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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Health Information Technology and Healthcare Information System01:30

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Issues And Trends In Healthcare Delivery System01:29

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
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Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
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Healthcare Engineering: A Lean Management Approach.

Abdallah A Abdallah1

  • 1School of Applied Technical Sciences, The German Jordanian University, Amman, Jordan.

Journal of Healthcare Engineering
|October 21, 2020
PubMed
Summary

Lean management tools can improve healthcare by reducing costs and cycle times. Physician engagement and strong leadership are key success factors for implementing lean in hospitals, leading to significant operational benefits.

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Area of Science:

  • Healthcare Management
  • Operations Research
  • Industrial Engineering

Background:

  • Lean management, successful in manufacturing, has shown mixed results in the service sector, including healthcare.
  • Healthcare professionals have attempted lean implementation for two decades with varied success due to unique service sector challenges.
  • Understanding healthcare's specific nature, success factors, and barriers is crucial for effective lean adoption.

Purpose of the Study:

  • To determine if healthcare can be effectively engineered using lean management tools.
  • To identify critical success factors and barriers for lean implementation in healthcare settings.
  • To develop and test a lean implementation framework tailored for hospitals.

Main Methods:

  • Literature review to identify healthcare-specific lean challenges and success factors.
  • Survey of 18 elite Jordanian hospitals to analyze lean implementation.
  • Development of a lean implementation framework based on literature and survey findings.
  • Application of the framework and engineering tools in a major hospital.

Main Results:

  • Organizational leadership, employee lean knowledge, training, and patient satisfaction are dominant success factors.
  • Physician education and involvement in continuous improvement teams are critical, as identified from the survey.
  • Successful lean implementation in a hospital resulted in a 60% reduction in cycle time and an 80% reduction in operational costs.

Conclusions:

  • Lean management principles can be successfully applied to engineer healthcare services.
  • Key enablers include strong leadership, comprehensive training, and physician engagement.
  • A tailored lean implementation framework, incorporating engineering tools, can yield substantial operational improvements in hospitals.