Optimizing Health Service Delivery: Addressing Non -Value Added Activities through Lean Six Sigma
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Published:
Mar 30, 2024
Keywords:
Lean Six Sigma, Health service delivery, Process optimization, Non - value added activities, Healthcare quality improvement
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Articles
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Abstract
This research explores the application of Lean Six Sigma principles in optimizing health service delivery, with a focus on identifying and addressing non - value added activities within healthcare processes. Through a systematic analysis, including process mapping, root cause analysis, and impact assessment, this study identifies key inefficiencies and their implications for healthcare providers, patients, and other stakeholders. The findings underscore the critical importance of waste reduction, process standardization, continuous improvement, and patient-centered care in driving transformative change and achieving sustainable improvements in efficiency, quality, and patient satisfaction. The implications of the findings extend beyond healthcare providers to policymakers, payers, and community organizations, highlighting the potential for system-wide improvements and cost savings. By embracing Lean Six Sigma principles and fostering a culture of continuous improvement, healthcare organizations can enhance value delivery, drive innovation, and ultimately improve the health and well-being of individuals and communities. This research contributes to the broader body of knowledge on Lean Six Sigma applications in healthcare quality improvement and provides practical insights for healthcare leaders and practitioners seeking to optimize health service delivery.
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How to Cite
Anggi Pranata. (2024). Optimizing Health Service Delivery: Addressing Non -Value Added Activities through Lean Six Sigma. Indonesia Accounting Research Journal, 11(3), 173–183. Retrieved from https://journals.iarn.or.id/index.php/Accounting/article/view/255
References
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Atallah, Z. Ben, & Ramudhin, A. (2010). Improving healthcare reliability by integrating Six-sigma in a business process modeling and analysis strategy. 2010 IEEE International Conference on Industrial Engineering and Engineering Management, 2234–2238.
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Blijleven, V., Koelemeijer, K., Wetzels, M., & Jaspers, M. (2017). Workarounds emerging from electronic health record system usage: consequences for patient safety, effectiveness of care, and efficiency of care. JMIR Human Factors, 4(4), e7978.
De Mast, J., & Lokkerbol, J. (2012). An analysis of the Six Sigma DMAIC method from the perspective of problem solving. International Journal of Production Economics, 139(2), 604–614.
Dogan, O., & Gurcan, O. F. (2018). Data perspective of lean six sigma in industry 4.0 era: A guide to improve quality. Proceedings of the International Conference on Industrial Engineering and Operations Management, 943–953.
Forbes, L. H., & Ahmed, S. M. (2010). Modern construction: lean project delivery and integrated practices. CRC press.
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Furterer, S. L. (2018). Applying Lean Six Sigma methods to reduce length of stay in a hospital’s emergency department. Quality Engineering, 30(3), 389–404.
Graban, M. (2018). Lean hospitals: improving quality, patient safety, and employee engagement. Productivity Press.
Kagermann, H. (2014). Change through digitization—Value creation in the age of Industry 4.0. In Management of permanent change (pp. 23–45). Springer.
Kitson, A., Brook, A., Harvey, G., Jordan, Z., Marshall, R., O’Shea, R., & Wilson, D. (2018). Using complexity and network concepts to inform healthcare knowledge translation. International Journal of Health Policy and Management, 7(3), 231.
Kothari, M. (2020). Using Six Sigma DMAIC Methodology to enhance medicines management within UK care homes: improving the 28-day supply of medicines cycle for resident repeat medications. Aston University.
Nates, J. L., Nunnally, M., Kleinpell, R., Blosser, S., Goldner, J., Birriel, B., Fowler, C. S., Byrum, D., Miles, W. S., & Bailey, H. (2016). ICU admission, discharge, and triage guidelines: a framework to enhance clinical operations, development of institutional policies, and further research. Critical Care Medicine, 44(8), 1553–1602.
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Ramudhin, A., Chan, E., & Mokadem, A. (2006). A framework for the modelling, analysis and optimization of pathways in healthcare. 2006 International Conference on Service Systems and Service Management, 1, 698–702.
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Suman, G., & Prajapati, D. R. (2018). Statistical analysis of the researches carried out on Lean and Six Sigma applications in healthcare industry. International Journal of Quality Engineering and Technology, 7(1), 1–38.
Sweeney, B., & Business, C. (2017). Lean Six Sigma QuickStart Guide: The Simplified Beginner’s Guide to Lean Six Sigma. ClydeBank Media LLC.
Tlapa, D., Zepeda-Lugo, C. A., Tortorella, G. L., Baez-Lopez, Y. A., Limon-Romero, J., Alvarado-Iniesta, A., & Rodriguez-Borbon, M. I. (2020). Effects of lean healthcare on patient flow: a systematic review. Value in Health, 23(2), 260–273.
Vest, J. R., & Gamm, L. D. (2009). A critical review of the research literature on Six Sigma, Lean and StuderGroup’s Hardwiring Excellence in the United States: the need to demonstrate and communicate the effectiveness of transformation strategies in healthcare. Implementation Science, 4, 1–9.
Vivekananthamoorthy, N., & Sankar, S. (2011). Lean six sigma. In Six Sigma Projects and Personal Experiences. IntechOpen.
Wang, M. C., Hyun, J. K., Harrison, M. I., Shortell, S. M., & Fraser, I. (2006). Redesigning health systems for quality: lessons from emerging practices. The Joint Commission Journal on Quality and Patient Safety, 32(11), 599–611.
Yeh, H.-L., Lin, C.-S., Su, C.-T., & Wang, P.-C. (2011). Applying lean six sigma to improve healthcare: An empirical study. African Journal of Business Management, 5(31), 12356.
Atallah, Z. Ben, & Ramudhin, A. (2010). Improving healthcare reliability by integrating Six-sigma in a business process modeling and analysis strategy. 2010 IEEE International Conference on Industrial Engineering and Engineering Management, 2234–2238.
Bell, S. C., & Orzen, M. A. (2016). Lean IT: Enabling and sustaining your lean transformation. CRC Press.
Blijleven, V., Koelemeijer, K., Wetzels, M., & Jaspers, M. (2017). Workarounds emerging from electronic health record system usage: consequences for patient safety, effectiveness of care, and efficiency of care. JMIR Human Factors, 4(4), e7978.
De Mast, J., & Lokkerbol, J. (2012). An analysis of the Six Sigma DMAIC method from the perspective of problem solving. International Journal of Production Economics, 139(2), 604–614.
Dogan, O., & Gurcan, O. F. (2018). Data perspective of lean six sigma in industry 4.0 era: A guide to improve quality. Proceedings of the International Conference on Industrial Engineering and Operations Management, 943–953.
Forbes, L. H., & Ahmed, S. M. (2010). Modern construction: lean project delivery and integrated practices. CRC press.
Frankel, A., Gandhi, T. K., & Bates, D. W. (2003). Improving patient safety across a large integrated health care delivery system. International Journal for Quality in Health Care, 15(suppl_1), i31–i40.
Furterer, S. L. (2018). Applying Lean Six Sigma methods to reduce length of stay in a hospital’s emergency department. Quality Engineering, 30(3), 389–404.
Graban, M. (2018). Lean hospitals: improving quality, patient safety, and employee engagement. Productivity Press.
Kagermann, H. (2014). Change through digitization—Value creation in the age of Industry 4.0. In Management of permanent change (pp. 23–45). Springer.
Kitson, A., Brook, A., Harvey, G., Jordan, Z., Marshall, R., O’Shea, R., & Wilson, D. (2018). Using complexity and network concepts to inform healthcare knowledge translation. International Journal of Health Policy and Management, 7(3), 231.
Kothari, M. (2020). Using Six Sigma DMAIC Methodology to enhance medicines management within UK care homes: improving the 28-day supply of medicines cycle for resident repeat medications. Aston University.
Nates, J. L., Nunnally, M., Kleinpell, R., Blosser, S., Goldner, J., Birriel, B., Fowler, C. S., Byrum, D., Miles, W. S., & Bailey, H. (2016). ICU admission, discharge, and triage guidelines: a framework to enhance clinical operations, development of institutional policies, and further research. Critical Care Medicine, 44(8), 1553–1602.
Organization, W. H. (2000). The world health report 2000: health systems: improving performance. World Health Organization.
Organization, W. H. (2013). Health 2020: A European policy framework and strategy for the 21st century. World Health Organization. Regional Office for Europe.
Paul, S. M., Mytelka, D. S., Dunwiddie, C. T., Persinger, C. C., Munos, B. H., Lindborg, S. R., & Schacht, A. L. (2010). How to improve R&D productivity: the pharmaceutical industry’s grand challenge. Nature Reviews Drug Discovery, 9(3), 203–214.
Protzman, C., Mayzell, G., & Kerpchar, J. (2010). Leveraging lean in healthcare: Transforming your enterprise into a high quality patient care delivery system. CRC Press.
Radnor, Z. J., Holweg, M., & Waring, J. (2012). Lean in healthcare: the unfilled promise? Social Science & Medicine, 74(3), 364–371.
Ramudhin, A., Chan, E., & Mokadem, A. (2006). A framework for the modelling, analysis and optimization of pathways in healthcare. 2006 International Conference on Service Systems and Service Management, 1, 698–702.
Reynolds, T. A., Sawe, H., Rubiano, A. M., Shin, S. Do, Wallis, L., & Mock, C. N. (2018). Strengthening health systems to provide emergency care.
Sciences, N. A. of, Division, M., Services, B. on H. C., Health, B. on G., & Globally, C. on I. the Q. of H. C. (2018). Crossing the global quality chasm: improving health care worldwide.
Smith, D., & Blakeslee, J. (2002). Strategic Six Sigma: Best practices from the executive suite. John Wiley & Sons.
Suman, G., & Prajapati, D. R. (2018). Statistical analysis of the researches carried out on Lean and Six Sigma applications in healthcare industry. International Journal of Quality Engineering and Technology, 7(1), 1–38.
Sweeney, B., & Business, C. (2017). Lean Six Sigma QuickStart Guide: The Simplified Beginner’s Guide to Lean Six Sigma. ClydeBank Media LLC.
Tlapa, D., Zepeda-Lugo, C. A., Tortorella, G. L., Baez-Lopez, Y. A., Limon-Romero, J., Alvarado-Iniesta, A., & Rodriguez-Borbon, M. I. (2020). Effects of lean healthcare on patient flow: a systematic review. Value in Health, 23(2), 260–273.
Vest, J. R., & Gamm, L. D. (2009). A critical review of the research literature on Six Sigma, Lean and StuderGroup’s Hardwiring Excellence in the United States: the need to demonstrate and communicate the effectiveness of transformation strategies in healthcare. Implementation Science, 4, 1–9.
Vivekananthamoorthy, N., & Sankar, S. (2011). Lean six sigma. In Six Sigma Projects and Personal Experiences. IntechOpen.
Wang, M. C., Hyun, J. K., Harrison, M. I., Shortell, S. M., & Fraser, I. (2006). Redesigning health systems for quality: lessons from emerging practices. The Joint Commission Journal on Quality and Patient Safety, 32(11), 599–611.
Yeh, H.-L., Lin, C.-S., Su, C.-T., & Wang, P.-C. (2011). Applying lean six sigma to improve healthcare: An empirical study. African Journal of Business Management, 5(31), 12356.
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