Lean six sigma and stroke in rural hospital - The case of Baruch Padeh Medical Center.

IF 1 Q4 HEALTH POLICY & SERVICES
Batsheva Tzadok, Oran Ben Tov, Vladimir Vaispapir, Lev Shornikov, Olga Marik, Leon Martens, Eran Tal Or
{"title":"Lean six sigma and stroke in rural hospital - The case of Baruch Padeh Medical Center.","authors":"Batsheva Tzadok,&nbsp;Oran Ben Tov,&nbsp;Vladimir Vaispapir,&nbsp;Lev Shornikov,&nbsp;Olga Marik,&nbsp;Leon Martens,&nbsp;Eran Tal Or","doi":"10.1108/IJHCQA-01-2021-0005","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This case study aims to demonstrate the strengths of the Lean Six Sigma (LSS) methodology to improve the acute ischemic stroke (AIS) treatment rates and reduce process lead time at Baruch Padeh Medical Center (BPMC), a rural hospital in the Galilee region of Northern Israel. The LSS project redefined the BPMC stroke care pathway and increased its efficacy.</p><p><strong>Design/methodology/approach: </strong>The LSS methodology was implemented in September 2017 by integrating lean principles and the Six Sigma DMAIC (Define-Measure-Analyze-Improve-Control). Existing procedures, field observation, ad hoc measurement and in-depth interviews were utilized, and the GEMBA method was implemented to identify root cause and improve actions optimizing the stroke pathway.</p><p><strong>Findings: </strong>The presented case shows the usefulness of the LSS methodology in improving quality performance in a rural hospital. The intervention allowed the BPMC to improve the intravenous tissue plasminogen activator (IV-tPA) administration rate (+15.2%), reducing the process lead time. The lead time of door-to-computer tomography decreased from 52 to 26 min, and the door-to-needle time decreased from 94 to 75 min.</p><p><strong>Originality/value: </strong>The present case study shows the implementation of the LSS methodology aimed to improve the IV-tPA administration rate and reduce the stroke pathway lead time in a rural hospital. The case demonstrates the potential for the LSS methodology to support the AIS pathway optimization and represents a guide for healthcare organizations located in rural areas.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2022-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1108/IJHCQA-01-2021-0005","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 1

Abstract

Purpose: This case study aims to demonstrate the strengths of the Lean Six Sigma (LSS) methodology to improve the acute ischemic stroke (AIS) treatment rates and reduce process lead time at Baruch Padeh Medical Center (BPMC), a rural hospital in the Galilee region of Northern Israel. The LSS project redefined the BPMC stroke care pathway and increased its efficacy.

Design/methodology/approach: The LSS methodology was implemented in September 2017 by integrating lean principles and the Six Sigma DMAIC (Define-Measure-Analyze-Improve-Control). Existing procedures, field observation, ad hoc measurement and in-depth interviews were utilized, and the GEMBA method was implemented to identify root cause and improve actions optimizing the stroke pathway.

Findings: The presented case shows the usefulness of the LSS methodology in improving quality performance in a rural hospital. The intervention allowed the BPMC to improve the intravenous tissue plasminogen activator (IV-tPA) administration rate (+15.2%), reducing the process lead time. The lead time of door-to-computer tomography decreased from 52 to 26 min, and the door-to-needle time decreased from 94 to 75 min.

Originality/value: The present case study shows the implementation of the LSS methodology aimed to improve the IV-tPA administration rate and reduce the stroke pathway lead time in a rural hospital. The case demonstrates the potential for the LSS methodology to support the AIS pathway optimization and represents a guide for healthcare organizations located in rural areas.

精益六西格玛与农村医院中风——以巴鲁克帕德医疗中心为例
目的:本案例研究旨在展示精益六西格玛(LSS)方法在提高急性缺血性卒中(AIS)治疗率和缩短流程前置时间方面的优势,该方法在巴鲁克帕德医疗中心(BPMC)是以色列北部加利利地区的一家农村医院。LSS项目重新定义了BPMC脑卒中护理途径,提高了其疗效。设计/方法/方法:LSS方法通过整合精益原则和六西格玛DMAIC(定义-测量-分析-改进-控制)于2017年9月实施。利用现有程序、现场观察、临时测量和深度访谈,并实施GEMBA方法,以确定根本原因并改进优化脑卒中通路的措施。研究结果:本案例显示了LSS方法在提高农村医院质量绩效方面的有用性。干预使BPMC提高了静脉组织型纤溶酶原激活剂(IV-tPA)的给药率(+15.2%),缩短了工艺提前期。从门到计算机断层扫描的提前时间从52分钟减少到26分钟,从门到针的提前时间从94分钟减少到75分钟。独创性/价值:本案例研究表明,LSS方法的实施旨在提高IV-tPA的给药率,减少农村医院卒中通路的提前时间。该案例展示了LSS方法支持AIS路径优化的潜力,并为位于农村地区的医疗保健组织提供了指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.00
自引率
6.70%
发文量
6
期刊介绍: ■Successful quality/continuous improvement projects ■The use of quality tools and models in leadership management development such as the EFQM Excellence Model, Balanced Scorecard, Quality Standards, Managed Care ■Issues relating to process control such as Six Sigma, Leadership, Managing Change and Process Mapping ■Improving patient care through quality related programmes and/or research Articles that use quantitative and qualitative methods are encouraged.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信