Development of Lean Assessment Tool for Healthcare Industry

Dodgalih Nur Muhammad, Putu Dana Karningsih

Abstract


The concept of lean is originated in manufacturing industry. However, this concept also has been widely adopted in service industry, from airlines to retailers. There are several healthcares or hospitals in various countries that has implemented Lean. The hospital that has adopted lean, shown various improvements, such as increase on efficiency and flexibility, reduction cost and infections cases. It is important to have lean assessment to measure leanness level after implementing lean. Lean Assessment Tool is utilized to measure effectiveness and efficiency of lean implementation in a particular company. There are many studies on Lean Assessment Tool for manufacturing and service industry in general. However, Lean Assessment Tool that is specific for hospital is not yet available. Therefore this study aims to develop a Lean Assessment Tool (LAT) for healthcare. First, quantitative and qualitative dimensions and indicators are gathered from literature study. Proposed dimensions and indicators are then selected and validated using the Fuzzy Delphi method. There are seven quantitative dimensions, which are quality, time, internal transportation, employee involvement, cost, customer, and inventory. While, there are six qualitative dimensions, which are quality, process, employee involvement, vertical information system, technology upgrading, and management commitment. Measurement method by using fuzzy logic to calculate leanness level for both quantitative and qualitative indicator is then applied. Leanness level will be mapped using radar plots.

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References


Gaspresz, Vincent, “Lean Six Sigma for Manufacturing and Service Industries,”. Jakarta: PT. Gramedia Pustaka Utama, 2007.

Achanga, P., Shehab, E., Roy, R., & Nelder, G., “Critical success factors for lean implementation within SMEs,” Journal of Manufacturing Technology Management, 17(4), 460–471, 2006.

Stone, Kyle, “Four decades of lean: A systematic literature review,” International Journal of Lean Six Sigma, 3, 112-132, 2012.

Bowen, D. E., & Youngdahl, W. E., “Lean service: in defense of a production-line approach,” International Journal of Service Industry Management, 9(3), 207-225, 1998.

Womack, J., Byrne, A. P., Fiume, O. J., Kaplan, G. S., & Toussaint, J, “Innovation series: going lean in health care,” Institute for Healthcare Improvement, 21, 2005.

Moraros, J., Lemstra, M., & Nwankwo, C., “Lean interventions in healthcare: Do they actually work? A systematic literature review,” International Journal for Quality in Health Care, 28(2), 150–165, 2016.

Farrel, G., “Survey of ICT and Education in Africa,” Washington, USA: The International Bank for Recpnstruction and Development, The World Bank Press (Buku Elektronik) diakses 5 Mei 2017, 2007.

Iswanto, Heri., “Metode Kanban : Eliminasi Pemborosan Logistik Farmasi,” Diakses melalui http://hospitalindonesia.com/metode-kanban-eliminasi-pemborosan-logistik-farmasi/2/, 2014.

Narayanamurthy, Gopalakrishnan & Gurumurthy, Anand, “Leanness assessment: a literature review,” International Journal of Operations & Production Management, 36, 1115-1160, 2016.

Oleghe, Omogbai & Salonitis, Konstantinos, “A lean assessment tool based on systems dynamics,” Procedia CIRP, 50, 2016.

Pakdil, F., & Leonard, K. M., “Criteria for a lean organisation: Development of a lean assessment tool,” International Journal of Production Research, 52(15), 4587–4607, 2014.

Karlsson, C., & Hlström, P., “Assessing changes towards lean production,” International Journal of Operations and Production Management, 16(2), 24–41, 1996.

Soriano-Meier, H., & Forrester, P. L., “A model for evaluating the degree of leanness of manufacturing firms,” Integrated Manufacturing Systems, 13(2), 104–109, 2002.

Bayou, M. E., & de Korvin, A., “Measuring the leanness of manufacturing systems-A case study of Ford Motor Company and General Motors,” Journal of Engineering and Technology Management - JET-M, 25(4), 287–304, 2008.

Wan, H. Da, & Frank Chen, F., “A leanness measure of manufacturing systems for quantifying impacts of lean initiatives,” International Journal of Production Research, 46(23), 6567–6584, 2008.

Vinodh, S., & Chintha, S. K., “Leanness assessment using multi-grade fuzzy approach. International Journal of Production Research, 49(2), 431–445, 2011.

Kumar, S., Singh, B., Qadri, M. A., Kumar, Y. V. S., & Haleem, A., “A framework for comparative evaluation of lean performance of firms using fuzzy TOPSIS. International Journal of Productivity and Quality Management, 11(4), 371–392, 2013.

Malmbrandt, M., & Åhlström, P., “An instrument for assessing lean service adoption. International Journal of Operations and Production Management, 33(9), 1131–1165, 2013.

Graban, M., “Lean Hospital : Improving Qualit, Patient Safety, and Employee Satisfaction,” New York: CRC Press, 2009.

Usman, Indrianawati & Ardiyana Nandini, Mira, “Lean Hospital Management, Studi Empirik pada Layanan Gawat Darurat,”, 2017.

Adellia Yolla et al., “Lean Healthcare Approach for Waste Minimization at Malang Islamic Hospital of Unisma,” Jurnal ilmiah teknik industri, 292-30, 2016.

Radnor, Z.J., Holweg, M. & Waring, J., “Lean in healthcare: The unfilled promise?,” Social Science & Medicine, 74(3), 364–371, 2012.

Furman, C. & Caplan, R., “Applying the Toyota Production System: using a patient safety alert system to reduce error,” Joint Commission Journal on Quality and Patient Safety, 33(7), 376-386, 2007.

White, B.A., Baron, J.M., Dighe, A.S., Camargo, C.A. Jr & Brown, D.F., “Applying Lean methodologies reduces ED laboratory turnaround times,” American Journal of Emergency Medicine, 33(11): 1572-1576, 2015.

Chan, H., Lo, S., Lee, L. , Lo, W., Yu, W., Wu, Y. , Ho, S., Yeung, R. & Chan, J., “Lean techniques for the improvement of patients' flow in emergency department,” World Journal of Emergency Medicine, 5(1), 24-8, 2014.

Costa, L.B., Filho, M.G., Rentes, A.F., Bertani, T.M. & Mardegan, R., “Lean healthcare in developing countries: evidence from Brazilian hospitals,” International Journal of Health Planning and Management, 2015.

Anuar, Azyyati & Sadek, Daing, “Validity Test of Lean Healthcare using Lawshe's Method,” International Journal of Supply Chain Management. 7, 197-203, 2018.

Singh, Ajwinder & Prasher, Ajay & Kaur, Navdeep, “Assessment of hospital service quality parameters from patient, doctor and employees’ perspectives,” Total Quality Management & Business Excellence, 1-20, 2018.

Tomes, A. and Chee Peng Ng, S., "Service quality in hospital care: the development of an in‐patient questionnaire," International Journal of Health Care Quality Assurance, Vol. 8 No. 3, pp. 25-33, 1995.

Pal, Sourabh and Santosh kumar Sharma, “Integrated Lean Six Sigma Approach for Healthcare Service Quality Management,” 2017.

Si, Sheng-Li & You, Xiao-Yue & Liu, Hu-Chen & Huang, Jia., “Identifying Key Performance Indicators for Holistic Hospital Management with a Modified DEMATEL Approach. Internationa,” Journal of Environmental Research and Public Health, 14, 934 , 2017.

Rahimi, Hamed & Kavosi, Zahra & Shojaei, Payam & Kharazmi, Erfan, “Key performance indicators in hospital based on balanced scorecard model,” Journal Health Management & Informatics, 4, 17-24, 2017

Kamarulzaman, N., Jomhari, N., Mohd Raus, N., & Zulkifli Mohd Yusoff, M., “Applying the Fuzzy Delphi Method to Analyze the user Requirement for user Centred Design Process in Order to Create Learning Applications,” Indian Journal of Science and Technology, 8(32), 2015.

Cheng, C.-H., & Lin, Y., “Evaluating the best main battle tank using fuzzy decision theory,” European Journal of Operational Research, 142, 174–186, 2002.

Behrouzi, F., & Wong, K. Y., “Lean performance evaluation of manufacturing systems: A dynamic and innovative approach,” Procedia Computer Science, 3, 388–395, 2011.

Nightingale, D.J. and Mize, J.H., “Development of a lean enterprise transformation maturity model,” Information Knowledge Systems Management, Vol. 3 No. 15, 2002.

Raval, Shruti & Kant, Ravi & Shankar, Ravi, “Benchmarking the Lean Six Sigma performance measures: a balanced score card approach,” Benchmarking: An International Journal, 26, 2019.

Saary, Maria, “Radar plots: A useful way for presenting multivariate health care data,” Journal of clinical epidemiology, 61. 311-7., 2008.




DOI: http://dx.doi.org/10.12962/j23546026.y2020i1.8411

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