TY - GEN
T1 - Implementation Experiences of Lean Organization in Healthcare for Apulian Hospitals
T2 - 8th IFIP WG 5.7 European Lean Educator Conference, ELEC 2022
AU - Rosa, Angelo
AU - Marolla, Giuliano
AU - McDermott, Olivia
N1 - Publisher Copyright:
© 2023, IFIP International Federation for Information Processing.
PY - 2023
Y1 - 2023
N2 - The purpose of this study is to explore how representatives of the pilot projects teams and dissemination practitioners, belonging to several hospitals in Apulian hospitals in Italy experienced the implementation of Lean over 3 years. An exploratory and qualitative design was drawn based on data triangulation from semi-structured interviews, documentation analysis relating to Lean implementation and direct observation. The main implementation drivers of the methodology in hospitals were increasing patient value and improving workplace well-being. The panel highlighted three pivotal implementation stages: introduction, spontaneous and informal dissemination, and strategic-level implementation. Critical success and failure factors emerged for each of these stages. During the introduction, expert training and coaching from an external consultant are among the most impactful factors in the success of pilot projects, while time constraints and the adoption of process analysis tools are the main barriers to implementation. However, the absence of managerial expertise to support implementation and organisational constraints, such as departmental organisational structure, do not allow for systemic adoption of the methodology.
AB - The purpose of this study is to explore how representatives of the pilot projects teams and dissemination practitioners, belonging to several hospitals in Apulian hospitals in Italy experienced the implementation of Lean over 3 years. An exploratory and qualitative design was drawn based on data triangulation from semi-structured interviews, documentation analysis relating to Lean implementation and direct observation. The main implementation drivers of the methodology in hospitals were increasing patient value and improving workplace well-being. The panel highlighted three pivotal implementation stages: introduction, spontaneous and informal dissemination, and strategic-level implementation. Critical success and failure factors emerged for each of these stages. During the introduction, expert training and coaching from an external consultant are among the most impactful factors in the success of pilot projects, while time constraints and the adoption of process analysis tools are the main barriers to implementation. However, the absence of managerial expertise to support implementation and organisational constraints, such as departmental organisational structure, do not allow for systemic adoption of the methodology.
KW - Critical success and failure factors
KW - Lean adoption phases
KW - Lean healthcare
KW - Longitudinal analysis
KW - Organisational models
UR - http://hdl.handle.net/10379/17821
UR - https://www.scopus.com/pages/publications/85151048260
U2 - 10.13025/18073
DO - 10.13025/18073
M3 - Conference Publication
SN - 9783031257407
T3 - IFIP Advances in Information and Communication Technology
SP - 41
EP - 53
BT - Lean, Green and Sustainability - 8th IFIP WG 5.7 European Lean Educator Conference, ELEC 2022, Proceedings
A2 - McDermott, Olivia
A2 - Toner, Aidan
A2 - Rosa, Angelo
A2 - Sá, José Carlos
PB - Springer Science and Business Media Deutschland GmbH
Y2 - 22 November 2022 through 24 November 2022
ER -