Lean implementation in primary care health visiting services in National Health Service UK
2010 (English)In: Quality and Safety in Healthcare, ISSN 1475-3898, E-ISSN 1475-3901, Vol. 19, no 5, e43- p.Article in journal (Refereed) Published
Background This paper presents the findings of a 13-month lean implementation in National Hearth Service (NHS) primary care health visiting services from May 2008 to June 2009.
Method Lean was chosen for this study because of its reported success in other healthcare organisations. Value-stream mapping was utilised to map out essential tasks for the participating health visiting service. Stakeholder mapping was conducted to determine the links between all relevant stakeholders. Waste processes were then identified through discussions with these stakeholders, and a redesigned future state process map was produced. Quantitative data were provided through a 10-day time-and-motion study of a selected number of staff within the service. This was analysed to provide an indication of waste activity that could be removed from the system following planned improvements.
Results The value-stream map demonstrated that there were 67 processes in the original health visiting service studied. Analysis revealed that 65% of these processes were waste and could be removed in the redesigned process map. The baseline time-and-motion data demonstrate that clinical staff performed on average 15% waste activities, and the administrative support staff performed 46% waste activities.
Conclusion Opportunities for significant waste reduction have been identified during the study using the lean tools of value-stream mapping and a time-and-motion study. These opportunities include simplification of standard tasks, reduction in paperwork and standardisation of processes. Successful implementation of these improvements will free up resources within the organisation which can be redirected towards providing better direct care to patients.
Place, publisher, year, edition, pages
2010. Vol. 19, no 5, e43- p.
REDESIGN, LESSONS, 6-SIGMA
IdentifiersURN: urn:nbn:se:kth:diva-61598DOI: 10.1136/qshc.2009.039719ISI: 000285032700063OAI: oai:DiVA.org:kth-61598DiVA: diva2:479409
QC 201201242012-01-172012-01-172012-01-24Bibliographically approved