Need for Flexibility and Innovation in Healthcare Management Systems

Wadhwa, Subhash; Madaan, Jitendra; Saxena, Abhinav

doi:10.1007/bf03396519

Cited by 10 publications

(7 citation statements)

References 4 publications

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“…Flexible systems in healthcare institutions support the innovations levels in the systems implementations, which help in better utilization of the resources. Consequently, this will lead to greater quality service (Wadhwa et al, 2007). Our results demonstrated that operational flexibility had a positive effect on hospital performance.…”

Section: Discussion and Practice Implicationsmentioning

confidence: 59%

Proposed Mathematical Model to Study and Analyze the Relationship Between Operational Flexibility Dimensions and Hospital Performance

Alolayyan

Ibrahem

2021

Glob J Flex Syst Manag

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The objective of this work is to create an active interaction between real and theoretical results. Study design was a cross-sectional study, and the opinion of 100 leaders against the hospital operation was used. The data sources were primary data collected from the leaders in King Abdullah University Hospital (KAUH)-Jordan. The findings show the system represents the input variable (input flexibility, process flexibility and outcomes flexibility) as well as hospital performance as production. Depending on the actual results, design identification system assessed the effects of input flexibility, process flexibility and outcomes flexibility against hospital performance to be 68.9%, 68.9% and 77%, respectively. In conclusions, a computational mathematical model that was derived based on factual data has a high accuracy to optimize the active input parameters of input flexibility, process flexibility and outcomes flexibility to be equal 84.3%, 85.6% and 95.5%, respectively, to produce optimum outcomes 93%. However, more studies are needed to confirm the outcomes of this survey using this active technique.

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Section: Discussion and Practice Implicationsmentioning

confidence: 59%

Proposed Mathematical Model to Study and Analyze the Relationship Between Operational Flexibility Dimensions and Hospital Performance

Alolayyan

Ibrahem

2021

Glob J Flex Syst Manag

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“…The various studies have demonstrated that flexibility in the service sector can help mitigate the issues relating to fluctuating demand, time management, capacity utilization and resource handling to achieve excellence in the service domain (Abraham et al, 2020;Garner and Golijani-Moghaddam, 2021;Wadhwa et al, 2007). Like other service sectors, it has also been observed that performing flexibility in the service process in the healthcare sector can maximize service excellence and promote credibility (Holden et al, 2021;Unger and Celentano, 2016).…”

Section: Ijppm 728mentioning

confidence: 99%

“…The different operations management studies have argued that volume flexibility is essential to achieve service capability enhancement (De Giovanni and Massab o, 2018;Fagefors et al, 2020;Wei et al, 2021). In their study, Wadhwa et al (2007) used the simulation model and argued that the healthcare sector should achieve a flexible system to promote better customer service and patient care. Existing research has shown that volume flexibility is one of the critical areas through which the service capability of the healthcare sector can be enhanced (Kumar et al, 2020;Simwita and Helgheim, 2016).…”

Section: Ijppm 728mentioning

confidence: 99%

Section: Literature Review and Hypothesis Developmentmentioning

confidence: 99%

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A study on how to achieve flexibility in healthcare process: a simulation-based approach

Bera

Kumar

Bhattacharya³

2022

IJPPM

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PurposeThe paper aims to investigate the cardiology department’s operational system for improving flexibility by minimizing the patient waiting time and simultaneously maximizing the utilization of service capacity in an uncertain environment. This article also proposes a policy framework that suggests a pool of additional resources and inter-firm collaboration can boost healthcare service delivery excellence.Design/methodology/approachA discrete event simulation (DES) approach is followed for modeling patient flow and determining the service capacity to respond to demand variability and uncertainty. The model's outputs are used to minimize patient waiting time, maximize the utilization of the resources and match the service capacity with the patient demand.FindingsThis research has tested two hypotheses and proved that an increase in waiting time decimates the throughput rate, and additional resources deployment in bottleneck activity positively impacts the throughput rate. The simulated scenarios prescribe an enhanced service capacity with quality care and further contribute to operational performance in reduced waiting time and cost. The results indicate that flexibility reduces the patient waiting time and maximizes the throughput rate.Practical implicationsThe study guides the healthcare policymakers to develop flexible competence and facilitate service mechanisms that are adaptive and robust while operating under a volatile environment. The article contributes to the healthcare literature that conjoins flexibility through simulation and resource utilization.Originality/valueThis research is based on real-life primary data collected from healthcare providers. This study adds value to the healthcare systems to adopt strategic decisions to build flexibility through resource allocation, sharing and coordinated care.

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“…Bishwas ( 2015 ) conducted an empirical study to claim that innovation and flexibility are two strategic intents for attaining organisational vitality. According to Wadhwa et al ( 2007 ), when healthcare systems are viewed as flexible systems, there is more scope to promote innovations in the system. While research linking innovation and flexibility is growing, a dominant stream in the innovation literature, innovation systems, which uses a systems approach to innovation (Carlsson et al 2002 ; Malaviya and Wadhwa 2005 ) is still missing in the Flexible Systems Management literature.…”

Section: Systems Thinking In Flexible Systems Management Literaturementioning

confidence: 99%

Kerala’s Innovations and Flexibility for Covid-19 Recovery: Storytelling using Systems Thinking

Elias

2021

Glob J Flex Syst Manag

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During the early five months of the first phase of the Covid-19 pandemic, the South Indian state of Kerala regularly appeared in world media, presenting an impactful case of Covid-19 innovations. The purpose of this article is to uniquely present Kerala’s success of flattening the Covid-19 curve during that period, employing storytelling using systems thinking. Contributing to the literature stream linking flexible systems management and systems thinking, this study presents the interconnected whole of Kerala’s Covid-19 innovations for pandemic management. The reference mode that was developed using the systems thinking and modelling methodology confirmed Kerala’s exemplary performance in flattening the Covid-19 curve during the first five months of 2020. The systems model built showed six feedback loops explaining how Covid-19 spreading was controlled in Kerala by different types of innovations and an effective public health system. Overall, with a strong inbuilt social fabric, experienced leadership that withered Nipah-virus outbreak, and robust public health system at its advantage, Kerala flattened the Covid-19 curve using its intertwined social, policing, communication and technological innovations.

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Need for Flexibility and Innovation in Healthcare Management Systems

Cited by 10 publications

References 4 publications

Proposed Mathematical Model to Study and Analyze the Relationship Between Operational Flexibility Dimensions and Hospital Performance

Proposed Mathematical Model to Study and Analyze the Relationship Between Operational Flexibility Dimensions and Hospital Performance

A study on how to achieve flexibility in healthcare process: a simulation-based approach

Kerala’s Innovations and Flexibility for Covid-19 Recovery: Storytelling using Systems Thinking

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