Modelling the Enablers of Agile Performance in Healthcare Organization: A TISM Approach

This study attempts to model the enablers of agility of healthcare organizations and interprets the interrelationship among them using total interpretive structural modelling (TISM). Its contribution to the knowledge base is twofold. First, it provides a hierarchical structure portraying the driving enablers and the dependent enablers. Second, it ranks the enablers based on their influence on organization agility. To accomplish the above objectives, ten enablers of organization agility have been identified through an extensive literature review followed by an expert interview to comprehend the interactions and transitivity between the enablers and finally an analysis of the interrelationship using TISM. The results suggest that organizational structure is the most crucial enabler of agile performance in healthcare organization. Apart from that, a motivated and flexible workforce, cooperation between management and employees, availability of training and implementation of employee and patient’s suggestion play a significant role in healthcare organization agility. Eventually, limitations and future research avenues have been outlined to extend the current study.

[1]  Strategies for achieving best value in commissioned home care , 2007 .

[2]  Akhilesh Barve,et al.  Modeling Post-disaster Challenges of Humanitarian Supply Chains: A TISM Approach , 2016 .

[3]  Rakesh Nagi,et al.  A review of agile manufacturing systems , 2001 .

[4]  Rameshwar Dubey,et al.  Identification of Flexible Manufacturing System Dimensions and Their Interrelationship Using Total Interpretive Structural Modelling and Fuzzy MICMAC Analysis , 2014 .

[5]  Sarv Devaraj,et al.  Dual Role of IT-Assisted Communication in Patient Care: A Validated Structure-Process-Outcome Framework , 2012, J. Manag. Inf. Syst..

[6]  R. Krishnamurthy,et al.  Leagile manufacturing: a proposed corporate infrastructure , 2007 .

[7]  Hing Kai Chan,et al.  In-depth study of ‘decoupling point’ as a reference model: an application for health service supply chain , 2014 .

[8]  M. Christopher.  The Agile Supply Chain : Competing in Volatile Markets , 2000 .

[9]  Alpana Agarwal,et al.  A TISM Based Bionic Model of Organizational Excellence , 2015 .

[10]  Waldemar Karwowski,et al.  A review of enterprise agility: Concepts, frameworks, and attributes , 2007 .

[11]  S. Vinodh,et al.  Thirty-criteria-based agility assessment: a case study in an Indian pump manufacturing organisation , 2012 .

[12]  S. Vinodh,et al.  A mathematical model to evaluate the role of agility enablers and criteria in a manufacturing environment , 2013 .

[13]  Sara Breckenridge Sproat,et al.  Adopting best practices: "Agility" moves from software development to healthcare project management. , 2006, Computers, informatics, nursing : CIN.

[14]  K. Lai,et al.  Responsive supply chain : A competitive strategy in a networked economy , 2008 .

[15]  Angappa Gunasekaran,et al.  Enablers and Barriers of Flexible Green Supply Chain Management: A Total Interpretive Structural Modeling Approach , 2016 .

[16]  R. Ray Gehani,et al.  Time‐based management of technology , 1995 .

[17]  Vignesh V. Amrita,et al.  Factors influencing lean practices in Super market services using interpretive structural modeling , 2016, 2016 IEEE International Conference on Computational Intelligence and Computing Research (ICCIC).

[18]  Olle Olsson,et al.  Managing a variable acute patient flow – categorising the strategies , 2015 .

[19]  Sushil.  Interpreting the Interpretive Structural Model , 2012, Global Journal of Flexible Systems Management.

[20]  Hans Schollhammer,et al.  Organization Structures of Multinational Corporations , 1971 .

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

[22]  Håkan Aronsson,et al.  Developing lean and agile health care supply chains , 2011 .

[23]  V. R. Pramod,et al.  Total Interpretive Structural Modeling (TISM) of the Enablers of a Flexible Control System for Industry , 2015 .

[24]  S. B. Khare.  Assessment of Elements of Flowing Stream Strategy Crystal: A Study in the Context of Telecom Service Sector in India , 2014 .

[25]  F. R. Janes,et al.  Interpretive structural modelling: a methodology for structuring complex issues , 1988 .

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

[27]  Paul T. Kidd,et al.  Agile Manufacturing: Forging New Frontiers , 1994 .

[28]  Vinay Sharma,et al.  Analysis of challenges for management education in India using total interpretive structural modelling , 2016 .

[29]  Sushil.  Multi-criteria valuation of flexibility initiatives using integrated TISM – IRP with a big data framework , 2017 .

[30]  A. Gunasekaran,et al.  Agile manufacturing: The drivers, concepts and attributes , 1999 .

[31]  Angappa Gunasekaran,et al.  Building theory of sustainable manufacturing using total interpretive structural modelling , 2015 .

[32]  Danny Berry,et al.  Leagility: Integrating the lean and agile manufacturing paradigms in the total supply chain , 1999 .

[33]  Sandeep Grover,et al.  An ISM approach for modelling the enablers in the implementation of Total Productive Maintenance (TPM) , 2013, Int. J. Syst. Assur. Eng. Manag..

[34]  V. Venkatesh,et al.  Analysis on supply chain risks in Indian apparel retail chains and proposal of risk prioritization model using Interpretive structural modeling , 2015 .

[35]  John N. Warfield,et al.  Developing Interconnection Matrices in Structural Modeling , 1974, IEEE Trans. Syst. Man Cybern..

[36]  Neil A. Morgan,et al.  Interactions between marketing and quality at the SBU level: Influences and outcomes , 1998 .

[37]  Debra K Pendergast,et al.  Building personal and professional resources of resilience and agility in the healthcare workplace. , 2012, Stress and health : journal of the International Society for the Investigation of Stress.

[38]  S. R. Devadasan,et al.  Twenty criteria based agility assessment using fuzzy logic approach , 2011 .

[39]  Sushil.  How to check correctness of total interpretive structural models? , 2016, Annals of Operations Research.

[40]  Jon R. Katzenbach,et al.  The Wisdom of Teams: Creating the High-Performance Organization , 1992 .

[41]  Neetu Yadav.  Total interpretive structural modelling (TISM) of strategic performance management for Indian telecom service providers , 2014 .