Lean Healthcare across Cultures: State-Of-The-Art

Lean thinking “translation” from manufacturing to services settings is a topic of growing interest among academics and practitioners. Healthcare organizations have been one of the latest services settings adopting Lean principles, tools and techniques feeding a crescent stream of literature. However, despite of the important contribution of some review articles, the Lean embeddeness in different national Healthcare systems lack cultural appraisal and updating. Through a systematic literature review, this paper presents the state-of-the-art of Lean deployment in Healthcare settings recurring to cultural lenses, classifies the existent literature, enhances cultural (national and organizational) marks and disclosures Lean deployment patterns while answer the question: - Does national cultural resemblance to Japan means a deeper deployment of Lean practices by Healthcare organizations?

[1]  Leo Serrano,et al.  Lean processes improve patient care. Observing processes through patients' eyes can lead to improvements. , 2006, Healthcare executive.

[2]  Karen L. Newman,et al.  Culture and Congruence: The Fit Between Management Practices and National Culture , 1996 .

[3]  David McQuade New Development: Leading Lean Action to Transform Housing Services , 2007 .

[4]  Meiling Wong Guanxi Management in Lean Production System—An Empirical Study of Taiwan-Japanese Firms , 2010 .

[5]  Fariborz Rahimnia,et al.  Supply chain leagility in professional services: how to apply decoupling point concept in healthcare delivery system , 2010 .

[6]  Melissa L Dougherty,et al.  Patient journeys: the process of clinical redesign , 2008, The Medical journal of Australia.

[7]  Michael Ballé,et al.  Lean as a learning system in a hospital ward. , 2007, Leadership in health services.

[8]  E. Dickson,et al.  Use of lean in the emergency department: a case series of 4 hospitals. , 2009, Annals of emergency medicine.

[9]  Ann Esain,et al.  Combining Planned and Emergent Change in a Healthcare Lean Transformation , 2008 .

[10]  W. M. Fox Japanese management: Tradition under strain , 1977 .

[11]  Matthias Holweg,et al.  The genealogy of lean production , 2007 .

[12]  G. Kegels,et al.  A realistic approach to the evaluation of the quality management movement in health care systems: a comparison between European and African contexts based on Mintzberg's organizational models. , 2004, The International journal of health planning and management.

[13]  J. Øvretveit,et al.  The patient safety journey in Portugal: challenges and opportunities from a public health perspective , 2009 .

[14]  Keith A. Willoughby,et al.  Achieving wait time reduction in the emergency department , 2010 .

[15]  R. Doktor,et al.  Asian and American CEOs: A comparative study , 1990 .

[16]  Jeffrey K. Liker,et al.  The Toyota way : 14 management principles from the world's greatest manufacturer , 2004 .

[17]  Christopher S Kim,et al.  The application of lean thinking to the care of patients with bone and brain metastasis with radiation therapy. , 2007, Journal of oncology practice.

[18]  T. Gladwin Culture's Consequences: International Differences in Work-Related Values , 1981 .

[19]  Henry Mintzberg,et al.  The structuring of organizations : a synthesis of the research , 1980 .

[20]  Jeffrey K. Liker,et al.  Lean Product Development as a System: A Case Study of Body and Stamping Development at Ford , 2011 .

[21]  S I McClean,et al.  A critical look at Lean Thinking in healthcare , 2008, Quality & Safety in Health Care.

[22]  M. Holweg,et al.  Lean in healthcare: the unfilled promise? , 2012, Social science & medicine.

[23]  K. McCormick Whatever Happened to ‘the Japanese Model’? , 2004 .

[25]  K. Neailey,et al.  Lean implementation in primary care health visiting services in National Health Service UK , 2010, Quality and Safety in Health Care.

[26]  Dean Bliss,et al.  Lean in healthcare--wow. , 2009, Frontiers of health services management.

[27]  Zoe Radnor,et al.  Lean paradox: Can lean influence healthcare? , 2010 .

[28]  P. Hines,et al.  Testing the Boundaries of Lean Thinking: Observations from the Legal Public Sector , 2007 .

[29]  Agnes Andenæs Chains of care , 2011 .

[30]  G. Hofstede,et al.  Long- versus short-term orientation: new perspectives , 2010 .

[31]  E. Schein The Corporate Culture Survival Guide , 1999 .

[32]  Ellen M. Goonan,et al.  Applying Lean/Toyota production system principles to improve phlebotomy patient satisfaction and workflow. , 2009, American journal of clinical pathology.

[33]  John Johansen,et al.  Applying Lean Thinking in Hospitals - Exploring Implementation Difficulties , 2003 .

[34]  Sabi Singh,et al.  Application of lean manufacturing techniques in the Emergency Department. , 2009, The Journal of emergency medicine.

[35]  Liz Herring,et al.  Lean experience in primary care. , 2009, Quality in primary care.

[36]  P Walley,et al.  Designing the accident and emergency system: lessons from manufacturing , 2003, Emergency medicine journal : EMJ.

[37]  David Bamford,et al.  New Development: Using Lean Techniques to Reduce Radiology Waiting Times , 2007 .

[38]  Melissa L Dougherty,et al.  Lean thinking across a hospital: redesigning care at the Flinders Medical Centre. , 2007, Australian health review : a publication of the Australian Hospital Association.

[39]  Geert Hofstede,et al.  Business Goals and Corporate Governance , 2004 .

[40]  大野 耐一,et al.  Toyota production system : beyond large-scale production , 1988 .

[41]  Zhiang Lin,et al.  Should Lean Replace Mass Organization Systems? A Comparative Examination from a Management Coordination Perspective , 1999 .

[42]  James E. Radcliffe,et al.  Exploring the utility of current performance measures for changing roles and practices of ambulance paramedics , 2010 .

[43]  Michael Pidd,et al.  Exploring the barriers to lean health care implementation , 2011 .

[44]  Eric A. Scorsone New Development: What are the Challenges in Transferring Lean Thinking to Government? , 2008 .

[45]  S. Spear,et al.  Decoding the DNA of the Toyota Production System , 1999 .

[46]  R. Resar,et al.  Basics of quality improvement in health care. , 2007, Mayo Clinic proceedings.

[47]  Melissa L Dougherty,et al.  Redesigning care at the Flinders Medical Centre: clinical process redesign using “lean thinking” , 2008, The Medical journal of Australia.

[48]  Cathie Furman Implementing a patient safety alert system. , 2005, Nursing economic$.

[49]  Simon Bishop,et al.  Lean healthcare: rhetoric, ritual and resistance. , 2010, Social science & medicine.

[50]  Min Xu,et al.  Application of the Toyota Production System improves core laboratory operations. , 2010, American journal of clinical pathology.

[51]  H. Tohidi,et al.  Organizational culture and leadership , 2012 .

[52]  I. Winfield Japanese manufacturing techniques , 1994 .

[53]  Djoko Setijono,et al.  Decision support system and the adoption of lean in a Swedish emergency ward , 2010 .

[54]  J. Toussaint Why are we still underperforming? , 2009, Frontiers of health services management.

[55]  S. Boyages,et al.  Implementing and sustaining transformational change in health care: lessons learnt about clinical process redesign , 2008, The Medical journal of Australia.

[56]  Geert Hofstede,et al.  Can dimensions of national culture predict cross-national differences in medical communication? , 2009, Patient education and counseling.

[57]  Sanjay Bhasin,et al.  Lean viewed as a philosophy , 2006 .

[58]  Kajsa Lindberg,et al.  Curing a meagre health care system by lean methods--translating 'chains of care' in the Swedish health care sector. , 2004, The International journal of health planning and management.

[59]  Rita D'Angelo,et al.  The Henry Ford Production System: measures of process defects and waste in surgical pathology as a basis for quality improvement initiatives. , 2007, American journal of clinical pathology.

[60]  G. Hofstede,et al.  Culture′s Consequences: International Differences in Work-Related Values , 1980 .

[61]  Ulrike Schaede What Happened to the Japanese Model? , 2004 .

[62]  L. Hassell,et al.  The combined positive impact of Lean methodology and Ventana Symphony autostainer on histology lab workflow , 2010, BMC Clinical Pathology.

[63]  Ron Brown,et al.  The Henry Ford production system: LEAN process redesign improves service in the molecular diagnostic laboratory: a paper from the 2008 William Beaumont hospital symposium on molecular pathology. , 2009, The Journal of molecular diagnostics : JMD.

[64]  Marjorie M Godfrey,et al.  Creating a lean practice. , 2006, Family practice management.

[65]  Ross G. Cooper,et al.  Lean thinking in a healthcare system – innovative roles , 2008 .

[66]  Walter Sermeus,et al.  Efficacy and efficiency of a lean cataract pathway: a comparative study , 2010, Quality and Safety in Health Care.

[67]  G. Hofstede Think Locally, Act Globally: Cultural Constraints in Personnel Management , 1998 .

[68]  Hirotaka Takeuchi,et al.  The Contradictions That Drive Toyota's Success , 2008 .

[69]  G. Hofstede Business goals for a new world order: beyond growth, greed and quarterly results , 2009 .

[70]  Christopher S Kim,et al.  Lean health care: what can hospitals learn from a world-class automaker? , 2006, Journal of hospital medicine.

[71]  James R. Langabeer,et al.  Implementation of Lean and Six Sigma quality initiatives in hospitals: A goal theoretic perspective , 2009 .

[72]  Computer Staff,et al.  The Machine That Changed the World , 1992 .

[73]  Bradley L. Kirkman,et al.  A quarter century of Culture's Consequences: a review of empirical research incorporating Hofstede's cultural values framework , 2006 .

[74]  David Ollier Weber,et al.  Toyota-style management drives Virginia Mason. , 2006, Physician executive.

[75]  J. J. Dahlgaard,et al.  Measuring lean initiatives in health care services: issues and findings , 2006 .

[76]  Gert Jan Hofstede,et al.  Cultures and Organizations - Software of the Mind: Intercultural Cooperation and its Importance for Survival (3. ed.) , 2010 .

[77]  D. King,et al.  Redesigning emergency department patient flows: Application of Lean Thinking to health care , 2006, Emergency medicine Australasia : EMA.

[78]  S. Schneider,et al.  Interpreting and responding to strategic issues: The impact of national culture , 1991 .

[79]  Jan Pieter van Oudenhoven,et al.  Do organizations reflect national cultures? A 10-nation study , 2001 .

[80]  Taiichi Ohno,et al.  Toyota Production System : Beyond Large-Scale Production , 1988 .

[81]  Zoe Radnor,et al.  The role of actor associations in understanding the implementation of Lean thinking in healthcare , 2011 .

[82]  John B. Ford,et al.  Japanese national culture as a basis for understanding Japanese business practices , 1992 .

[83]  Pamela Mazzocato,et al.  Lean thinking in healthcare: a realist review of the literature , 2010, Quality and Safety in Health Care.

[84]  G. Hofstede Identifying Organizational Subcultures: An Empirical Approach , 1998 .

[85]  James P. Womack,et al.  Lean Thinking: Banish Waste and Create Wealth in Your Corporation , 1996 .

[86]  Stephen S Raab,et al.  Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. , 2006, American journal of clinical pathology.

[87]  Edward A. Reynolds BASICS OF QUALITY IMPROVEMENT , 1995 .

[88]  Zoe Jane Radnor,et al.  Taxonomy of lean in healthcare: A framework for evaluating activity and impact , 2009 .

[89]  Robert Doktor,et al.  From the Atlantic to the Pacific Century: Cross-Cultural Management Reviewed , 1986 .

[90]  Japanese Production Management and Improvements in Standard Operations: Taylorism, Corrected Taylorism, or Otherwise? , 2006 .

[91]  Sally McClean,et al.  Some challenges facing Lean Thinking in healthcare , 2009, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[92]  Richard J Holden,et al.  Lean Thinking in emergency departments: a critical review. , 2011, Annals of emergency medicine.

[93]  G. Hofstede THE INTERACTION BETWEEN NATIONAL AND ORGANIZATIONAL VALUE SYSTEMS[1] , 1985 .

[94]  C. Gibson,et al.  Culture and international business: recent advances and their implications for future research , 2005 .

[95]  R. Schonberger The Transfer of Japanese Manufacturing Management Approaches to U.S. Industry , 1982 .

[96]  Naida Grunden,et al.  Lean at the front line: all hands on deck. , 2009, Frontiers of health services management.

[97]  Zoe J. Radnor,et al.  Learning to Walk Before We Try to Run: Adapting Lean for the Public Sector , 2008 .

[98]  G. Hofstede The business of international business is culture , 1994 .

[99]  Patrick R Axon,et al.  The use of Lean Thinking techniques in implementing the Department of Health, UK, 18-week waiting time directive for cochlear implantation. , 2009, Cochlear implants international.

[100]  D. Towill,et al.  Seamless healthcare delivery systems. , 2008, International journal of health care quality assurance.

[101]  Rita D'Angelo,et al.  The Henry ford production system: effective reduction of process defects and waste in surgical pathology. , 2007, American journal of clinical pathology.

[102]  R. H. Waterman,et al.  In Search of Excellence: Lessons from America's Best-run Companies , 1995 .

[103]  Scurfield Hall Culture as a consequence : A multi-level multivariate meta-analysis of the effects of individual and country characteristics on work-related cultural values , 2006 .

[104]  Bozena Poksinska,et al.  The Current State of Lean Implementation in Health Care: Literature Review , 2010, Quality management in health care.

[105]  D R Towill,et al.  An evolutionary approach to the architecture of effective healthcare delivery systems. , 2005, Journal of health organization and management.

[106]  Luciano Brandão de Souza,et al.  Trends and approaches in lean healthcare , 2009 .

[107]  Peter Hines,et al.  New Development: Creating a Lean University , 2007 .

[108]  Henry C Hawthorne,et al.  Lean health care. , 2013, North Carolina medical journal.

[109]  D. Fillingham Can lean save lives? , 2007, Leadership in health services.

[110]  Robert J. Vokurka,et al.  Improving Quality through Value Stream Mapping: A Case Study of a Physician's Clinic , 2006 .

[111]  M. L. Emiliani,et al.  Origins of lean management in America: The role of Connecticut businesses , 2006 .

[112]  Mohamed Al-Hussein,et al.  Simulation application for resource allocation in facility management processes in hospitals , 2007 .

[113]  Ross Stolle,et al.  It's not easy being lean, but scripting can help. , 2007, Health management technology.

[114]  I. Emmerik,et al.  Leadership and Team Cohesiveness Across Cultures , 2009 .

[115]  Faramarz Damanpour The Impact of Culture on Management: A Comparison of Japanese versus U.S. Management , 1998 .

[116]  Jennifer Towne Going 'lean' streamlines processes, empowers staff and enhances care. , 2006, Hospitals & health networks.

[117]  G. Hofstede,et al.  Measuring organizational cultures: A qualitative and quantitative study across twenty cases. , 1990 .

[118]  Fazleena Badurdeen,et al.  An analytical hierarchy process‐based tool to evaluate value systems for lean transformations , 2011 .

[119]  René J Buesa,et al.  Adapting lean to histology laboratories. , 2009, Annals of diagnostic pathology.

[120]  Peter Hines How to create and sustain a lean culture , 2010 .

[121]  M. Kamp,et al.  Making cars and making health care: a critical review , 2010, The Medical journal of Australia.

[122]  Thanos Papadopoulos,et al.  Stakeholder Network Dynamics and Emergent Trajectories of Lean Implementation Projects: A Study in the UK National Health Service , 2008 .

[123]  Alan Kent Leaning towards efficiency. A Georgia medical center introduces lean processes to streamline workflow. , 2008, Health management technology.

[124]  Schon Beechler,et al.  The Transfer of Japanese-Style Management to American Subsidiaries: Constraints, and Competencies , 1994 .

[125]  Lukasz M Mazur,et al.  An empirical study for medication delivery improvement based on healthcare professionals’ perceptions of medication delivery system , 2009, Health care management science.

[126]  Application of lean thinking in health care: a role in emergency departments globally , 2008, International journal of emergency medicine.

[127]  R. Hoskins Is it time to 'Lean' in emergency care? , 2010, International emergency nursing.

[128]  Nimnath Withanachchi,et al.  TQM emphasizing 5‐S principles , 2007 .

[129]  Gert Jan Hofstede Organizational culture: siren or sea cow? A reply to Dianne Lewis , 2000 .

[130]  Zoe Radnor,et al.  From tools to systems: A critical appraisal of lean healthcare implementations , 2010 .

[131]  Cary L. Cooper,et al.  Building a high‐commitment lean culture , 2011 .

[132]  Lukasz M Mazur,et al.  Understanding and reducing the medication delivery waste via systems mapping and analysis , 2008, Health care management science.

[133]  R. G. Linowes The Japanese manager's traumatic entry into the United States: Understanding the American-Japanese Cultural Divide , 1993 .

[134]  Richard Janssen,et al.  Application of lean thinking to health care: issues and observations , 2009, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[135]  Alberto Portioli-Staudacher Lean Healthcare. An Experience in Italy , 2006, APMS.

[136]  Stuart D. Green The dark side of lean construction: exploitation and ideology , 1999 .

[137]  Lukasz M. Mazur,et al.  Assessing Readiness for Lean Change in Emergency Department , 2010 .

[138]  Amy C. Lodge,et al.  Health service improvement through diagnostic waiting list management. , 2007, Leadership in health services.

[139]  P. Hines,et al.  Learning to evolve: A review of contemporary lean thinking , 2004 .

[140]  Sylvia Mobley Joyce Shelest Becky Bushell,et al.  Column: Site Visit: Discovering Lean Thinking at Progressive Healthcare , 2002 .