Application of VSM as a Lean Tool in a Healthcare Facility

M. A. Karim, M. A. H. Mithu, Tarequl Islam, Nayan Bhowal, Hadi Ahmed
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Abstract

The healthcare industry can be termed as one of the most important sectors of the economy. Healthcare industries are trying to adopt lean management principles in order to maintain quality service to patients, optimize workflow, and eliminate waste. Among the lean management tools, value stream mapping (VSM) is a key tool that uses a flowchart to depict, analyze, and improve the actions involved in the system. The aim of the study is to model the system through value stream mapping to identify wastes and non-value-adding activities in the processes so that the system can get rid of bottlenecks, constraints, and wastes. Sylhet Women’s Medical College Hospital is chosen to conduct the study. The necessary data are collected by interviewing employees and patients at outdoor and indoor departments, as well as by direct observation and going through previous records. eVSM software is used for creating current and future value stream maps. The total waiting time, processing time, and lead time of the processes of outdoor departments and diagnostic centers of the hospital are measured and improved over the existing system in the proposed model of the value stream map. Although the proposed model cannot be implemented, it is clear from this study that VSM can ensure smooth healthcare service and enhance performance.
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将 VSM 作为精益工具在医疗机构中的应用
医疗保健行业可谓是最重要的经济部门之一。医疗保健行业正试图采用精益管理原则,以保持对患者的优质服务、优化工作流程并消除浪费。在精益管理工具中,价值流图(VSM)是一个重要工具,它使用流程图来描述、分析和改进系统中涉及的操作。本研究的目的是通过价值流图建立系统模型,识别流程中的浪费和非增值活动,从而使系统摆脱瓶颈、限制和浪费。本研究选择了锡尔赫特女子医学院医院作为研究对象。通过对室外和室内科室的员工和病人进行访谈,以及直接观察和查阅以往记录来收集必要的数据。测量医院室外科室和诊断中心流程的总等待时间、处理时间和前置时间,并在拟议的价值流图模型中对现有系统进行改进。虽然所提出的模型无法实施,但本研究清楚地表明,价值流管理可以确保医疗服务的顺利进行并提高绩效。
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