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The influence of policy makers over Lean implementations in healthcare

The influence of policy makers over Lean implementations in healthcare It is often argued that Lean enables the challenges of contemporary healthcare delivery to be tackled in relation to consistently high-quality care, while utilizing the full potential of available resources. Nevertheless, system-wide implementations of Lean are notoriously difficult and the desired results are often not achieved. Policy makers play a pivotal role in enabling healthcare organizations to enact more precise strategies and frameworks through steering professionals toward both adopting guidelines and becoming more comfortable with Lean as an improvement technique. However, the difficulties in achieving system-wide implementations of Lean indicate their shortcomings in this respect. The purpose of this paper is to outline how these shortcomings may be manifested empirically.Design/methodology/approachA qualitative content analysis of Swedish counties’ annual reports with regard to how the implementation of Lean is presented and promoted.FindingsThe study shows that policy makers have vague and divergent perceptions of what Lean is, and that they often reduce Lean to a means of achieving cost reductions and savings, while relying on the education of managers as the primary factor to ensure implementation.Originality/valueIn order for policy makers to facilitate system-wide implementations of Lean, this study indicates that they need to rectify their simplistic perception of Lean while elaborating on why and how Lean should be implemented in healthcare. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Health Governance Emerald Publishing

The influence of policy makers over Lean implementations in healthcare

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References (32)

Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
2059-4631
DOI
10.1108/ijhg-02-2019-0016
Publisher site
See Article on Publisher Site

Abstract

It is often argued that Lean enables the challenges of contemporary healthcare delivery to be tackled in relation to consistently high-quality care, while utilizing the full potential of available resources. Nevertheless, system-wide implementations of Lean are notoriously difficult and the desired results are often not achieved. Policy makers play a pivotal role in enabling healthcare organizations to enact more precise strategies and frameworks through steering professionals toward both adopting guidelines and becoming more comfortable with Lean as an improvement technique. However, the difficulties in achieving system-wide implementations of Lean indicate their shortcomings in this respect. The purpose of this paper is to outline how these shortcomings may be manifested empirically.Design/methodology/approachA qualitative content analysis of Swedish counties’ annual reports with regard to how the implementation of Lean is presented and promoted.FindingsThe study shows that policy makers have vague and divergent perceptions of what Lean is, and that they often reduce Lean to a means of achieving cost reductions and savings, while relying on the education of managers as the primary factor to ensure implementation.Originality/valueIn order for policy makers to facilitate system-wide implementations of Lean, this study indicates that they need to rectify their simplistic perception of Lean while elaborating on why and how Lean should be implemented in healthcare.

Journal

International Journal of Health Governance – Emerald Publishing

Published: Aug 1, 2019

Keywords: Evidence-based practice; Clinical effectiveness; Clinical governance; Management; Quality; Health law or regulation

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