. In this case, an eight percent improvement in SSI cuts resulting in a clear improvement on total income values has been obtained. Findings indicate that implementing lean tools on hospital processes is an effective way to reduce the healthcare costs while maintaining the patient satisfaction levels. The results of this study will stimulate the research in adopting lean techniques not only for patient satisfaction, but also for cost reduction purposes in hospitals.

Section: Value Stream Mappingmentioning

confidence: 99%

Lean transformation to reduce costs in healthcare: A public hospital case in Turkey

Özdemir

et al. 2017

JHA

Proceedings of the 41st Annual Hawaii International Conference on System Sciences (HICSS 2008)

“…Recent studies have highlighted the criticality of physician attitudes with respect to the effective adoption and use of HIT [14,18,23,17,5,13,28] Physician resistance to technology adoption is not necessarily unwarranted. Snyder, Paulson and McGrath report that while the time required to perform the tasks of medical technicians may decrease, "the doctor is faced with an increase in his or her workload" [21, p. 90).…”

Section: The Role Of Physicians Promoting or Resisting The Implementamentioning

confidence: 99%

Electronic Medical Records Use An Examination of Resident Physician Intentions

Trimmer

Beachboard

Wiggins

et al. 2008

Between 1992 and 2002, overall health care spending rose from $827 billion to about $1.6 trillion; it is projected to nearly double to $3.1 trillion in the following decade. This price tag results, in part, from advances in expensive medical technology, including new drug therapies, and the increased use of high-cost services and procedures. Many policymakers, industry experts, and medical practitioners contend that the U.S. health care system-in both the public and private sectors-is in crisis [11, p. 33]. Efforts are underway to convert all medical records from paper to electronic. This manuscript uses the Unified Theory of Acceptance and Use of Technology as a lens to interpret the responses of physicians completing their Residency in Family Medicine regarding use and adoption of Electronic Medical Record Systems (EMR).

Business Process Management Journal

“…First researches have been conducted pursuing partially these aims (e.g. Snyder et al, 2005;Gospodarevskaya and Churilov, 2011). In Snyder et al (2005) through value stream mapping (VSM) job functions interrelations and connections among entities have been identified and with the support of a software, interfaces problems have been reduced.…”

Section: Challenges For Italian Healthcare Organizationsmentioning

confidence: 99%

Mapping lean experiences and emerging connections with clinical risk management in Italian context

Crema

Verbano

2015

Purpose -The purpose of this paper is to describe the Italian state of art of Health Lean Management (HLM) and to analyze the Italian projects that connect this approach with clinical risk management (CRM). Design/methodology/approach -After introducing Italian healthcare system and its main challenges, relevant Italian experiences have been searched investigating regional health plans (RHPs), managerial reports, books, workshops, conference proceedings and hospital web sites. The degree of experience of each Italian region has been first studied. Further, field of applicability, objectives, tools, practices and results of the projects with first signs of HLM and CRM integration have been analyzed. Findings -Although interest in new managerial approaches is spreading in almost all the territory and new managerial solutions are fostered in many RHPs, HLM projects are implemented patchy in Italy. For what regards HLM projects with CRM connections, the Italian context seems aligned with the international one, apart from few features. First indications for the implementation of HLM projects with CRM connections emerged. Originality/value -Healthcare systems are facing multiple challenges in a context where public funds decrease but quality of care must be guaranteed. Combining different managerial approaches could solve these issues. In this research, for the first time, a map about Italian HLM adoption has been drawn, and Italian HLM projects with CRM connections have been analyzed. The results constitute one of the first contributions useful to develop guidelines for the implementation of projects pursuing efficiency, quality and safety objectives.