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Using Value Stream Mapping to improve quality of care in low-resource facility settings
Rohit Ramaswamy1, Claire Rothschild2, Funmi Alabi1
1University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Summary
Jacaranda Health used Value Stream Mapping to improve maternal and newborn healthcare quality. This Lean Management tool engaged staff in identifying system-wide improvements for better patient care and operational efficiency.
Area of Science:
- Healthcare Management
- Quality Improvement Science
- Lean Management in Healthcare
Background:
- Jacaranda Health (JH) provides maternal and newborn healthcare in Nairobi, Kenya.
- JH aimed to enhance healthcare quality and efficiency across its facilities.
Purpose of the Study:
- To adopt an organization-wide quality improvement strategy.
- To optimize effectiveness and efficiency in healthcare delivery.
Main Methods:
- Utilized Value Stream Mapping (VSM), a Lean Management tool.
- Engaged staff in identifying opportunities for clinical outcome and patient-centered quality improvements.
- Implemented a five-step process: leadership engagement, staff training, team formation, process walkthrough, and validation.
Main Results:
- The VSM provided an end-to-end view of the care process at JH.
- The tool facilitated the selection of system-wide improvement opportunities.
- Staff engagement led to a shared understanding and commitment to quality enhancement.
Conclusions:
- Value Stream Mapping is an effective visual tool for quality improvement.
- VSM fosters staff engagement at all organizational levels.
- The tool supports commitment to quality improvement initiatives in healthcare settings.
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