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Sustainability of improvements over the long term after the implementation of Lean Healthcare methodology in the Urology Department of a public hospital as a tool for improving efficiency

Author

Listed:
  • Alba, Alberto Budía

    (La Fe University and Polytechnic Hospital)

  • Tormo, Francisco Boronat

    (La Fe University and Polytechnic Hospital)

  • Mateu, M. Pilar Bahílo

    (La Fe University and Polytechnic Hospital)

  • Arlandis, Salvador

    (La Fe University and Polytechnic Hospital)

  • Pontones, Jose Luis

    (La Fe University and Polytechnic Hospital)

  • Vivas-Consuelo, David

    (La Fe University and Polytechnic Hospital)

Abstract

To demonstrate the sustainability of improvements over the long term after the implementation of Lean Healthcare methodology in the urology department, a total of 19,567 clinical processes were analysed from 2011 to 2017. In 2011, the pre-surgical hospital stay was 1.07 days, and in 2018, it was 0.33 days. The average gross hospital stay was 4.25 days, and it fell progressively to 2.78 days in 2015, before increasing to 2.92 days in 2018. The risk-adjusted mean hospital stay index was 0.61 (49 per cent improvement over the standard), with a saving of 3,320 hospital stays in 2018. The risk-adjusted complications index was 0.44 (66 per cent improvement over the standard), with a saving of 37 complications in 2017 (0.65 in 2013). The risk-adjusted mortality index was 0.05 (95 per cent improvement over the standard), with a saving of 20 deaths in 2017 (0.3 in 2013). The risk-adjusted readmissions index (RARI) was 1.49 (49 per cent worse than the standard), with 26 more readmissions than expected (1.58 in 2013). Lean Healthcare methodology can be effectively applied and maintained over the long term in a department of a public tertiary hospital, but it demands a change in the mindset of the workers and an economic investment.

Suggested Citation

  • Alba, Alberto Budía & Tormo, Francisco Boronat & Mateu, M. Pilar Bahílo & Arlandis, Salvador & Pontones, Jose Luis & Vivas-Consuelo, David, 2019. "Sustainability of improvements over the long term after the implementation of Lean Healthcare methodology in the Urology Department of a public hospital as a tool for improving efficiency," Management in Healthcare: A Peer-Reviewed Journal, Henry Stewart Publications, vol. 4(2), pages 184-191, December.
    • Handle: RePEc:aza:mih000:y:2019:v:4:i:2:p:184-191
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    More about this item

    Keywords

    Lean Healthcare; urology; sustainability; continuous improvement; efficiency;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I10 - Health, Education, and Welfare - - Health - - - General

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