Interpretative structural model development for the identification of key factors for implementing Lean Healthcare

Authors

  • Erika Tatiana Ruiz Orjuela Universidad Pedagógica y Tecnológica de Colombia
  • Nestor Raul Ortiz Pimiento Universidad Industrial de Santander
  • Diego Andrés Carreño Dueñas Universidad Pedagógica y Tecnológica de Colombia

DOI:

https://doi.org/10.22395/rium.v22n42a1

Keywords:

Lean Healthcare, implementation, critical success factors, interpretative structural model- ISM. MIC MAC

Abstract

The Lean philosophy has demonstrated benefits in organizations of different business sectors through the elimination of waste and the generation of value; research conducted in this field has sought to identify the critical success factors for its implementation. The objective of thisstudy is to understand the relationships between the factors of Health Care Providing Institutions in Colombia, through surveys with experts, and then classify them according to their power of influence and dependence using the Interpretative Structural Modelling- ISM methodology. The results of this research contribute to identifying the key factors for the implementation of Lean Healthcare in the Colombian context: Management commitment, management understanding, and employee training, and finally recommendations and future research work are presented.

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Author Biographies

Erika Tatiana Ruiz Orjuela, Universidad Pedagógica y Tecnológica de Colombia

D. candidate in Industrial and Organizational Engineering.

Nestor Raul Ortiz Pimiento, Universidad Industrial de Santander

PhD in Engineering

Diego Andrés Carreño Dueñas, Universidad Pedagógica y Tecnológica de Colombia

Master in Industrial Engineering

References

[1] S. Sahoo, “Lean practices and operational performance: the role of organizational cultureâ€, International Journal of Quality & Reliability Management, vol. 39, n. ° 2, pp. 428-467, ene., 2021. https://doi.org/10.1108/ijqrm-03-2020-0067

[2] L. Brandao de Souza, “Trends and approaches in lean healthcareâ€, Leadership Health Services, vol. 22, n. º 2, pp. 121-139, may., 2009. https://doi.org/10.1108/17511870910953788

[3] A. Dixit, S. Routroy y S. K. Dubey, “A systematic literature review of healthcare supply chain and implications of future researchâ€, International Journal of Pharmaceutical and Healthcare Marketing, vol. 13, n. ° 4, pp. 405-435, ene., 2019. https://doi.org/10.1108/IJPHM-05-2018-0028

[4] R. Bartnik y Y. Park, “Technological change, information processing and supply chain integration: A conceptual model,†Benchmarking: An International Journal, vol. 25, n. ° 5, pp. 1279-1301, 2018. https://doi.org/10.1108/BIJ-03-2016-0039

[5] H. A. Bahaitham, “A framework for quantifying sustainability of lean implementation in healthcare organizationsâ€, Tesis doctoral, University of Central Florida, 2011. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/4735

[6] K. M. Singh, R. Rajeev y S. Mahipal, “Just in time elements extraction and prioritization for health care unit using decision making approachâ€, International Journal of Quality & Reliability Management, vol. 36, n. ° 7, pp. 1243-1263, 2019.

[7] Z. J. Radnor, M. Holweg y J. Waring, “Lean in healthcare: the unfilled promise?â€, Ciencias Sociales Med., vol. 74, n. ° 3, pp. 364-371, feb., 2012. https://pubmed.ncbi.nlm.nih.gov/21414703/

[8] L. C. Vermeulen, S. J. Beis y S. B. Cano, “Applying outcomes research in improving the medication-use processâ€, American Journal of Health-System Pharmacy, vol. 57, n. º 24, pp. 2277–2282, 2000. https://doi.org/10.1093/ajhp/57.24.2277

[9] C. R. Nicolay et al., “Systematic review of the application of quality improvement methodologies from the manufacturing industry to surgical healthcareâ€, British Journal of Surgery, vol. 99, n. ° 3, pp. 324-335, 2012. https://doi.org/10.1002/bjs.7803

[10] B. Poksinska, “The current state of Lean implementation in health care: literature reviewâ€, Qual Manag Health Care, vol. 19, n. ° 4, pp. 319-329, oct.-dic., 2010. https://pubmed.ncbi. nlm.nih.gov/20924253/

[11] D. K. Sobek II y M. Lang, “Lean Healthcare: Current State and Future Directionsâ€, en Proceedings of the 2010 Industrial Engineering Research Conference, Cancun, Mexico, 2010.

[12] M. Graban, Lean hospitals: Improving quality, patient safety, and employee satisfaction. New York: Productivity Press, 2008.

[13] L. B. De Souza, “Trends and approaches in lean healthcareâ€, Leadership in Health Services, vol. 22, n. ° 2, pp. 121-139, 2009. https://doi.org/10.1108/17511870910953788

[14] O. M. Gelves Alarcón, E. del C. Navarro Romero y N. García Corrales, “Estado del arte y la técnica de las prácticas lean en instituciones de salud en América Latina: Revisión de Literaturaâ€, Avances Investigación Ingeniería, vol. 19, n. ° 1, may., 2022. https://doi.org/10.18041/1794-4953/avances.1.7892

[15] I. Rozo, F. N. Díaz-Piraquive, L. Serrano, Revisión de literatura de prácticas para evaluar la calidad del servicio en instituciones de salud: Hacia un enfoque de Lean Healthcare. Medellín: Instituto Antioqueño de Investigación, 2018.

[16] N. O. Pimiento y H. C. Grass, “Modelo integrado de calidad Lean Healthcare ISO 9001 en el Departamento de Emergencias diseñado a partir de revisión de literatura Quality Integratedâ€, Researchgate.Net, n. ° August, 2016.

[17] V. Sharma, A. R. Dixit, M. A. Qadri y S. Kumar, “An interpretive hierarchical model for lean implementation in machine tool sectorâ€, International Journal of Productivity and Quality Management, vol. 15, n.° 3, pp. 38-406, abr., 2015. https://doi.org/10.1504/IJPQM.2015.068475

[18] M. D. Singh y R. Kant, “Knowledge management barriers: An interpretive structural modeling approachâ€, International Journal of Management Science and Engineering Management, vol. 3, n.° 2, pp. 141-150, ene., 2008. https://doi.org/10.1080/17509653.2008.10671042

[19] D. Jones y J. Womack, Lean Thinking. Gestion 2000, 2005.

[20] S. A. Rooney y J. J. Rooney, “Lean Glossaryâ€, Quality Progress., vol. 38, n. ° 6, pp. 41-47, jun., 2005.

[21] P. Mazzocato, C. Savage, M. Brommels, H. Aronsson y J. Thor, “Lean thinking in healthcare: a realist review of the literatureâ€, Qual. Saf Health Care, vol. 19, n. ° 5, pp. 376-382, oct., 2010. https://pubmed.ncbi.nlm.nih.gov/20724397/

[22] W. S y H. AJ, “Making cars and making health care: a critical reviewâ€, The Medical journal of Australia., vol. 191, n. ° 1, pp. 28-29, 2009.

[23] Z. Radnor y R. Boaden, “Editorial: Lean in Public Services—Panacea or Paradox?â€, Public Money & Management, vol. 28, n. ° 1, pp. 3-7, 2008.

[24] N. Westwood, M. J. Moore y M. Cooke, Going lean in the NHS. Institute for Innovation and Improvement, 2007. https://www.england.nhs.uk/improvement-hub/wp-content/uploads/sites/44/2017/11/Going-Lean-in-the-NHS.pdf

[25] V. Nabelsi y S. Gagnon, “Information technology strategy for a patient-oriented, lean, and agile integration of hospital pharmacy and medical equipment supply chainsâ€, International

[26] R. V. Sreedharan, V. M. Sunder y R. Raju, “Critical success factors of TQM, Six Sigma, Lean and Lean Six Sigma: A literature review and key findingsâ€, Benchmarking: An International Journal, vol. 25, n. ° 9, pp. 3479-3504, 2018. https://doi.org/10.1108/BIJ-08-2017-0223

[27] B. Noori, “The critical success factors for successful lean implementation in hospitalsâ€, International Journal of Productivity and Quality Management, vol. 15, n. ° 1, pp. 108-126, dic., 2015. https://doi.org/10.1504/IJPQM.2015.065987

[28] L. van Rossum, K. H. Aij, F. E. Simons, N. van der Eng y W. D. Ten Have, “Lean healthcare from a change management perspectiveâ€, Journal of Health Organization and Management, vol. 30, n. ° 3, pp. 475-493, may., 2016. https://doi.org/10.1108/JHOM-06-2014-0090

[29] M. I. Harrison et al., “Effects of organizational context on Lean implementation in five hospital systemsâ€, Health Care Manage Rev., vol. 41, n. ° 2, pp. 127-144, abr.-jun., 2016. https://pubmed.ncbi.nlm.nih.gov/25539057/

[30] D. Hung, M. Martinez, M. Yakir y C. Gray, “Implementing a Lean Management System in Primary Care: Facilitators and Barriers From the Front Linesâ€, Qual Manag Health Care, vol. 24, n. ° 3, pp. 103-108, jul.-sep., 2015. https://pubmed.ncbi.nlm.nih.gov/26115057/

[31] C. V. Lukas et al., “Transformational change in health care systems: an organizational modelâ€, Health Care Manage. Rev., vol. 32, n. ° 4, pp. 309-320, oct.-dic., 2007. https://pubmed.ncbi.nlm.nih.gov/18075440/

[32] R. Patri y M. Suresh, “Factors influencing lean implementation in healthcare organizations: An ISM approachâ€, International Jpurnal of Healthcare Management, vol. 11, n. ° 1, pp. 1-13, mar., 2017. https://doi.org/10.1080/20479700.2010.1300380

[33] L. J. Damschroder, D. C. Aron, R. E. Keith, S. R. Kirsh, J. A. Alexander y J. C. Lowery, “Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation scienceâ€, Implementation Science, vol. 4, n. ° 1, 2009. https://implementationscience.biomedcentral.com/articles/10.1186/1748-5908-4-50

[34] B. Zepeda, D. Tlapa, Y. Báez, J. Romero y A. Maldonado, “Factores y Herramientas Importantes en Lean Healthcareâ€, Academia Journals., 2015.

[35] E. A Giraldo Betancur, “Estudio sobre la aplicación de Lean Healthcare en el sector hospitalario en Medellínâ€, Tesis de pregrado, Universidad Eafit, Medellín, 2016. https://repository.eafit.edu.co/bitstream/handle/10784/9523/EmersonAndres_GiraldoBetancur_2016.pdf?sequence=2&isAllowed=y

[36] K. A. Lopez, M. O. Rubio, I. E. D. Forero y E. Molina, “Desarrollo de la metodología lean healthcare en el servicio de medicina interna de una institución hospitalaria de carácter públicoâ€, RIMCI, vol. 7, n. ° 13, ene., 2020. http://ojs.urepublicana.edu.co/index.php/ingenieria/article/view/569

[37] R. Attri, N. Dev y V. Sharma, “Interpretive Structural Modelling ( ISM ) approach : An Overviewâ€, Research Journal of Management Sciences, vol. 2, n. ° 2, pp. 3-8, feb., 2013. http://www.isca.in/IJMS/Archive/v2/i2/2.ISCA-RJMS-2012-054.php

[38] J. N. Warfield, “Developing Interconnection Matrices in Structural Modelingâ€, IEEE Transactions on Systems, Man, and Cybernetics, vol. SMC-4, n. ° 1, pp. 81-87, ene., 1974. https://ieeexplore.ieee.org/document/5408524

[39] J. N. Warfield, The Mathematics of Structure. Ajar Publishing Company, 2003.

[40] A. P. Sage y T. J. Smith, “On group assessment of utility and worth attributes using interpretive structural modelingâ€, Computers & Electrical Engineering, vol. 4, n. ° 3, pp. 185-198, sep., 1977. https://doi.org/10.1016/0045-7906(77)90029-5

[41] N. Kumar, S. Kumar, A. Haleem y P. Gahlot, “Implementing lean manufacturing system: ISM approachâ€, Journal of Industrial Engineering and Man, vol. 6, n. ° 4, pp. 996-1012, 2013. http://dx.doi.org/10.3926/jiem.508

[42] R. Waller, “Contextual Relations and Mathematical Relations in Interpretive Structural Modelingâ€, IEEE Transactions on Systems, Man, and Cybernetics, vol. 10, no. 3, pp. 143-145, mar., 1980. https://ieeexplore.ieee.org/document/4308451

[43] H. D. Sharma y A. D. Gupta, “The objectives of waste management in India: A futures inquiryâ€, Technological Forecasting and Social Change, vol. 48, n. ° 3, pp. 285-309, mar., 1995. https://doi.org/10.1016/0040-1625(94)00066-6

[44] M. Malmbrandt y P. Ã…hlström, “An instrument for assessing lean service adoptionâ€, International Journal of Operations & Production Management, vol. 33, n. ° 9, pp. 1131-1165, 2013. https://doi.org/10.1108/IJOPM-05-2011-0175

[45] B. Mathur et al., “Achieving Better Integration in Trauma Care Delivery in India: Insights from a Patient Surveyâ€, Journal of Health Management., vol. 25, n. ° 1, pp. 603-626, 2017.

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Published

2023-03-01

How to Cite

Ruiz Orjuela, E. T., Ortiz Pimiento, N. R., & Carreño Dueñas, D. A. (2023). Interpretative structural model development for the identification of key factors for implementing Lean Healthcare. Revista Ingenierías Universidad De Medellín, 22(42), 1–18. https://doi.org/10.22395/rium.v22n42a1

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Vol. 22 No. 42 (2023): January-June

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Articles

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