IDEAS home Printed from https://ideas.repec.org/a/eee/proeco/v197y2018icp123-142.html
   My bibliography  Save this article

Assessing the readiness to implement lean in healthcare institutions – A case study

Author

Listed:
  • Narayanamurthy, Gopalakrishnan
  • Gurumurthy, Anand
  • Subramanian, Nachiappan
  • Moser, Roger

Abstract

We develop a lean readiness framework and an assessment methodology to quantify the readiness of healthcare institutions for implementing lean. We use stakeholder theory and work with a lean implementation team responsible for process improvement in a healthcare group to develop the framework. The framework uses fuzzy based input derived from the stakeholders of the healthcare institution to generate an overall ranking through ideal solution technique. The assessment method derives input from the readiness scores shared by various stakeholders. The ranking suggests future improvement areas to prepare the healthcare institution for a lean implementation project. We provide an alternative perspective of assessing the lean readiness of healthcare institutions before beginning a lean implementation project for both researchers and practitioners. Our research is the first to develop a lean readiness framework for healthcare institutions and demonstrate it using an assessment technique.

Suggested Citation

  • Narayanamurthy, Gopalakrishnan & Gurumurthy, Anand & Subramanian, Nachiappan & Moser, Roger, 2018. "Assessing the readiness to implement lean in healthcare institutions – A case study," International Journal of Production Economics, Elsevier, vol. 197(C), pages 123-142.
  • Handle: RePEc:eee:proeco:v:197:y:2018:i:c:p:123-142
    DOI: 10.1016/j.ijpe.2017.12.028
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0925527317304346
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.ijpe.2017.12.028?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Radnor, Zoe J. & Holweg, Matthias & Waring, Justin, 2012. "Lean in healthcare: The unfilled promise?," Social Science & Medicine, Elsevier, vol. 74(3), pages 364-371.
    2. Hicks, Chris & McGovern, Tom & Prior, Gary & Smith, Iain, 2015. "Applying lean principles to the design of healthcare facilities," International Journal of Production Economics, Elsevier, vol. 170(PB), pages 677-686.
    3. Bortolotti, Thomas & Boscari, Stefania & Danese, Pamela, 2015. "Successful lean implementation: Organizational culture and soft lean practices," International Journal of Production Economics, Elsevier, vol. 160(C), pages 182-201.
    4. Angel Díaz & Juan Pons & Luis Solís, 2012. "Improving healthcare services: lean lessons from Aravind," International Journal of Business Excellence, Inderscience Enterprises Ltd, vol. 5(4), pages 413-428.
    5. Renae A. Jones & Nerina L. Jimmieson & Andrew Griffiths, 2005. "The Impact of Organizational Culture and Reshaping Capabilities on Change Implementation Success: The Mediating Role of Readiness for Change," Journal of Management Studies, Wiley Blackwell, vol. 42(2), pages 361-386, March.
    6. Losonci, Dávid & Demeter, Krisztina & Jenei, István, 2011. "Factors influencing employee perceptions in lean transformations," International Journal of Production Economics, Elsevier, vol. 131(1), pages 30-43, May.
    7. Yang, Ma Ga (Mark) & Hong, Paul & Modi, Sachin B., 2011. "Impact of lean manufacturing and environmental management on business performance: An empirical study of manufacturing firms," International Journal of Production Economics, Elsevier, vol. 129(2), pages 251-261, February.
    8. Jaepil Choi & Heli Wang, 2009. "Stakeholder relations and the persistence of corporate financial performance," Strategic Management Journal, Wiley Blackwell, vol. 30(8), pages 895-907, August.
    9. Jose Arturo Garza-Reyes & Emre Mehmet Ates & Vikas Kumar, 2015. "Measuring lean readiness through the understanding of quality practices in the Turkish automotive suppliers industry," International Journal of Productivity and Performance Management, Emerald Group Publishing Limited, vol. 64(8), pages 1092-1112, November.
    10. Khanchanapong, Teerasak & Prajogo, Daniel & Sohal, Amrik S. & Cooper, Brian K. & Yeung, Andy C.L. & Cheng, T.C.E., 2014. "The unique and complementary effects of manufacturing technologies and lean practices on manufacturing operational performance," International Journal of Production Economics, Elsevier, vol. 153(C), pages 191-203.
    11. Lin, Ching-Torng & Chiu, Hero & Chu, Po-Young, 2006. "Agility index in the supply chain," International Journal of Production Economics, Elsevier, vol. 100(2), pages 285-299, April.
    12. Abdulmalek, Fawaz A. & Rajgopal, Jayant, 2007. "Analyzing the benefits of lean manufacturing and value stream mapping via simulation: A process sector case study," International Journal of Production Economics, Elsevier, vol. 107(1), pages 223-236, May.
    13. Harrison, Jeffrey S. & Wicks, Andrew C., 2013. "Stakeholder Theory, Value, and Firm Performance," Business Ethics Quarterly, Cambridge University Press, vol. 23(1), pages 97-124, January.
    14. Qi, Yinan & Huo, Baofeng & Wang, Zhiqiang & Yeung, Hoi Yan Jeff, 2017. "The impact of operations and supply chain strategies on integration and performance," International Journal of Production Economics, Elsevier, vol. 185(C), pages 162-174.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Andreas Kakouris & Eleni Sfakianaki & Marios Tsioufis, 2022. "Lean thinking in lean times for education," Annals of Operations Research, Springer, vol. 316(1), pages 657-697, September.
    2. Pilar I. Vidal-Carreras & Julio J. Garcia-Sabater & Juan A. Marin-Garcia, 2022. "Applying Value Stream Mapping to Improve the Delivery of Patient Care in the Oncology Day Hospital," IJERPH, MDPI, vol. 19(7), pages 1-18, April.
    3. Salma Benchekroun & V. G. Venkatesh & Ilham Dkhissi & D. Jinil Persis & Arunmozhi Manimuthu & M. Suresh & V. Raja Sreedharan, 2023. "Managing the retail operations in the COVID‐19 pandemic: Evidence from Morocco," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 44(1), pages 424-447, January.
    4. Kudrekodlu V. Prasad & Venkatesan Vasugi, 2023. "Readiness Factors for Sustainable Lean Transformation of Construction Organizations," Sustainability, MDPI, vol. 15(8), pages 1-23, April.
    5. Yang, Yefei & Zhang, Xiaofei & Lee, Peter K.C., 2019. "Improving the effectiveness of online healthcare platforms: An empirical study with multi-period patient-doctor consultation data," International Journal of Production Economics, Elsevier, vol. 207(C), pages 70-80.
    6. Fournier, Pierre-Luc & Chênevert, Denis & Jobin, Marie-Hélène, 2021. "The antecedents of physicians’ behavioral support for lean in healthcare: The mediating role of commitment to organizational change," International Journal of Production Economics, Elsevier, vol. 232(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lin Wu & Nachiappan Subramanian & Angappa Gunasekaran & Muhammad Dan‐Asabe Abdulrahman & Kulwant Singh Pawar & Des Doran, 2018. "A two‐dimensional, two‐level framework for achieving corporate sustainable development: Assessing the return on sustainability initiatives," Business Strategy and the Environment, Wiley Blackwell, vol. 27(8), pages 1117-1130, December.
    2. Roberto Chavez & Wantao Yu & Muhammad Shakeel Sadiq Jajja & Antonio Lecuna & Brian Fynes, 2020. "Can entrepreneurial orientation improve sustainable development through leveraging internal lean practices?," Business Strategy and the Environment, Wiley Blackwell, vol. 29(6), pages 2211-2225, September.
    3. Assadej Vanichchinchai, 2021. "Assessing lean satisfaction and its enablers: a care provider perspective," Operations Management Research, Springer, vol. 14(1), pages 95-106, June.
    4. Tortorella, Guilherme Luz & Narayanamurthy, Gopalakrishnan & Thurer, Matthias, 2021. "Identifying pathways to a high-performing lean automation implementation: An empirical study in the manufacturing industry," International Journal of Production Economics, Elsevier, vol. 231(C).
    5. Lukas D. Filser & Fábio Francisco Silva & Otávio José Oliveira, 2017. "State of research and future research tendencies in lean healthcare: a bibliometric analysis," Scientometrics, Springer;Akadémiai Kiadó, vol. 112(2), pages 799-816, August.
    6. Hong, Paul & Jagani, Sandeep & Kim, Jinhwan & Youn, Sun Hee, 2019. "Managing sustainability orientation: An empirical investigation of manufacturing firms," International Journal of Production Economics, Elsevier, vol. 211(C), pages 71-81.
    7. Falah Abu & Hamed Gholami & Norhayati Zakuan & Muhamad Zameri Mat Saman & Dalia Streimikiene & Justas Streimikis, 2020. "The Influence of Contextual Factors on the Implementation of Lean Practices: An Analysis of Furniture Industries," The AMFITEATRU ECONOMIC journal, Academy of Economic Studies - Bucharest, Romania, vol. 22(55), pages 867-867, August.
    8. Branislav Micieta & Honorata Howaniec & Vladimíra Binasova & Marta Kasajova & Miroslav Fusko, 2021. "Increasing Work Efficiency in a Manufacturing Setting Using Gemba Walk," European Research Studies Journal, European Research Studies Journal, vol. 0(Special 4), pages 601-620.
    9. Christopher Lim, 2019. "The Impact of Social Variables on Financial Performance," Proceedings of the 12th International RAIS Conference, April 3-4, 2019 2CL, Research Association for Interdisciplinary Studies.
    10. Das, Kanchan, 2018. "Integrating lean systems in the design of a sustainable supply chain model," International Journal of Production Economics, Elsevier, vol. 198(C), pages 177-190.
    11. Godinho Filho, Moacir & Marchesini, Antonio Gilberto & Riezebos, Jan & Vandaele, Nico & Ganga, Gilberto Miller Devós, 2017. "The application of Quick Response Manufacturing practices in Brazil, Europe, and the USA: An exploratory study," International Journal of Production Economics, Elsevier, vol. 193(C), pages 437-448.
    12. Abreu-Ledón, René & Luján-García, Darkys E. & Garrido-Vega, Pedro & Escobar-Pérez, Bernabé, 2018. "A meta-analytic study of the impact of Lean Production on business performance," International Journal of Production Economics, Elsevier, vol. 200(C), pages 83-102.
    13. Yash Daultani & Atanu Chaudhuri & Sushil Kumar, 2015. "A Decade of Lean in Healthcare: Current State and Future Directions," Global Business Review, International Management Institute, vol. 16(6), pages 1082-1099, December.
    14. Yusuf, Yahaya Y. & Gunasekaran, Angappa & Musa, Ahmed & Dauda, Mohammed & El-Berishy, Nagham M. & Cang, Shuang, 2014. "A relational study of supply chain agility, competitiveness and business performance in the oil and gas industry," International Journal of Production Economics, Elsevier, vol. 147(PB), pages 531-543.
    15. Mujtaba Ahsan, 2020. "Entrepreneurship and Ethics in the Sharing Economy: A Critical Perspective," Journal of Business Ethics, Springer, vol. 161(1), pages 19-33, January.
    16. Jeffrey S. Harrison & Joyce van der Laan Smith, 2015. "Responsible Accounting for Stakeholders," Journal of Management Studies, Wiley Blackwell, vol. 52(7), pages 935-960, November.
    17. Mohammad Iranmanesh & Suhaiza Zailani & Sunghyup Sean Hyun & Mohd Helmi Ali & Kwangyong Kim, 2019. "Impact of Lean Manufacturing Practices on Firms’ Sustainable Performance: Lean Culture as a Moderator," Sustainability, MDPI, vol. 11(4), pages 1-20, February.
    18. Oskar P. Roemeling & Martin J. Land & Kees Ahaus & Jannes Slomp & Wouter van den Bijllaardt, 2017. "Impact of lean interventions on time buffer reduction in a hospital setting," International Journal of Production Research, Taylor & Francis Journals, vol. 55(16), pages 4802-4815, August.
    19. 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.
    20. Genc, Talat S. & De Giovanni, Pietro, 2020. "Closed-loop supply chain games with innovation-led lean programs and sustainability," International Journal of Production Economics, Elsevier, vol. 219(C), pages 440-456.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:proeco:v:197:y:2018:i:c:p:123-142. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/ijpe .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.