THE EFFECTIVENESS OF LEAN SIX SIGMA IMPLEMENTATION IN HEALTH-CARE FACILITIES
Abstract
This study was conducted to investigate the effectiveness of implementing Lean Six Sigma within the field of health care facilities. Lean Six Sigma is a powerful tool that can increase the organization performance. In this study A systematic review was performed in accordance with current best practices through close adherence to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. This study was found that the implementation of Lean Six Sigma enables the hospital to reduce the consumption of plasminogen by 69%, block utilization was increase by 13%-28%, book appointment increases by 24-276%, time saving were increase by 17% to 21%. And for service quality in blood collection was increased by 55% housewide. Lean Six Sigma is an inexpensive methodology to implement, it can bring many benefits to the organization in the health-care facilities. The successful implementation of Lean Six Sigma was able to reduce waste, reduce defect rate, increasing the quality of service, and reduce process variability that led to patient satisfaction and cost effective.
Keywords: lean six sigma, health-care facility, productivity, efficiency
References
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Tagge, E. P., Thirumoorthi, A. S., Lenart, J., Garberoglio, C., & Mitchell, K. W. (2017). Improving operating room efficiency in academic children’s hospital using Lean Six Sigma methodology. Journal of Pediatric Surgery, 52(6), 1040–1044. https://doi.org/10.1016/j.jpedsurg.2017.03.035
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Hynes, J. P., Murray, A. S., Murray, O. M., Eustace, S. K., Gilchrist, S., Dolan, A., & Lawler, L. P. (2019). Use of Lean Six Sigma methodology shows reduction of inpatient waiting time for peripherally inserted central catheter placement. Clinical Radiology. https://doi.org/10.1016/j.crad.2019.04.022
De Freitas, J. G., Costa, H. G., & Ferraz, F. T. (2017). Impacts of Lean Six Sigma over organizational sustainability: A survey study. Journal of Cleaner Production, 156, 262–275. https://doi.org/10.1016/j.jclepro.2017.04.054
Mancosu, P., Nicolini, G., Goretti, G., De Rose, F., Franceschini, D., Ferrari, C., Scorsetti, M. (2018). Applying Lean-Six-Sigma Methodology in radiotherapy: Lessons learned by the breast daily repositioning case. Radiotherapy and Oncology, 127(2), 326–331. https://doi.org/10.1016/j.radonc.2018.02.019
Agarwal, S., Gallo, J. J., Parashar, A., Agarwal, K. K., Ellis, S. G., Khot, U. N., … Kapadia, S. R. (2016). Impact of lean six sigma process improvement methodology on cardiac catheterization laboratory efficiency. Cardiovascular Revascularization Medicine, 17(2), 95–101. https://doi.org/10.1016/j.carrev.2015.12.011
Shortell, S. M., Blodgett, J. C., Rundall, T. G., & Kralovec, P. (2018). Use of Lean and related Transformational Performance Improvement Systems in hospitals in the United States: Results From a National Survey. The Joint Commission Journal on Quality and Patient Safety, 44(10), 574–582. https://doi.org/10.1016/j.jcjq.2018.03.002
Ramos, P., Bonfá, E., Goulart, P., Medeiros, M., Cruz, N., Puech-Leão, P., & Feiner, B. (2016). First-case tardiness reduction in a tertiary academic medical center operating room: A Lean Six Sigma perspective. Perioperative Care and Operating Room Management, 5, 7–12. https://doi.org/10.1016/j.pcorm.2016.12.001
Stern, T.V., (2019). Leaner Six Sigma making Lean Six Sigma easier and adaptable to current workplaces. Routledge/Productivity Press, ISBN: 978-0-429-42596-7
Swink, M., & Jacobs, B. W. (2012). Six Sigma adoption: Operating performance impacts and contextual drivers of success. Journal of Operations Management, 30(6), 437–453, https://doi.org/ 10.1016/j.jom.2012.05.001
Deloitte Indonesia Business and Industry Updates. (2020). Rising to the COVID-19 health care challenge in Indoneisa. Deloitte. https://www2.deloitte.com/content/dam/Deloitte/id/Documents/life-sciences-health-care/id-lshc-rising-to-covid-19-health-care-challenge-in-indonesia.pdf
Aqlan, F., & Al-fandi, L. (2018). Prioritizing process improvement initiatives in manufacturing environments. International Journal of Production Economics, 196, 261–268. https://doi.org/10.1016/j.ijpe.2017.12.004
D’Andreamatteo, A., Ianni, L., Lega, F., & Sargiacomo, M. (2015). Lean in healthcare: A comprehensive review. Health Policy, 119(9), 1197–1209. https://doi.org/10.1016/j.healthpol.2015.02.002
Grima, P., Marco-Almagro, L., Santiago, S., & Tort-Martorell, X. (2013). Six Sigma: Hints from practice to overcome difficulties. Total Quality Management & Business Excellence, 25(3–4), 198–208. https://doi.org/10.1080/14783363.2013.825101
Kumar, M., Antony, J., & Tiwari, M. K. (2011). Six Sigma implementation framework for SMEs - a roadmap to manage and sustain the change. International Journal of Production Research, 49(18), 5449–5467. https://doi.org/10.1080/00207543.2011.563836
Peimbert-Garc´ıa, R.E., (2019). Analysis and evaluation of reviews on Lean and Six Sigma in health care. Manage Health Care Vol. 28, No. 4, pp. 229–236. https://doi.org/10.1097/qmh.0000000000000226
Rathi, R., Vakharia, A., & Shadab, M. (2021). Lean six sigma in the healthcare sector: A systematic literature review. Mater Today Proc. 2022; 50: 773-781. https://doi:10.1016/j.matpr.2021.05.53
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., … Moher, D. (2009). The PRISMA statement for reporting Systematic Reviews and Meta-Analyses of studies that evaluate health care interventions: Explanation and elaboration. PLoS Medicine, 6(7), e1000100. https://doi.org/10.1371/journal.pmed.1000100
Fong, A. J., Smith, M., & Langerman, A. (2016). Efficiency improvement in the operating room. Journal of Surgical Research, 204(2), 371–383. https://doi.org/10.1016/j.jss.2016.04.054
Al Khamisi, Y. N., Khan, M. K., & Munive-Hernandez, J. E. (2018). Knowledge-based Lean Six Sigma system for enhancing quality management performance in healthcare environment. International Journal of Lean Six Sigma. https://doi.org/10.1108/ijlss-06-2017-0066
Huddle, M. G., Tirabassi, A., Turner, L., Lee, E., Ries, K., & Lin, S. Y. (2016). Application of Lean Sigma to the Audiology Clinic at a large academic center. Otolaryngology-Head and Neck Surgery, 154(4), 715–719. https://doi.org/10.1177/0194599815627774
Migita, R., Yoshida, H., Rutman, L., & Woodward, G. A. (2018). Quality Improvement Methodologies. Pediatric Clinics of North America, 65(6), 1283–1296. https://doi.org/10.1016/j.pcl.2018.07.011
Steere, L., Rousseau, M., & Durland, L. (2018). Lean Six Sigma for Intravenous Therapy optimization: A hospital use of lean thinking to improve occlusion management. Journal of the Association for Vascular Access, 23(1), 42–50. https://doi.org/10.1016/j.java.2018.01.002
Fong, A. J., Smith, M., & Langerman, A. (2016). Efficiency improvement in the operating room. Journal of Surgical Research, 204(2), 371–383. https://doi.org/10.1016/j.jss.2016.04.054
Tagge, E. P., Thirumoorthi, A. S., Lenart, J., Garberoglio, C., & Mitchell, K. W. (2017). Improving operating room efficiency in academic children’s hospital using Lean Six Sigma methodology. Journal of Pediatric Surgery, 52(6), 1040–1044. https://doi.org/10.1016/j.jpedsurg.2017.03.035
Molla, M., Warren, D. S., Stewart, S. L., Stocking, J., Johl, H., & Sinigayan, V. (2018). A Lean Six Sigma quality improvement project improves timeliness of discharge from the hospital. The Joint Commission Journal on Quality and Patient Safety, 44(7), 401–412. https://doi.org/10.1016/j.jcjq.2018.02.006
Damato, C., & Rickard, D. (2015). Using Lean-Six Sigma to reduce Hemolysis in the Emergency Care Center in a collaborative quality improvement project with the hospital laboratory. The Joint Commission Journal on Quality and Patient Safety, 41(3), 99–AP1. https://doi.org/10.1016/s1553-7250(15)41014-1
Hynes, J. P., Murray, A. S., Murray, O. M., Eustace, S. K., Gilchrist, S., Dolan, A., & Lawler, L. P. (2019). Use of Lean Six Sigma methodology shows reduction of inpatient waiting time for peripherally inserted central catheter placement. Clinical Radiology. https://doi.org/10.1016/j.crad.2019.04.022
De Freitas, J. G., Costa, H. G., & Ferraz, F. T. (2017). Impacts of Lean Six Sigma over organizational sustainability: A survey study. Journal of Cleaner Production, 156, 262–275. https://doi.org/10.1016/j.jclepro.2017.04.054
Mancosu, P., Nicolini, G., Goretti, G., De Rose, F., Franceschini, D., Ferrari, C., Scorsetti, M. (2018). Applying Lean-Six-Sigma Methodology in radiotherapy: Lessons learned by the breast daily repositioning case. Radiotherapy and Oncology, 127(2), 326–331. https://doi.org/10.1016/j.radonc.2018.02.019
Agarwal, S., Gallo, J. J., Parashar, A., Agarwal, K. K., Ellis, S. G., Khot, U. N., … Kapadia, S. R. (2016). Impact of lean six sigma process improvement methodology on cardiac catheterization laboratory efficiency. Cardiovascular Revascularization Medicine, 17(2), 95–101. https://doi.org/10.1016/j.carrev.2015.12.011
Shortell, S. M., Blodgett, J. C., Rundall, T. G., & Kralovec, P. (2018). Use of Lean and related Transformational Performance Improvement Systems in hospitals in the United States: Results From a National Survey. The Joint Commission Journal on Quality and Patient Safety, 44(10), 574–582. https://doi.org/10.1016/j.jcjq.2018.03.002
Ramos, P., Bonfá, E., Goulart, P., Medeiros, M., Cruz, N., Puech-Leão, P., & Feiner, B. (2016). First-case tardiness reduction in a tertiary academic medical center operating room: A Lean Six Sigma perspective. Perioperative Care and Operating Room Management, 5, 7–12. https://doi.org/10.1016/j.pcorm.2016.12.001
Published
2023-09-30
How to Cite
SONDAKH, Donn Kevinson; LALOAN, Risty Mandane.
THE EFFECTIVENESS OF LEAN SIX SIGMA IMPLEMENTATION IN HEALTH-CARE FACILITIES.
Klabat Journal of Management, [S.l.], v. 4, n. 2, p. 104-111, sep. 2023.
ISSN 2722-726X.
Available at: <https://ejournal.unklab.ac.id/index.php/kjm/article/view/1016>. Date accessed: 01 dec. 2023.
doi: https://doi.org/10.60090/kjm.v4i2.1016.104-111.
Section
Articles
This work is licensed under a Creative Commons Attribution 4.0 International License.
