Process Improvement for Value Creation: a Case of Health Care Organization

Čiarnienė, Ramunė; Vienažindienė, Milita; Vojtovič, Sergej

doi:10.5755/j01.ee.28.1.16601

Cited by 11 publications

(15 citation statements)

References 26 publications

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“…Authors; Honda et al (2018, p. 70) Social impacts “…the list of possible social returns … became quite long, and each social impact (for example, less patient time spent in hospitals) could cascade into broader social impacts (for example, increased productivity, increased efficiency at hospitals, benefits of expenditures in other areas …)”. Authors, Moody et al (2015, p. 30) Financial outcomes ● Cost saving ● Revenue generation ● Cost-management ● Cost reduction ● Cost avoidance ● Financial stability [ 33 , 68 – 71 , 74 , 76 – 79 , 81 , 84 , 86 , 88 , 92 , 93 , 108 , 110 , 116 , 119 , 124 , 130 , 134 ] Legal costs reduction “In the last 6 years our professional liability exposure has decreased. It is possible that this resulted from higher quality care”.…”

Section: Resultsmentioning

confidence: 99%

Identifying and understanding benefits associated with return-on-investment from large-scale healthcare Quality Improvement programmes: an integrative systematic literature review

Thusini

Milenova

Nahabedian

et al. 2022

BMC Health Serv Res

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Background We previously developed a Quality Improvement (QI) Return-on-Investment (ROI) conceptual framework for large-scale healthcare QI programmes. We defined ROI as any monetary or non-monetary value or benefit derived from QI. We called the framework the QI-ROI conceptual framework. The current study describes the different categories of benefits covered by this framework and explores the relationships between these benefits. Methods We searched Medline, Embase, Global health, PsycInfo, EconLit, NHS EED, Web of Science, Google Scholar, organisational journals, and citations, using ROI or returns-on-investment concepts (e.g., cost–benefit, cost-effectiveness, value) combined with healthcare and QI. Our analysis was informed by Complexity Theory in view of the complexity of large QI programmes. We used Framework analysis to analyse the data using a preliminary ROI conceptual framework that was based on organisational obligations towards its stakeholders. Included articles discussed at least three organisational benefits towards these obligations, with at least one financial or patient benefit. We synthesized the different QI benefits discussed. Results We retrieved 10 428 articles. One hundred and two (102) articles were selected for full text screening. Of these 34 were excluded and 68 included. Included articles were QI economic, effectiveness, process, and impact evaluations as well as conceptual literature. Based on these literatures, we reviewed and updated our QI-ROI conceptual framework from our first study. Our QI-ROI conceptual framework consists of four categories: 1) organisational performance, 2) organisational development, 3) external outcomes, and 4) unintended outcomes (positive and negative). We found that QI benefits are interlinked, and that ROI in large-scale QI is not merely an end-outcome; there are earlier benefits that matter to organisations that contribute to overall ROI. Organisations also found positive aspects of negative unintended consequences, such as learning from failed QI. Discussion and conclusion Our analysis indicated that the QI-ROI conceptual framework is made-up of multi-faceted and interconnected benefits from large-scale QI programmes. One or more of these may be desirable depending on each organisation’s goals and objectives, as well as stage of development. As such, it is possible for organisations to deduce incremental benefits or returns-on-investments throughout a programme lifecycle that are relevant and legitimate.

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Section: Resultsmentioning

confidence: 99%

Identifying and understanding benefits associated with return-on-investment from large-scale healthcare Quality Improvement programmes: an integrative systematic literature review

Thusini

Milenova

Nahabedian

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

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“…Carayon and Smith ( 2006) developed a work system and patient safety model that includes a work system (persons, tasks, tools and technologies, physi-cal environment, organisational conditions), processes and outcomes. Based on this model and literature analysis (Ciarniene et al, 2017;WHO, 2020), the authors of this article present a theoretical model of workplace safety improvement with regard to COVID-19 infection prevention and control measures (Fig. 1).…”

Section: Literature Reviewmentioning

confidence: 99%

Safety and Health at the Workplace in the Context of COVID-19: The Case of a Dental Clinic

Čiutienė

Čiarnienė

Gaidelys

2022

Engineering Management in Production and Services

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Governments of different countries and healthcare organisations working in various areas face enormous challenges when trying to combat the COVID-19 pandemic and protect employees, their families and communities. Workplaces can be high-risk environments in terms of the virus outbreak and transmission. This paper aims to disclose the ways for workplace safety improvement in dentistry in the context of COVID-19. The authors present the theoretical model of workplace safety improvement with regard to COVID-19 infection prevention and control measures. The expectations, fears and tasks of dental employees at their workplace in the context of the COVID-19 pandemic were investigated based on the systematic literature review and the qualitative empirical study conducted in Lithuania. The study disclosed that unmet employee expectations could lead to different kinds of fear; the most common sources of anxiety are linked to a higher risk of getting infected, a lack or misuse of protection measures and inadequately performed work. Occupational risks are closely related to the components of a workplace system. Therefore, it is important to apply a holistic approach to improve workplace safety, enhance work performance and minimise the negative effects on an employee, an organisation, a patient and a society.

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“…The vitality and prosperity of a nation depends on its citizens' health. The fundamental goal of health care sector is added value for patients (Čiarnienė, Vienažindienė, & Vojtovic, 2017). Nurses compound the largest group of the human resources in health, but according to Ulep (2018), significant nursing shortagies expected in the near future.…”

Section: Introductionmentioning

confidence: 99%

Managing Human Resources in Nursing: The Relationship of Nurses’ Working Time and Patients’ Independence Level

Čiarnienė

Suprikienė

Čiutienė

et al. 2019

Journal of Business Economics and Management

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A skilled, competent, and motivated nursing workforce is crucial for a well-functioning health care system. Nurses’ professional activities done on a regular basis, their workload, and occupancy are related to the patient’s health status, dependence level and care needs. Therefore, managing human resources in nursing by effectively distributing nurses’ working time and monitoring their workload for safe and high quality care, managers should rely on the severity of patients’ health status and their independence level. In this article the results on how nurses’ working time depends on patients’ independence are provided. The research was carried out at a regional hospital, in departments of medical profile. The time-and-motion study was implemented with 72 observations made in total, which amounted to 777.2 hours of nursing time. A questionnaire was used to assess the level of patients’ independence by assessing the four activities of the patient’s daily living. The results revealed that the largest amount of nurses’ working time, i.e. almost half of a day’s shift, was spent on direct patient care by administrating medication use and performing various nursing procedures. Nurses would spend almost half of the time for direct patient care on completely dependent patients, while one third would be spent on dependent patients. The relative number of nurses’ contacts with a patient is directly proportional to patient’s level of independence; a strong or fairly strong linear relationship was established betweenn the level of patients’ independence and the relative amount of nurses’ working time.

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Process Improvement for Value Creation: a Case of Health Care Organization

Cited by 11 publications

References 26 publications

Identifying and understanding benefits associated with return-on-investment from large-scale healthcare Quality Improvement programmes: an integrative systematic literature review

Identifying and understanding benefits associated with return-on-investment from large-scale healthcare Quality Improvement programmes: an integrative systematic literature review

Safety and Health at the Workplace in the Context of COVID-19: The Case of a Dental Clinic

Managing Human Resources in Nursing: The Relationship of Nurses’ Working Time and Patients’ Independence Level

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