The promotion of BPM and lean in the health sector: main results

Given the complexity and difficulties of the health sector, the question that this study attempts to answer is as follows: what are the main results of studies on business process management (BPM) and lean in the health sector? The purpose of this paper is to analyze the results of studies that address the promotion of BPM and lean in the health sector.,To conduct a survey of published studies using the BPM and lean approach in healthcare, a search was performed in the Scopus, Web of Science, and PubMed databases in two steps. The first step consisted of the collection and analysis of data related to the BPM approach in the health sector, based on a survey of published articles on this topic. The second step consisted of the collection and analysis of data related to the use of lean in the same sector, based on the survey of systematic reviews published in major databases.,The main results of the studies that address the promotion of BPM and lean in the health sector are as follows: a reduced length of hospitalization, increased patient satisfaction, increased patient efficiency and safety, a reduction in the time of notification of infection, help with organizational change, understanding the end-to-end process, increased motivation, understanding the importance of some handoffs for patient safety, improvements in quality indicators in the emergency department, and improvements in the organization’s focus on high-level processes. By contrast, a single study showed difficulties in promoting management focused on processes in which decisions are unique and difficult to model.,The results may help in the identification of research gaps in the promotion of BPM and lean healthcare and in the development of relevant research. In addition, by understanding how health organizations are promoting management focused on processes and the results obtained with this approach, managers from other organizations, especially in this sector, can reflect and develop similar actions that seek to improve the quality of services offered, increase productivity and customer satisfaction, and reduce costs, errors, and waiting times.

[1]  Omar Al-Araidah,et al.  Lead‐Time Reduction Utilizing Lean Tools Applied to Healthcare: The Inpatient Pharmacy at a Local Hospital , 2010, Journal for healthcare quality : official publication of the National Association for Healthcare Quality.

[2]  P. D. Gonçalves,et al.  Hospital process orientation from an operations management perspective: development of a measurement tool and practical testing in three ophthalmic practices , 2013, BMC Health Services Research.

[3]  Thomas Neubauer,et al.  An empirical study about the status of business process management , 2009, Bus. Process. Manag. J..

[4]  Janis L. Gogan,et al.  Medication errors, handoff processes and information quality: A community hospital case study , 2013, Bus. Process. Manag. J..

[5]  A. Darzi,et al.  Systematic review of the application of quality improvement methodologies from the manufacturing industry to surgical healthcare , 2012, The British journal of surgery.

[6]  Joachim P. Sturmberg,et al.  Handbook of Systems and Complexity in Health , 2013 .

[7]  Anneke Fitzgerald,et al.  Developing an evaluation framework for clinical redesign programs: lessons learnt. , 2016, Journal of health organization and management.

[8]  Jörg Becker,et al.  Optimizing U.S. Health Care Processes - A Case Study in Business Process Management , 2007, AMCIS.

[9]  Hossein Ebrahimipour,et al.  Improvement of hospital processes through business process management in Qaem Teaching Hospital: A work in progress , 2014, Journal of education and health promotion.

[10]  Roger T. Burlton.  Delivering Business Strategy Through Process Management , 2015, Handbook on Business Process Management.

[11]  Michael Rosemann,et al.  Handbook on Business Process Management 1: Introduction, Methods, and Information Systems , 2010, BPM 2010.

[12]  Björn Niehaves,et al.  Reconstructing the giant: On the importance of rigour in documenting the literature search process , 2009, ECIS.

[13]  P. Kontos,et al.  Implementation Science BioMed Central Debate , 2009 .

[14]  Matthew J. Thompson,et al.  Current and future use of point-of-care tests in primary care: an international survey in Australia, Belgium, The Netherlands, the UK and the USA , 2014, BMJ Open.

[15]  M. Schilling,et al.  Clinical pathways in general surgery. Development, implementation, and evaluation. , 2007, Methods of information in medicine.

[16]  Heitor Mansur Caulliraux,et al.  Process management tasks: a conceptual and practical view , 2008, Bus. Process. Manag. J..

[17]  L. Comer,et al.  Do Lean Practices Lead to More Time at the Bedside? , 2013, Journal for healthcare quality : official publication of the National Association for Healthcare Quality.

[18]  Antonio D'Andreamatteo,et al.  Lean in healthcare: A comprehensive review. , 2015, Health policy.

[19]  Tim Weitzel,et al.  The performance impact of business process standardization: An empirical evaluation of the recruitment process , 2010, Bus. Process. Manag. J..

[20]  Michael Hammer,et al.  What is Business Process Management? , 2015, Handbook on Business Process Management.

[21]  Mojca Indihar Stemberger,et al.  Absorptive Capacity as a Precondition for Business Process Improvement , 2014, J. Comput. Inf. Syst..

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

[23]  Richard T. Watson,et al.  Analyzing the Past to Prepare for the Future: Writing a Literature Review , 2002, MIS Q..

[24]  Hajo A. Reijers,et al.  Implementing BPM systems: the role of process orientation , 2006, Bus. Process. Manag. J..

[25]  Crystal Wilkinson,et al.  Promoting Preventive Health Screening Through the Use of a Clinical Reminder Tool: An Accountable Care Organization Quality Improvement Initiative , 2013, Journal for healthcare quality : official publication of the National Association for Healthcare Quality.

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

[27]  A. Spanyi.  Business Process Management Governance , 2010 .

[28]  Peter Trkman,et al.  International Journal of Information Management , 2022 .

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

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

[31]  John Moraros,et al.  Lean interventions in healthcare: do they actually work? A systematic literature review , 2016, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[32]  Björn Niehaves,et al.  BPM capability development - a matter of contingencies , 2014, Bus. Process. Manag. J..

[33]  Peter M. Ginter,et al.  Strategic management of health care organizations , 1994 .

[34]  Carlos Luis Parra Calderón,et al.  Application of Business Process Management to drive the deployment of a speech recognition system in a healthcare organization , 2008, MIE.

[35]  Ingrid M. Nembhard,et al.  Assessing the Evidence of Six Sigma and Lean in the Health Care Industry , 2010, Quality management in health care.

[36]  Maddalena Illario,et al.  An activity-based costing approach for detecting inefficiencies of healthcare processes , 2015, Bus. Process. Manag. J..

[37]  J. Vest,et al.  A critical review of the research literature on Six Sigma, Lean and StuderGroup's Hardwiring Excellence in the United States: the need to demonstrate and communicate the effectiveness of transformation strategies in healthcare , 2009, Implementation science : IS.

[38]  Manfred Reichert,et al.  IT support for healthcare processes - premises, challenges, perspectives , 2007, Data Knowl. Eng..

[39]  Armando Calabrese,et al.  Combining modelling and simulation approaches: How to measure performance of business processes , 2016, Bus. Process. Manag. J..

[40]  Moacir Godinho Filho,et al.  Lean healthcare: review, classification and analysis of literature , 2016 .

[41]  Stephen J. Childe,et al.  End-to-end process management: implications for theory and practice , 2014 .

[42]  C. Glock,et al.  Literature reviews in supply chain management: a tertiary study , 2015 .

[43]  Sigifredo Laengle,et al.  Transparency-Driven Business Process Management in Healthcare Settings [Leading Edge] , 2013, IEEE Technology and Society Magazine.

[44]  Stijn Viaene,et al.  From business process management to customer process management , 2015, Bus. Process. Manag. J..

[45]  T. Ingebrigtsen,et al.  Lean thinking in hospitals: is there a cure for the absence of evidence? A systematic review of reviews , 2014, BMJ Open.

[46]  Jun-Der Leu,et al.  An Application of Business Process Method to the Clinical Efficiency of Hospital , 2011, Journal of Medical Systems.

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

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

[49]  Michael D Cohen,et al.  The published literature on handoffs in hospitals: deficiencies identified in an extensive review , 2010, Quality and Safety in Health Care.

[50]  Diogo R. Ferreira,et al.  Business process analysis in healthcare environments: A methodology based on process mining , 2012, Inf. Syst..

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

[52]  Michael Rosemann,et al.  Handbook on Business Process Management 2, Strategic Alignment, Governance, People and Culture, 2nd Ed , 2010, International Handbooks on Information Systems.

[53]  Agnieszka Bitkowska.  The Orientation of Business Process Management toward the Creation of Knowledge in Enterprises , 2015 .

[54]  Fatuma Manzi,et al.  The Tanzania Connect Project: a cluster-randomized trial of the child survival impact of adding paid community health workers to an existing facility-focused health system , 2013, BMC Health Services Research.

[55]  Mohammad Asif,et al.  The prevention and control the type-2 diabetes by changing lifestyle and dietary pattern , 2014, Journal of education and health promotion.