Recovering staff, recovering services: massive-online support for recovering a paediatric service using Lean and compassionate communication

Smith, Iain M; Bayliss, Elaine

doi:10.1136/bmjoq-2022-001914

Cited by 5 publications

(2 citation statements)

References 27 publications

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“…Furthermore, an assessment of the sustainability of process improvements has not been made. 45 In addition to process changes, sustainability has been related to other factors, including leadership, culture and organisational infrastructure to support improvement. 47 This could be a useful focus for future studies of QI MOOCs, particularly where longitudinal follow-up is planned.…”

Section: Limitationsmentioning

confidence: 99%

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Building lean improvement skills at scale: an evaluation of a massive open online course in the English NHS

Smith

2023

BMJ Open Qual

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BackgroundInternationally, healthcare systems face challenges from population demographics and rising care costs. Systematic methods of quality improvement (QI) are considered key to delivering needed transformation and change. Large-scale training in QI skills is required.Massive open online courses (MOOCs) are an inexpensive strategy for QI training across large regions and countries. TheLean FundamentalsMOOC was developed in the English NHS to train health and care staff in Lean QI methods. It supported participants to learn and apply process improvement skills through a free-to-access, practical, learning-in-action approach.MethodsLean Fundamentals’cost-effectiveness and its impact on participants’ knowledge and confidence to apply Lean to improve processes were assessed. Using the Kirkpatrick framework, participant reaction, knowledge and confidence change, results and overall return-on-investment (ROI) were evaluated. Quantitative data were collected via pre and postcourse surveys to analyse participants’ knowledge and confidence change using the Wilcoxon signed rank test. Qualitative learning platform and postcourse survey data demonstrated participants’ results from application.ResultsOver 18 months,Lean Fundamentalsattracted 6617 enrolments and supported 3462 active participants. 97.6% (n=829) of participants completing the postcourse survey indicatedLean Fundamentalsmet their expectations and 97.2% (n=823) indicated they would recommend it. Self-reported changes in knowledge and confidence to apply Lean showed significant differences (p<0.001). Learning was applied to operational healthcare priorities (such as post-COVID recovery of services) and participants shared 511 project improvement reports.ConclusionLean Fundamentalshelped large numbers of participants to develop Lean process improvement skills—avoiding costs associated with commercial Lean training in the range £1.7 m to £3.4 m and generating ROI of between £11 and £23 per every pound spent on delivery. This demonstrates that massive online is an effective and efficient method for building improvement knowledge and skills at scale.

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Section: Limitationsmentioning

confidence: 99%

“…Waiting times were reduced from a maximum of 36 months to a 2-to-3 month average. 45 on May 31, 2024 by guest. Protected by copyright.…”

Section: Paediatric Waiting List Recoverymentioning

confidence: 99%

Building lean improvement skills at scale: an evaluation of a massive open online course in the English NHS

Smith

2023

BMJ Open Qual

Self Cite

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The San Francisco Health Systems Collaborative: Public Health and Health Care Delivery Systems’ Response to the Covid-19 Pandemic

Mercer,

Day,

Ansari

et al. 2024

NEJM Catalyst

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Lean tools used in administrative processes across sectors: a systematic review and insights for the construction industry

Ruwanpura,

Perera,

Ranadewa

2023

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Purpose Administrative processes play a crucial role in various sectors, often contributing to cost overruns and delays. While lean concept has been extensively applied in many industries, there is a recognized need for further research on the integration of lean in administrative processes. To address this research gap, this study aims to systematically analyse the implementation of lean in administrative processes, providing a sector-wise comparison to explore its prospects for the construction industry. Design/methodology/approach A systematic literature review was conducted by adapting the Preferred Reporting Items for Systematic Reviews and Meta-Analyses method. Eighty-six research papers are subjected to descriptive and content analysis on different tools applied in lean integrated administrative processes in health care, education, public administration and other sectors. Findings The research study reveals common lean tools irrespective of sector. Moreover, specific tools used for a particular sector are analysed. Out of the various lean tools and techniques, value stream mapping, 5S and Kaizen are highly acknowledged tools in every sector of lean intervention. Furthermore, ECRS is applied explicitly in the education sector. Furthermore, it is noted that Suppliers, Inputs, Process, Outputs and Customers (SIPOC), 5whys, load levelling and control charts are identical to administrative processes in lean health care. Furthermore, Spaghetti charts and Kaikaku are only adapted to administrative processes in the public administration sector, and causal loop diagrams are used explicitly in administrative processes in the construction sector. Originality/value This study contributes to research by developing a guideline to design lean intervention for a lean-integrated administrative process in any sector which still needs to be transformed into lean. Hence, this study will be a cornerstone for incorporating lean principles for administrative processes in construction sector.

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Recovering staff, recovering services: massive-online support for recovering a paediatric service using Lean and compassionate communication

Cited by 5 publications

References 27 publications

Building lean improvement skills at scale: an evaluation of a massive open online course in the English NHS

Building lean improvement skills at scale: an evaluation of a massive open online course in the English NHS

The San Francisco Health Systems Collaborative: Public Health and Health Care Delivery Systems’ Response to the Covid-19 Pandemic

Lean tools used in administrative processes across sectors: a systematic review and insights for the construction industry

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