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Implementing the Lean Management Tools in the Management of a Health Care Institution
Hladkova O. V.

Hladkova, Olha V. (2023) “Implementing the Lean Management Tools in the Management of a Health Care Institution.” Business Inform 3:145–152.
https://doi.org/10.32983/2222-4459-2023-3-145-152

Section: Management and Marketing

Article is written in Ukrainian
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UDC 331.442

Abstract:
The article is aimed at developing proposals for introducing lean management tools in the management of a health care institution. It is proved that lean management is a modern managerial philosophy that allows to increase the efficiency of the process execution in an organization. It should be considered as a style of both leadership and management system. Today, lean management is being actively implemented in the healthcare sector of foreign countries and, using its tools, it is possible to achieve cost reduction while improving the quality of patient care, in particular, reducing waiting times for examinations, procedures and operations. The publication outlines the main losses that are characteristic of health care institutions, and notes that before introducing the appropriate lean management tools in the activities of the selected health care institution – a communal non-profit enterprise, it is necessary to search for problem areas of activity that reduce its efficiency. On the example of the selected communal non-profit enterprise, the following problem areas were disclosed, their ranking was carried out, on the basis of which a two-dimensional ABC matrix was built – the importance/urgency of eliminating problem areas. With its help, problem areas that need priority elimination have been identified. In order to solve the issue, such a tool of saving production as value stream mapping was used, and with its help, also using the «Why – Why?» technique, an updated patient path map was proposed in the outpatient department of health care institutions, which will minimize the loss of time for receiving medical services, increase attention to the patient and ensure the growth of the overall consumer quality of medical services. The next stage in improving the management process of health care institutions on the basis of saving production should be the development of solutions to overcome the problem areas of activities of health care institutions – communal non-profit enterprises by developing appropriate instructions and standard operating procedures, as well as further training of personnel in order to improve their professional skills.

Keywords: health care institution, saving production, lean management, patient path map.

Fig.: 3. Tabl.: 1. Bibl.: 8.

Hladkova Olha V. – Candidate of Sciences (Economics), Associate Professor, Associate Professor, Department of Management, Economics and Quality Assurance in Pharmacy, National Pharmaceutical University (53 Hryhoriia Skovorody Str., Kharkіv, 61002, Ukraine)
Email: [email protected]

List of references in article

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Gorodkova, S. A., and Taskina, Ye. B. “Osobennosti upravlencheskikh resheniy v sisteme zdravookhraneniya na osnove printsipov berezhlivogo proizvodstva“ [Features of Management Decisions in the Health Care System Based on the Principles of Lean Production]. Vestnik Zabaykalskogo gosudarstvennogo universiteta, vol. 25, no. 5 (2019): 105-113. DOI: 10.21209/2227-9245-2019-25-5-105-113
Young, T. et al. “Using industrial processes to improve patient care“. British Medical Journal, art. 162, vol. 328, no. 7432 (2004). DOI: https://doi.org/10.1136/bmj.328.7432.162
Dickson, E. W. et al. “Application of lean manufacturing techniques in the Emergency Department“. Journal of Emergency Medicine. 2008. https://pubmed.ncbi.nlm.nih.gov/18722732/
Morrow, E. et al. “Implementing large-scale quality improvement: lessons from the productive ward: releasing time to care“. International Journal of Health Care Quality Assurance, vol. 25, no. 4 (2012): 237-253. DOI: https://doi.org/10.1108/09526861211221464
Spear, S. “Fixing Health Care from the Inside, Today“. Harvard Business Review. 2005. https://hbr.org/2005/09/fixing-health-care-from-the-inside-today
“Bolnitsa beret primer s avtomobilnogo kontserna“ [The Hospital Takes a Cue from the Automobile Concern]. DW. April 13, 2007. https://www.dw.com/ru/больница-берет-пример-с-автомобильного-концерна/a-2441405
“Ekonomichna model oshchadlyvoho vyrobnytstva ta posluh“ [Economic Model of Lean Production and Services]. Diia.Biznes. November 28, 2021. https://business.diia.gov.ua/handbook/impact-investment/ekonomicna-model-osadlivogo-virobnictva-ta-poslug

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