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Lean thinking in healthcare – review and current situation in Croatia

Year 2020, Volume: 2 Issue: 2, 86 - 90, 31.12.2020

Abstract

Lean thinking was first introduced in production (mainly in the automotive) sector but its use has spread into the service sectors. Its benefits are well known worldwide and if implemented and used correctly, companies can improve their effectiveness and gain and/or maintain competitiveness. Recently, lean thinking has started being implemented and used in healthcare to accelerate flow in processes, reduce waste in processes and improve the quality of services for “users”. The main goal of the paper is to provide a literature review on lean thinking in healthcare worldwide. The review is showing the methods and trends in lean healthcare and some of the most successful implementations. Based on the presented worldwide examples, this paper will try to present a potential for the lean implementation in Croatian healthcare institutions and present potential benefits of the application. Based on the research results, this paper gives suggestions for further research on this interesting and important topic.

References

  • Antony, J., Sunder, V. M., Sreedharan, R., Chakraborty, A. and Gunasekaran, A. (2019). A systematic review of Lean in healthcare: a global perspective. International Journal of Quality & Reliability Management, 36 (8): 1370-1391. DOI: 10.1108/IJQRM-12-2018-0346.
  • Anvari, A., Ismail, Y. and Hojjati, S. M. H. (2011). A Study on Total Quality Management and Lean Manufacturing: through Lean Thinking Approach. World Applied Sciences Journal, XII: 1585-1587.
  • Atkinson, P. (2004). Creating and Implementing Lean Strategies. Management Services, February: 18 – 22.
  • Berwick, D., Kabcenell, A. and Nolan, T. (2005). No Toyota yet, but a start. Modern Healthcare, 35 (5): 18-20.
  • Bhasin, S. (2011). Improving Performance through Lean. International Journal of Management Science and Engineering Management, 6 (1): 23-36.
  • Bicheno, J. (2008). The Lean Toolbox. 4th ed., USA: Picsie Books.
  • Bonavia, T. and Marin, J. A. (2006). An empirical study of lean production in the ceramic tile industry in Spain. International Journal of Operations & Production Management, 26: 505-531.
  • Brandao de Souza, L. (2009). Trends and approaches in lean healthcare. Leadership in Health Services, 22 (2): 121-139.
  • Croatian Health Insurance Fund. (2019). DBL - Dan bolničkog liječenja – October 3, 2019 <https://www.hzzo.hr/hzzo-za-partnere/sifrarnici-hzzo-a/>
  • D’Andreamatteo, A., Iannia, L., Legab, F. and Sargiacomo, M. (2015). Lean in healthcare: A comprehensive review. Health Policy, 119 (9): 1197-1209.
  • Ebrahimi, M. and Sadeghi, M. (2013). Quality management and performance: an annotated review. Int. Journal of Production Research, 51 (18): 5625-5643.
  • Emiliani, B. (2007). Real lean - Understanding the lean management system. Wethersfield: The Center for Lean Business Management.
  • Fillingham, D. (2008). Lean healthcare: improving the patient’s experience. Chichester: Kingsham Press.
  • Graban, M. (2008). Lean hospitals: improving quality, patient safety and employee satisfaction. USA: Productivity Press.
  • Gudlin, M., Hegedić, M., Režek, R. and Štefanić, N. (2016). Hospital Pharmacy Layout Optimisation Using Lean Management Principles. Lean Spring Summit 2015 - Zbornik radova, Culmena d.o.o., Zagreb: 30-33.
  • Hopp, W. J. and Spearman, M. L. (2004). To pull or not to pull: what is the question? Manufacturing and Service Operations Management, 6 (2): 133–148.
  • Işık, C., Küçükaltan, E. G., Taş, S., Akoğul, E., Uyrun, A., Hajiyeva, T., Turan, B., Dırbo, A. and Bayraktaroğlu, E. Tourism and innovation: A literature review. Journal of Ekonomi, 1(2), 98-154.
  • Jones, D. and Mitchell, A. (2006). Lean thinking for the NHS, London: NHS Confederation.
  • Karuppan, M. C., Dunlap, E. N. and Waldrum, M. R. (2016). Operations management in health care. New York: Springer
  • King, D. L., Ben-Tovim D. I. and Bassham J. (2006). Redesigning emergency department patient flows: application of Lean thinking to health care. Emergency Medicine Australasia, 18 (4): 391–397.
  • Kovačević, M., Jovičić, M., Djapan, I. and Živanović-Macužić, I. (2016). Lean thinking in healthcare: review of implementation results. International Journal for Quality Research, 10 (1): 219–230.
  • Laursen, M.L., Gertsen, F. and Johansen, J. (2003). Applying lean thinking in hospitals - exploring implementation difficulties. Proceedings of 3rd Int. Conf. on the Mng. of Healthcare&Medical Tech., 7-9 Sep. 2003, Warwick, United Kingdom.
  • Mateljak Ž. and Kekez-Poljak J. (2015). Unapređenje sustava zdravstva u Republici Hrvatskoj primjenom Lean koncepta. 2. zbornik Sveučilišta u Dubrovniku, 127-143.
  • Mazzocato, P., Savage, C., Brommels, M., Aronsson, H. and Thor., J. (2010). Lean Thinking in Healthcare: A Realist Review of the Literature. Quality and Safety in Health Care, 19 (5): 376–382.
  • Melton, T. (2005). The Benefits of Lean Manufacturing – What Lean Thinking has to Offer the Process Industries. Chemical Engineering Research and Design, 83 (A6): 662-673.
  • Message Costa, L. B. and Filho, M. G. (2016). Lean healthcare: review, classification and analysis of literature. Pro. Planning & Control, 27 (10): 823-836. National Memorial Hospital in Vukovar (2019). Medicinska dokumentacija. Vukovar.
  • Ohno, T. (1988). Toyota Production System: Beyond Large-Scale Production. USA: Productivity Press.
  • Pavlinić, I. (2017). Vitka i pametna bolnica. Undergraduate thesis defended at University of Zagreb, <http://repozitorij.fsb.hr/7334/> (access 10 January 2020)
  • Pettersen, J., (2009). Defining lean production: some conceptual and practical issues. The TQM Journal, XXI: 127-142.
  • Radnor, Z. J., Holweg, M. and Waring, J. (2012). Lean in healthcare: the unfilled promise? Social Science & Medicine, 74 (3): 364-371.
  • Rajenthirakumar, D. and Thyla, P. R., (2011). Transformation to Lean Manufacturing by an Automotive Component Manufacturing Company. International Journal of Lean Thinking, 2 (2): 1-13.
  • Reid, D. R. and Sanders, R.N. (2013). Operations management an integrated approach. Texas: Wiley.
  • Rivera, L. and Chen, F. F., (2007). Measuring the impact of Lean tools on the cost-time investment of a product using cost-time profiles. Robotics and Computer-Integrated Manufacturing, XXIII: 684-689.
  • Slack, N., Chambers, S. and Johnston, R. (2010). Operations Management. 6th ed., USA: FT/Prentice Hall.
  • Smith, G., Poteat-Godwin, A., Harrison, L. M. and Randolph, G. D. (2012). Applying Lean principles and Kaizen rapid improvement events in public health practice. Journal of Public Health Management Practice, 18 (1): 52–54.
  • Štefanić, N., Perica, M., Cajner, H., Banić, M., Lovrenčić, K., Štefanić, A., Gudlin, M. and Hegedić, M. (2015). Leanom upravljana bolnica. Lean Spring Summit 2015 - Zbornik radova, Culmena d.o.o., Zagreb, 30-33.
  • Sunder, M.V., Ganesh, L. S. and Marathe, R. (2018). A morphological analysis of research literature on Lean Six Sigma for services. International Journal of Operations and Production Management, 38 (1): 149-182.
  • Thompson, D. N., Wolf, G. A. and Spear, S. J. (2003). Driving improvement in patientcare: lessons from Toyota. Journal of Nursing Administration, 33 (11): 585–95.
  • Toussaint, J. S. and Berry, L. L. (2013). The Promise of Lean in Health Care. Mayo Clinic Proceedings, 88 (1): 74-82.
  • Vukovar General County Hospital. (2019). Financijski plan OŽB Vukovar za 2020. Vukovar.
  • Westwood, N., James-Moore, M. and Cooke, M. (2007). Going Lean in the NHS. London: NHS Institute of Innovation Improvements
  • Womack, J. P. and Fitzpatrick, D. (1999). Lean thinking for Aerospace: The Industry that can Afford its Future. Atlanta: Lean Enterprise Institute
  • Womack, J. P. and Jones, D. T. (2003). Lean Thinking. Banish Waste and Create Wealth in Your Corporation, New York: Simon and Schuster
  • Womack, J. P., Jones, D. T. and Roos, D. (1990). The Machine That Changed the World: The Story of Lean Pro.. New York: Rawson and Associates
  • Womack, J. P., and Miller, D. (2005). Going lean in health care. Cambridge: Institute for Healthcare Improvement
  • World Health Organization (2012) International Classification of Diseases. Deseta revizija, Svezak 1, 2nd edition. Zagreb: Medicinska naklada
  • Young, T., Brailsford, S., Connell, C., Davies, R., Harper, P. and Klein, J. H. (2004). Using industrial processes to improve patient care. British Medical Journal, 328 (7432): 162–164.
  • Zahtila, A, (2017). Lean metodologija u praksi. Student theses defended at Juraj Dobrila University of Pula. <https://repozitorij.unipu.hr/islandora/object/unipu%3A1604/datastrea m/PDF/view> (accessed 12 September 2020)
  • Žvorc, M. (2013). Lean menadžment u neproizvodnoj organizaciji. Ekonomski vjesnik, 26 (2): 695 – 709.

Lean thinking in healthcare – review and current situation in Croatia

Year 2020, Volume: 2 Issue: 2, 86 - 90, 31.12.2020

Abstract

Lean thinking was first introduced in production (mainly in the automotive) sector but its use has spread into the service sectors. Its benefits are well known worldwide and if implemented and used correctly, companies can improve their effectiveness and gain and/or maintain competitiveness. Recently, lean thinking has started being implemented and used in healthcare to accelerate flow in processes, reduce waste in processes and improve the quality of services for “users”. The main goal of the paper is to provide a literature review on lean thinking in healthcare worldwide. The review is showing the methods and trends in lean healthcare and some of the most successful implementations. Based on the presented worldwide examples, this paper will try to present a potential for the lean implementation in Croatian healthcare institutions and present potential benefits of the application. Based on the research results, this paper gives suggestions for further research on this interesting and important topic.

References

  • Antony, J., Sunder, V. M., Sreedharan, R., Chakraborty, A. and Gunasekaran, A. (2019). A systematic review of Lean in healthcare: a global perspective. International Journal of Quality & Reliability Management, 36 (8): 1370-1391. DOI: 10.1108/IJQRM-12-2018-0346.
  • Anvari, A., Ismail, Y. and Hojjati, S. M. H. (2011). A Study on Total Quality Management and Lean Manufacturing: through Lean Thinking Approach. World Applied Sciences Journal, XII: 1585-1587.
  • Atkinson, P. (2004). Creating and Implementing Lean Strategies. Management Services, February: 18 – 22.
  • Berwick, D., Kabcenell, A. and Nolan, T. (2005). No Toyota yet, but a start. Modern Healthcare, 35 (5): 18-20.
  • Bhasin, S. (2011). Improving Performance through Lean. International Journal of Management Science and Engineering Management, 6 (1): 23-36.
  • Bicheno, J. (2008). The Lean Toolbox. 4th ed., USA: Picsie Books.
  • Bonavia, T. and Marin, J. A. (2006). An empirical study of lean production in the ceramic tile industry in Spain. International Journal of Operations & Production Management, 26: 505-531.
  • Brandao de Souza, L. (2009). Trends and approaches in lean healthcare. Leadership in Health Services, 22 (2): 121-139.
  • Croatian Health Insurance Fund. (2019). DBL - Dan bolničkog liječenja – October 3, 2019 <https://www.hzzo.hr/hzzo-za-partnere/sifrarnici-hzzo-a/>
  • D’Andreamatteo, A., Iannia, L., Legab, F. and Sargiacomo, M. (2015). Lean in healthcare: A comprehensive review. Health Policy, 119 (9): 1197-1209.
  • Ebrahimi, M. and Sadeghi, M. (2013). Quality management and performance: an annotated review. Int. Journal of Production Research, 51 (18): 5625-5643.
  • Emiliani, B. (2007). Real lean - Understanding the lean management system. Wethersfield: The Center for Lean Business Management.
  • Fillingham, D. (2008). Lean healthcare: improving the patient’s experience. Chichester: Kingsham Press.
  • Graban, M. (2008). Lean hospitals: improving quality, patient safety and employee satisfaction. USA: Productivity Press.
  • Gudlin, M., Hegedić, M., Režek, R. and Štefanić, N. (2016). Hospital Pharmacy Layout Optimisation Using Lean Management Principles. Lean Spring Summit 2015 - Zbornik radova, Culmena d.o.o., Zagreb: 30-33.
  • Hopp, W. J. and Spearman, M. L. (2004). To pull or not to pull: what is the question? Manufacturing and Service Operations Management, 6 (2): 133–148.
  • Işık, C., Küçükaltan, E. G., Taş, S., Akoğul, E., Uyrun, A., Hajiyeva, T., Turan, B., Dırbo, A. and Bayraktaroğlu, E. Tourism and innovation: A literature review. Journal of Ekonomi, 1(2), 98-154.
  • Jones, D. and Mitchell, A. (2006). Lean thinking for the NHS, London: NHS Confederation.
  • Karuppan, M. C., Dunlap, E. N. and Waldrum, M. R. (2016). Operations management in health care. New York: Springer
  • King, D. L., Ben-Tovim D. I. and Bassham J. (2006). Redesigning emergency department patient flows: application of Lean thinking to health care. Emergency Medicine Australasia, 18 (4): 391–397.
  • Kovačević, M., Jovičić, M., Djapan, I. and Živanović-Macužić, I. (2016). Lean thinking in healthcare: review of implementation results. International Journal for Quality Research, 10 (1): 219–230.
  • Laursen, M.L., Gertsen, F. and Johansen, J. (2003). Applying lean thinking in hospitals - exploring implementation difficulties. Proceedings of 3rd Int. Conf. on the Mng. of Healthcare&Medical Tech., 7-9 Sep. 2003, Warwick, United Kingdom.
  • Mateljak Ž. and Kekez-Poljak J. (2015). Unapređenje sustava zdravstva u Republici Hrvatskoj primjenom Lean koncepta. 2. zbornik Sveučilišta u Dubrovniku, 127-143.
  • Mazzocato, P., Savage, C., Brommels, M., Aronsson, H. and Thor., J. (2010). Lean Thinking in Healthcare: A Realist Review of the Literature. Quality and Safety in Health Care, 19 (5): 376–382.
  • Melton, T. (2005). The Benefits of Lean Manufacturing – What Lean Thinking has to Offer the Process Industries. Chemical Engineering Research and Design, 83 (A6): 662-673.
  • Message Costa, L. B. and Filho, M. G. (2016). Lean healthcare: review, classification and analysis of literature. Pro. Planning & Control, 27 (10): 823-836. National Memorial Hospital in Vukovar (2019). Medicinska dokumentacija. Vukovar.
  • Ohno, T. (1988). Toyota Production System: Beyond Large-Scale Production. USA: Productivity Press.
  • Pavlinić, I. (2017). Vitka i pametna bolnica. Undergraduate thesis defended at University of Zagreb, <http://repozitorij.fsb.hr/7334/> (access 10 January 2020)
  • Pettersen, J., (2009). Defining lean production: some conceptual and practical issues. The TQM Journal, XXI: 127-142.
  • Radnor, Z. J., Holweg, M. and Waring, J. (2012). Lean in healthcare: the unfilled promise? Social Science & Medicine, 74 (3): 364-371.
  • Rajenthirakumar, D. and Thyla, P. R., (2011). Transformation to Lean Manufacturing by an Automotive Component Manufacturing Company. International Journal of Lean Thinking, 2 (2): 1-13.
  • Reid, D. R. and Sanders, R.N. (2013). Operations management an integrated approach. Texas: Wiley.
  • Rivera, L. and Chen, F. F., (2007). Measuring the impact of Lean tools on the cost-time investment of a product using cost-time profiles. Robotics and Computer-Integrated Manufacturing, XXIII: 684-689.
  • Slack, N., Chambers, S. and Johnston, R. (2010). Operations Management. 6th ed., USA: FT/Prentice Hall.
  • Smith, G., Poteat-Godwin, A., Harrison, L. M. and Randolph, G. D. (2012). Applying Lean principles and Kaizen rapid improvement events in public health practice. Journal of Public Health Management Practice, 18 (1): 52–54.
  • Štefanić, N., Perica, M., Cajner, H., Banić, M., Lovrenčić, K., Štefanić, A., Gudlin, M. and Hegedić, M. (2015). Leanom upravljana bolnica. Lean Spring Summit 2015 - Zbornik radova, Culmena d.o.o., Zagreb, 30-33.
  • Sunder, M.V., Ganesh, L. S. and Marathe, R. (2018). A morphological analysis of research literature on Lean Six Sigma for services. International Journal of Operations and Production Management, 38 (1): 149-182.
  • Thompson, D. N., Wolf, G. A. and Spear, S. J. (2003). Driving improvement in patientcare: lessons from Toyota. Journal of Nursing Administration, 33 (11): 585–95.
  • Toussaint, J. S. and Berry, L. L. (2013). The Promise of Lean in Health Care. Mayo Clinic Proceedings, 88 (1): 74-82.
  • Vukovar General County Hospital. (2019). Financijski plan OŽB Vukovar za 2020. Vukovar.
  • Westwood, N., James-Moore, M. and Cooke, M. (2007). Going Lean in the NHS. London: NHS Institute of Innovation Improvements
  • Womack, J. P. and Fitzpatrick, D. (1999). Lean thinking for Aerospace: The Industry that can Afford its Future. Atlanta: Lean Enterprise Institute
  • Womack, J. P. and Jones, D. T. (2003). Lean Thinking. Banish Waste and Create Wealth in Your Corporation, New York: Simon and Schuster
  • Womack, J. P., Jones, D. T. and Roos, D. (1990). The Machine That Changed the World: The Story of Lean Pro.. New York: Rawson and Associates
  • Womack, J. P., and Miller, D. (2005). Going lean in health care. Cambridge: Institute for Healthcare Improvement
  • World Health Organization (2012) International Classification of Diseases. Deseta revizija, Svezak 1, 2nd edition. Zagreb: Medicinska naklada
  • Young, T., Brailsford, S., Connell, C., Davies, R., Harper, P. and Klein, J. H. (2004). Using industrial processes to improve patient care. British Medical Journal, 328 (7432): 162–164.
  • Zahtila, A, (2017). Lean metodologija u praksi. Student theses defended at Juraj Dobrila University of Pula. <https://repozitorij.unipu.hr/islandora/object/unipu%3A1604/datastrea m/PDF/view> (accessed 12 September 2020)
  • Žvorc, M. (2013). Lean menadžment u neproizvodnoj organizaciji. Ekonomski vjesnik, 26 (2): 695 – 709.
There are 49 citations in total.

Details

Primary Language English
Subjects Economics
Journal Section Research Articles
Authors

Aleksandar Erceg This is me

Predrag Dotlić This is me

Agneza Aleksijević This is me

Publication Date December 31, 2020
Submission Date April 3, 2020
Published in Issue Year 2020 Volume: 2 Issue: 2

Cite

APA Erceg, A., Dotlić, P., & Aleksijević, A. (2020). Lean thinking in healthcare – review and current situation in Croatia. Journal of Ekonomi, 2(2), 86-90.

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