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Application of Lean Six Sigma methodology in the registration process of a hospital

Author

Listed:
  • Shreeranga Bhat
  • E.V. Gijo
  • N.A. Jnanesh

Abstract

Purpose - – The purpose of this paper is to study the scope of Lean Six Sigma (LSS) strategy and to explore its successful deployment in the Indian healthcare sector. Design/methodology/approach - – The research reported in this paper is based on a case study carried out using the LSS DMAIC (Define-Measure-Analyze-Control) approach and its application in improving the registration process in the Health Information Department (HID) of a Medical College hospital in India. Findings - – The study describes improvements in the HID through the power of LSS. Cycle time of the process was reduced from three to 1.5 minutes and the SD was reduced to 21.2 from 61 seconds. The project has shown a 94 per cent reduction in patients’ average waiting time. The study also reported a 91 per cent reduction in queue length and 48 per cent reduction in percentage of scheduled utilization of staff for the process. Research limitations/implications - – The paper is based on a single case study executed in a hospital and hence there is limitation in generalizing the specific results from the study. But the approach adopted and the learning from this study can be generalized. The study is of use to healthcare practitioners seeking to implement or develop LSS further in their organizations. Originality/value - – Although LSS being extremely successful in the last two decades, the application of LSS to the healthcare industry in general and HID in particular has been limited. This study illustrates how its application can improve the performance of the process and thus productivity in the department.

Suggested Citation

  • Shreeranga Bhat & E.V. Gijo & N.A. Jnanesh, 2014. "Application of Lean Six Sigma methodology in the registration process of a hospital," International Journal of Productivity and Performance Management, Emerald Group Publishing Limited, vol. 63(5), pages 613-643, June.
    • Handle: RePEc:eme:ijppmp:v:63:y:2014:i:5:p:613-643
    DOI: 10.1108/IJPPM-11-2013-0191
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    Citations

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    Cited by:

    1. Karl-Arne Johannessen & Hans Comtet & Erik Fosse, 2021. "A Drone Logistic Model for Transporting the Complete Analytic Volume of a Large-Scale University Laboratory," IJERPH, MDPI, vol. 18(9), pages 1-19, April.
    2. Rajko Novak & Aleksander Janes, 2017. "Merjenje zrelosti procesne usmerjenosti," UPP Monograph Series, University of Primorska Press, number 978-961-7023-55-8.
    3. Amrik Sohal & Tharaka Vass & Tristan Vasquez & Greg J. Bamber & Timothy Bartram & Pauline Stanton, 2022. "Success factors for lean six sigma projects in healthcare," Journal of Management Control: Zeitschrift für Planung und Unternehmenssteuerung, Springer, vol. 33(2), pages 215-240, June.
    4. Zeynep Tosuner & Osman Karaer & Ümit İnce, 2023. "Lean Six Sigma Applications in a Multicenter Pathology Laboratory: an Industrial Pathology Model," SN Operations Research Forum, Springer, vol. 4(3), pages 1-18, September.
    5. Luana Bonome Message Costa & Moacir Godinho Filho & Antonio Freitas Rentes & Thiago Moreno Bertani & Ronaldo Mardegan, 2017. "Lean healthcare in developing countries: evidence from Brazilian hospitals," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(1), pages 99-120, January.
    6. Akmal, Adeel & Greatbanks, Richard & Foote, Jeff, 2020. "Lean thinking in healthcare – Findings from a systematic literature network and bibliometric analysis," Health Policy, Elsevier, vol. 124(6), pages 615-627.
    7. Anneli Hujala & Erja Oksman, 2018. "Emotional Dimensions in Integrated Care for People with Multiple Complex Problems," Administrative Sciences, MDPI, vol. 8(4), pages 1-13, October.

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