Productivity and performance improvement in the medical records department of a hospital An application of Lean Six Sigma

被引:59
作者
Bhat, Shreeranga [1 ]
Gijo, E. V. [2 ]
Jnanesh, N. A. [3 ]
机构
[1] St Joseph Engn Coll, Dept Mech Engn, Mangalore, India
[2] Indian Stat Inst, SQC & OR Unit, Bangalore, Karnataka, India
[3] KVG Coll Engn, Dept Mech Engn, Sullia, Karnataka, India
关键词
Lean Six Sigma; Healthcare; Value stream mapping; Analysis of variance; Spaghetti diagram; Turn-around-time;
D O I
10.1108/IJPPM-04-2014-0063
中图分类号
C93 [管理学];
学科分类号
12 ; 1201 ; 1202 ; 120202 ;
摘要
Purpose - The purpose of this paper is to illustrate how Lean Six Sigma (LSS) methodology was applied to a medical records department (MRD) of a hospital in India to reduce the Turn-Around-Time (TAT) of medical records preparation process and thus to improve the productivity and performance of the department. Design/methodology/approach - The research reported in this paper is based on a case study carried out using LSS approach and in improving the medical records preparation process. Findings - The root causes for the problem were identified and validated through data-based analysis from LSS tool box, at different stages in the project. As a result of this project, the TAT was reduced from average 19 minutes to eight minutes and the standard deviation was reduced by one-tenth, which was a remarkable achievement for department under study. This was resulted in the reduction in the work-in-process inventory of medical records from 40 units to 0 at the end of the day. Project in-turn reduced the staffing level from the earlier level of six to a current level of four. Research limitations/implications - The paper is based on a single case study executed in IP-MRD of a single hospital and hence there is limitation in generalizing the specific results from the study. But the approach adopted and the learning from this study can be generalized. Originality/value - This paper will be helpful for those professionals who are interested in implementing LSS to healthcare organization to improve the productivity and performance.
引用
收藏
页码:98 / 125
页数:28
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