1. Examining the Relationship Between the Lean Management System and Quality Improvement Care Management Processes
- Author
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Elina Reponen, Stephen M. Shortell, Janet C. Blodgett, Thomas G. Rundall, and Aaron A. Tierney
- Subjects
Information management ,care management processes ,Decision support system ,Health (social science) ,Quality management ,Leadership and Management ,media_common.quotation_subject ,8.1 Organisation and delivery of services ,Nursing ,Lean manufacturing ,Article ,Clinical Research ,quality of care ,Health care ,Medicine ,Operations management ,Quality (business) ,organization and administration ,Care Planning ,Management process ,hospital performance improvement ,media_common ,business.industry ,Health Policy ,Health Services ,Lean management ,Good Health and Well Being ,Public Health and Health Services ,Health Policy & Services ,Generic health relevance ,business ,Developed country ,Health and social care services research - Abstract
BACKGROUND AND OBJECTIVES: The United States has an under-performing healthcare system on both cost and quality criteria in comparison with other developed countries. One approach to improving system performance on both cost and quality is to use the Lean management system based on the Shingo principles originally developed by Toyota in Japan. Our objective is to examine the association between hospital use of the Lean management system and evidence-based or recommended quality improvement care management processes. METHODS: A cross sectional analysis of data from 223 hospitals that responded to both the 2017 National Survey of Healthcare Organizations and Systems (NSHOS) and the 2017 National Survey of Lean/Transformational Performance Improvement in Hospitals (NSL) was conducted. RESULTS: Controlling for hospital organizational and market characteristics, the number of years doing Lean was positively associated with use of electronic health record-based decision support, use of quality-focused information management, use of evidence-based guidelines, and support for care transitions at the p
- Published
- 2021