Economic Impact of Lean Healthcare Implementation on the Surgical Process

The objective of this study was to analyse and detail surgical process improvement activities that achieve the highest economic impact. Methods: Over 4 years, a team of technicians and healthcare professionals implemented a set of Lean surgical process improvement projects at Vall d’Hebron Universit...

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Detalhes bibliográficos
Autores: Sales Coll, Marc, Castro Vila, Rodolfo de, Ochoa de Echagüen, Anna, Martínez Ibáñez, Vicenç
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10256/24848
Acesso em linha:http://hdl.handle.net/10256/24848
Access Level:acceso abierto
Palavra-chave:Hospitals -- Direcció i administració
Hospitals -- Management
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spelling Economic Impact of Lean Healthcare Implementation on the Surgical ProcessSales Coll, MarcCastro Vila, Rodolfo deOchoa de Echagüen, AnnaMartínez Ibáñez, VicençHospitals -- Direcció i administracióHospitals -- ManagementThe objective of this study was to analyse and detail surgical process improvement activities that achieve the highest economic impact. Methods: Over 4 years, a team of technicians and healthcare professionals implemented a set of Lean surgical process improvement projects at Vall d’Hebron University Hospital (VHUH), Barcelona, Spain. Methods employed in the study are common in manufacturing environments and include reducing waiting and changeover time (SMED), reducing first time through, pull, and continuous flow. Projects based on these methods now form part of the daily routine in the surgical process. The economic impact on the hospital’s surgical activity budget was analysed. Results: Process improvements have led to annual operational savings of over EUR 8.5 million. These improvements include better patient flow, better management of information between healthcare professionals, and improved logistic circuits. Conclusions: The current cultural shift towards process management in large hospitals implies shifting towards results-based healthcare, patient-perceived value (VBHC), and value-added payment. A Lean project implementation process requires long-term stability. The reason a considerable number of projects fail to complete process improvement projects is the difficulty involved in establishing the project and improving management routines. Few studies in the literature have investigated the economic impact of implementing Lean management a posteriori, and even fewer have examined actual cases. In this real case study, changes to surgical block management were initiated from stage zero. After being carefully thought through and designed, changes were carried out and subsequently analysedMDPI (Multidisciplinary Digital Publishing Institute)2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionpeer-reviewedapplication/pdfhttp://hdl.handle.net/10256/24848Healthcare, 2024, vol. 12, núm. 5, p. 512Articles publicats (D-OGEDP)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)Inglésinfo:eu-repo/semantics/altIdentifier/doi/10.3390/healthcare12050512info:eu-repo/semantics/altIdentifier/eissn/2227-9032Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10256/248482026-05-29T05:05:01Z
dc.title.none.fl_str_mv Economic Impact of Lean Healthcare Implementation on the Surgical Process
title Economic Impact of Lean Healthcare Implementation on the Surgical Process
spellingShingle Economic Impact of Lean Healthcare Implementation on the Surgical Process
Sales Coll, Marc
Hospitals -- Direcció i administració
Hospitals -- Management
title_short Economic Impact of Lean Healthcare Implementation on the Surgical Process
title_full Economic Impact of Lean Healthcare Implementation on the Surgical Process
title_fullStr Economic Impact of Lean Healthcare Implementation on the Surgical Process
title_full_unstemmed Economic Impact of Lean Healthcare Implementation on the Surgical Process
title_sort Economic Impact of Lean Healthcare Implementation on the Surgical Process
dc.creator.none.fl_str_mv Sales Coll, Marc
Castro Vila, Rodolfo de
Ochoa de Echagüen, Anna
Martínez Ibáñez, Vicenç
author Sales Coll, Marc
author_facet Sales Coll, Marc
Castro Vila, Rodolfo de
Ochoa de Echagüen, Anna
Martínez Ibáñez, Vicenç
author_role author
author2 Castro Vila, Rodolfo de
Ochoa de Echagüen, Anna
Martínez Ibáñez, Vicenç
author2_role author
author
author
dc.subject.none.fl_str_mv Hospitals -- Direcció i administració
Hospitals -- Management
topic Hospitals -- Direcció i administració
Hospitals -- Management
description The objective of this study was to analyse and detail surgical process improvement activities that achieve the highest economic impact. Methods: Over 4 years, a team of technicians and healthcare professionals implemented a set of Lean surgical process improvement projects at Vall d’Hebron University Hospital (VHUH), Barcelona, Spain. Methods employed in the study are common in manufacturing environments and include reducing waiting and changeover time (SMED), reducing first time through, pull, and continuous flow. Projects based on these methods now form part of the daily routine in the surgical process. The economic impact on the hospital’s surgical activity budget was analysed. Results: Process improvements have led to annual operational savings of over EUR 8.5 million. These improvements include better patient flow, better management of information between healthcare professionals, and improved logistic circuits. Conclusions: The current cultural shift towards process management in large hospitals implies shifting towards results-based healthcare, patient-perceived value (VBHC), and value-added payment. A Lean project implementation process requires long-term stability. The reason a considerable number of projects fail to complete process improvement projects is the difficulty involved in establishing the project and improving management routines. Few studies in the literature have investigated the economic impact of implementing Lean management a posteriori, and even fewer have examined actual cases. In this real case study, changes to surgical block management were initiated from stage zero. After being carefully thought through and designed, changes were carried out and subsequently analysed
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
peer-reviewed
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10256/24848
url http://hdl.handle.net/10256/24848
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.3390/healthcare12050512
info:eu-repo/semantics/altIdentifier/eissn/2227-9032
dc.rights.none.fl_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI (Multidisciplinary Digital Publishing Institute)
publisher.none.fl_str_mv MDPI (Multidisciplinary Digital Publishing Institute)
dc.source.none.fl_str_mv Healthcare, 2024, vol. 12, núm. 5, p. 512
Articles publicats (D-OGEDP)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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