Evaluating a System-wide Lean Implementation

This Hot Topic is focused on evaluating Lean implementation. The topic compliments the upcoming Centre for Health Care Management seminar “If You’re Not Keeping Score You’re Only Practicing: Evaluating a System-wide Lean Implementation” with Dr. Martin Puterman, Advisory Board Professor of Operations in UBC’s Sauder School of Business. For a basic primer on Lean visit the past “Lean Building Hot Topic page”. To learn more about the seminar or to register to participate in it visit the information page.

The READ Portal has posted several papers on the topic of Lean under the Process Improvement tag. Additionally, the following resources provide a broad overview of the subject of Lean in Health Care. While most of these resources are open access, some require a subscription to view. Please contact your institution’s library or email librarian@chcm.ubc.ca for more information.

Puterman, M., Xhang, Y., Aydede, S.K., Palmer, B., MacLeod, S., Bavafa, H., & MacKenzie, M. (2012). “If You’re Not Keeping Score, You’re Just Practicing”: A Lean Health Care Program Evaluation Framework. E-pub ahead of print. Available from http://read-chcm.sites.olt.ubc.ca/files/2012/02/Lean-Healthcare-Policy-February-6-2012-combined.pdf

Fine, B.A., Golden, B., Hannam, R., & Morra, D. (2009). Leading Lean: A Canadian Healthcare Leader’s Guide. Healthcare Quarterly, 12:(3). Available at http://schowengerdtconsulting.com/Administrative/ReadingList/Leading%20Lean-%20A%20Canadian%20Health%20Care%20Leader%27s%20Guide.pdf.

Jackson, K., & Woeste, L.A., (2008). Using Lean Six Sigma to Reduce Patient Wait Times. Lab Medicine, 39:(3). Available at http://labmed.ascpjournals.org/content/39/3/134.short.

Marshall, M. (2009). Applying quality improvement approaches to health care. British Medical Journal, 339. Available at http://www.bmj.com/content/339/bmj.b3411.full.

McCulloch, P., Kreckler, S., New, S., Sheena, Y., Handa, A., & Catchpole, K. (2010). Effect of a “Lean” intervention to improve safety processes and outcomes on a surgical emergency unit. British Medical Journal, 2:(341). Available at http://www.ncbi.nlm.nih.gov/pubmed/21045024.

Ng, D., Vail, G., Thomas, S., & Schmidt, N. (2010). Applying the Lean principles of the Toyota Production System to reduce wait times in the emergency department. Canadian Journal of Emergency Medicine, 12:(1). Available at http://www.ncbi.nlm.nih.gov/pubmed/20078919.

Radnor, Z., & Walley, P. (2008). Learning to Walk Before We Try to Run: Adapting Lean for the Public Sector. Public Money and Management, 28:(1). Available at http://www.tandfonline.com/doi/abs/10.1111/j.1467-9302.2008.00613.x.

Vest, J.R., & Gamm, L.D. (2011). A critical review of the research literature on Six Sigma, Lean and StuderGroup’s Hardwiring Excellence in the United States: the need to demonstrate and communicate the effectiveness of transformation strategies in healthcare. Implementation Science, 4(35). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2709888/.

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