THE NEED FOR QUALITY The first thing that we need to consider, in any organization, is that quality is the most important thing. The quality of your work defines you.  Whoever you are,  Whatever you do,  I can find the same products and services cheaper somewhere else. But your quality is your signature. Developing and delivering high quality products and services means that you are doing things correctly from the beginning. As a consequence, you are reducing the need for additional services, from verification to warranty.

Total quality management.

Purpose – The aim of this paper is to provide a review of the existing literature on lean healthcare. It seeks to describe how this concept has being applied and to assess how trends and methods of approach in lean healthcare have evolved over the years.Design/methodology/approach – The paper surveys the applications of lean healthcare in the current literature and classifies over 90 works according to a taxonomy suggested.Findings – Though there seems to exist an agreement about the potential of lean healthcare, it remains a challenge for academics and practitioners to evaluate lean healthcare under a more critical perspective.Practical implications – This work is helpful not only for healthcare practitioners and for researchers in private and public organisations, but also for journal editors and reviewers because it offers ready access to an up to date comprehensive review.Originality/value – Since lean started being applied in healthcare, no effort to provide a complete resource surveying the existing...

Trends and approaches in lean healthcare

https://nuhem.com/emlinks/LLSA%20Articles%202015/Lean%20Thinking%20in%20ED.pdf

Lean Thinking in Emergency Departments : A Critical Review

Healthcare, as with any other service operation, requires systematic innovation efforts to remain competitive, cost efficient, and up-to-date. This article outlines a methodology and presents examples to illustrate how principles of Lean Thinking and Six Sigma can be combined to provide an effective framework for producing systematic innovation efforts in healthcare. Controlling healthcare cost increases, improving quality, and providing better healthcare are some of the benefits of this approach.

https://ibisuva.nl/assets/publicaties/artikelen/2006-dekoning-lean.pdf

Lean Six Sigma in Healthcare

Lean in healthcare: A comprehensive review

Wanneer swingt het?

\nPurpose\nCost reduction is a current topic within healthcare. This article aims to show how Lean Six Sigma can be applied to make the orthopedic outpatient clinic within a hospital more cost-effective. The approach can, of course, also be applied to other departments.\n\n\nDesign/methodology/approach\nWe did a pareto analysis to select the project with the greatest potential. The most expensive and time-consuming activity is repeat consultations; these number around 7,500 per year and are all performed by the orthopedic surgeon. This limits the number of appointments available for new patients. Moreover, the hospital gets a fixed amount of money for each new patient. Therefore, reducing the number of repeat consultations is beneficial to both the patient and the hospital.\n\n\nFindings\nBased on data analysis, we found that the number of repeat consultations performed by orthopedic surgeons can be reduced by 19.5%. An additional 10.8% can be performed by phone, which will probably save the surgeons considerable time. The freed-up time can be used for new patients. Another result is that hospital visits by patients for repeat consults can be reduced by 20.3%. We believe that these efficiency improvements are also possible for other departments/processes. Finally, in the given case, the freed-up time for new patients could generate 465K euros.\n\n\nOriginality/value\nThis article shows that 20% of the care provided by the physicians (i.e. repeat consults) is omissible. While most projects focus on doing the same number of activities in a more efficient way, this paper shows that it is also possible to reduce the amount of medical care provided. We believe that it would be beneficial to take such a perspective when looking at other processes and departments within healthcare.\n

Jaap van den Heuvel

Papers

Wanneer swingt het?

Increasing efficiency in healthcare: a showcase in an orthopedic outpatient clinic