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Lean healthcare: scale, scope and sustainability.

Cory R A Hallam1, Carolina Contreras1

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Lean healthcare improves operational efficiency but implementation is localized. Further research is needed to address terminology and expand successful Lean healthcare initiatives beyond small-scale successes.

Keywords:
Lean healthcareQualitySustainabilitySystems thinkingValueWaste

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Area of Science:

  • Healthcare Management
  • Operational Excellence
  • Quality Improvement

Background:

  • Lean healthcare is recognized for enhancing quality and operational efficiency.
  • Empirical evidence on Lean healthcare implementation and its outcomes is growing.

Purpose of the Study:

  • To analyze the empirical outcomes of Lean healthcare implementation.
  • To understand the scale, scope, and sustainability of Lean healthcare initiatives.

Main Methods:

  • Systematic literature review following PRISMA guidelines.
  • Analysis of peer-reviewed journals on Lean healthcare implementation, tools, wastes, outcomes, and sustainability.

Main Results:

  • Lean healthcare demonstrates potential for improving operational effectiveness.
  • Implementation is often localized, focusing on few tools (e.g., reducing patient wait times) with limited evidence of sustainability.
  • Lack of standardized healthcare-specific Lean terminology may hinder broader adoption.

Conclusions:

  • Lean healthcare implementation is currently fragmented and localized.
  • Barriers to wider adoption include inconsistent terminology and the need to scale beyond isolated successes.
  • Further research should focus on developing standardized terminology and expanding implementation strategies for greater impact and sustainability.