Lean production in healthcare: a simulation-based value stream mapping in the physical therapy and rehabilitation department of a public hospital

Doğan, Nuri; Unutulmaz, Osman

doi:10.1080/14783363.2014.945312

Cited by 56 publications

(32 citation statements)

References 46 publications

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“…Partiendo del texto completo de los artículos elegibles, el cuarto autor extraerá la información etiquetando los fragmentos que representan a nuestras preguntas de investigación y rellenando una ficha de cada una de las referencias. Si no hay información se etiqueta como "no disponible" (Dogan & Unutulmaz, 2016;Knight et al, 2019;Lummus et al, 2006;Sanchez & Blanco, 2014;Vandborg et al, 2012):…”

Section: Interesanteunclassified

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Protocol: Value Stream Maping in Healthcare. A systematic literature review

Marín-García

Vidal-Carreras

Sabater

et al. 2019

Work. pap. oper. manag.

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Until 2016, very few works had investigated the use of the VSM. With this research, we will discover if the situation has changed in the last 3 years. In the lean manufacturing context, different techniques that help the continuous improvement process can be used () that aims to promote research transparency and replication. The concepts investigated in it are defined (VSM and health services sector), a research niche is justified, and the search and codification procedure of the systematic literature review is established. Although there are different versions of the VSM (Dinis-WPOM, Vol 10 Nº2 (36-54) 37 specialists, hospitals, referral centers for rare diseases, and geriatric or disability care). We wish to explore the use in organizations of any country worldwide whose ownership is public, private or a nonprofit foundation. We will focus on patient health services. We will not include the pharmaceutical industry or the operation of governmental or nongovernmental public health structures (e.g. ministries, the Red Cross or similar). Different literature reviews on the VSM have been published. Some focus on analyzing several sectors, predominantly manufacturing. Previous research seems to indicate that the VSM allows the transparency of the process to improve by making it much more understandable for the agents involved in it (Shou et al., 2017;Vidal-Carreras et al., 2015); reduce process times (lead times) (Shou et al., 2017) and inventories (Shou et al., 2017). However, these results come mostly from repetitive manufacturing contexts (linked to the automotive or consumer electronics sectors, or their auxiliary industries), and normally from Anglo-Saxon countries. There do not seem to be enough publications in order to generalize these results to all kinds of contexts. Some publications reveal that the barriers from using such tools can overcome facilitators in public service contexts (Marin-Garcia et al., 2018b). Very few reviews have focused specifically on the VSM and the health services sector (Nowak et al., 2017;Vidal-Carreras et al., 2015). Both conclude that there is not enough material to provide evidence for and a conclusive answer to our research questions. The systematic review that we propose in this protocol intends to answer (in a future publication) the following questions: 1) what is the VSM research gap that applies to the health services sector that currently exists?; 2) is the VSM being used in hospitals or other health centers?; 3) what VSM version is common in health sector publications?; 4) collect examples of the VSM in hospitals/heath centers; 5) how was the VSM used in the hospitals/health centers that have applied it?; 6) what problems and/or difficulties have arisen while drawing the VSM or after drawing it? Different programs will be used for the bibliometric analysis (see details in Marin-Garcia and Alfalla-Luque (2019)). First, the R Bibliometrix package (Aria & Cuccurullo, 2017;Garfield, 2004;Wulff Barreiro, 2007) and also the suitability of SciMAT (Cobo et al., 2012;Santana & Lo...

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Section: Interesanteunclassified

“…• Cita: especificando el autor, año y títulos del artículo (ej. Doğan, N. Ö., Unutulmaz, O., Dogan, N. O., & Unutulmaz, O. (2016).…”

Section: No Procedeunclassified

Protocol: Value Stream Maping in Healthcare. A systematic literature review

Marín-García

Vidal-Carreras

Sabater

et al. 2019

Work. pap. oper. manag.

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“…[7] applied simulation to improve total time in manufacturing company. [8] successfully used simulation-based value stream mapping to help reduce non-value added time at the public hospital. [9] effectively reduced the low time at the St. Catharines Site of Niagara Health System using simu-lation and lean technique.…”

Section: Literature Reviewmentioning

confidence: 99%

Application of lean technique for outpatient service time improvement in public hospital of Thailand

2016

J. adv. ethnol. eng. res.

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Abstract-Currently, the number of outpatients at one of the public hospitals has been rising. The 3-month data showed that the average total time of each outpatient is 92.884 minutes. This research aims to improve this igure by applying lean technique. Current business process is mapped into simulation model. The model is built based on the itted data that are collected from each process. The result from running simulation model shows that the maximum number of work in process takes place at payment unit by 43.26 people. The blood test unit yields the highest waiting time at 31.57 minutes. Two approaches are proposed for improvement. From the simulation result, the irst approach can reduce the average total time by 6.34% and the average number of patients at the payment process to 78.36%. Similarly, the second approach can reduce the average total time by 1.63% and the waiting time at the blood test unit by 21.25%. When two approaches are both applied together, the results show that the average total time, the average number of patients at the payment process reduces by 6.28 and 63.15 percent respectively.

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“…In another study, value stream mapping was implemented with simulation to reduce the patient's length of stay in the physical therapy and rehabilitation department of a public hospital in Turkey. [15] Weigel, Suen [16] developed a quality improvement curriculum for internal medicine residents at Boston Medical Center, which includes lean techniques such as; identifying non-value added tasks and mudas in process maps and creating fishbone diagrams. Moreover, majority of the lean healthcare studies have focused on applying value stream mapping as the most important tool of lean thinking.…”

Section: Value Stream Mappingmentioning

confidence: 99%

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

Yurtkuran

Özdemir

Yurtkuran

et al. 2017

JHA

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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.

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Lean production in healthcare: a simulation-based value stream mapping in the physical therapy and rehabilitation department of a public hospital

Cited by 56 publications

References 46 publications

Protocol: Value Stream Maping in Healthcare. A systematic literature review

Protocol: Value Stream Maping in Healthcare. A systematic literature review

Application of lean technique for outpatient service time improvement in public hospital of Thailand

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

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