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A Mixed-Methods Research Framework for Healthcare Process Improvement.

Nathaniel D Bastian1, David Munoz2, Marta Ventura2

  • 1Center for Integrated Healthcare Delivery Systems, Department of Industrial & Manufacturing Engineering, The Pennsylvania State University, University Park, PA; Center for Healthcare Innovation, Education and Research, Department of Health Organization Management, Texas Tech University, Lubbock, TX; Center for Health and Humanitarian Systems, Stewart School of Industrial & Systems Engineering, Georgia Institute of Technology, Atlanta, GA.

Journal of Pediatric Nursing
|October 11, 2015
PubMed
Summary
This summary is machine-generated.

This study presents a practical framework for healthcare managers to improve clinical workflow efficiency and patient care quality. The methodology systematically assesses and enhances processes, leading to better outcomes and reduced waste in healthcare settings.

Keywords:
Healthcare managementMixed-methods researchPediatric careProcess improvementQuality engineeringWorkflow assessment

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Area of Science:

  • Healthcare Management
  • Quality Improvement
  • Process Engineering

Background:

  • US healthcare costs are rising without commensurate improvements in quality, access, or efficiency.
  • Efficient clinical workflow is critical for enhancing healthcare value and provider satisfaction.
  • High-stress healthcare environments necessitate systematic process improvement.

Purpose of the Study:

  • To provide a practical healthcare process improvement framework for managers and quality engineers.
  • To assess, measure, and improve clinical workflow processes effectively.
  • To enhance healthcare value and patient care standards.

Main Methods:

  • A mixed-methods research framework integrating qualitative and quantitative tools.
  • A three-phase approach: stakeholder analysis, survey design, and time-motion study.
  • Systematic assessment and categorization of workflow tasks into value-added and non-value-added activities.

Main Results:

  • The framework was applied to a pediatric intensive care unit.
  • Implementation identified and categorized workflow tasks, distinguishing between value-added and non-value-added activities.
  • The methodology facilitated a more valuable and higher quality patient care approach.

Conclusions:

  • The three-phase methodology offers a comprehensive assessment of clinical workflow.
  • The framework supports continuous improvement in complex healthcare settings.
  • Provides a general methodology for healthcare process improvement, enhancing organizational efficiency.