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Standard, routine and non-routine processes in health care
1Quality Management Department of Industrial Engineering and Management, Helsinki University of Technology, Helsinki, Finland.
Summary
Healthcare quality management faces challenges due to industrial approach limitations. Tailored strategies are needed for standard, routine, and non-routine health processes to address unique quality problems effectively.
Area of Science:
- Healthcare Management
- Quality Improvement Science
Background:
- Industrial quality management methods show variable success in healthcare.
- Fundamental differences in aims and predictability limit the applicability of standardization in professional services.
Purpose of the Study:
- To analyze the applicability of industrial quality management in healthcare.
- To classify healthcare processes and identify type-specific quality challenges.
- To discuss tailored management approaches for different healthcare process types.
Main Methods:
- Classification of healthcare processes into standard, routine, and non-routine based on repetition, variation, variety, and uncertainty.
- Analysis of distinct quality problems associated with each process type.
- Discussion of differential management strategies.
Main Results:
- Standard processes may deviate from targets; routine processes risk classification errors.
- Non-routine processes are prone to interpretation failures.
- Different management approaches are required for each process category.
Conclusions:
- Healthcare quality management requires context-specific strategies.
- Recognizing process types (standard, routine, non-routine) is crucial for effective quality problem-solving.
- A tailored approach, potentially using metaphors like 'The Broom,' can aid in managing healthcare quality.