Adapting the Lean Enterprise Self Assessment Tool for health care

The Lean Enterprise Self Assessment Tool (LESAT) is a product of the Lean Advancement Initiative (LAI) and the Massachusetts Institute of Technology. This tool has been applied by many organizations to gage their progress toward lean enterprise management, however applying this tool in health care organizations has been inhibited by language and underlying assumptions from product manufacturing. An adaptation of the LESAT specifically for health care is proposed. Review of the literature and special reports on health care are used in determining the recommended changes. "Product life cycle" is reinterpreted as a health care service cycle and context specific enterprise level processes and practices are presented. Comparison to other industry measures shows the content the LESAT for health care to cover all key issues and practices for high quality health care delivery. Thesis Advisor: Deborah Nightingale Title: Professor of the Practice, Aeronautics & Astronautics and Engineering Systems This page is intentionally left blank.

[1]  M. MacPhee.  Strategies and Tools for Managing Change , 2007, The Journal of nursing administration.

[2]  John Toussaint,et al.  Mistake-proofing healthcare: Why stopping processes may be a good start , 2010 .

[3]  L. Kohn,et al.  To Err Is Human : Building a Safer Health System , 2007 .

[4]  P. Basch.  Quality of health care delivered to adults in the United States. , 2003, New England Journal of Medicine.

[5]  D. Berwick,et al.  Advanced access: reducing waiting and delays in primary care. , 2003, JAMA.

[6]  K. Thorpe.  Reframing the debate over health care reform: the role of system performance and affordability. , 2007, Health affairs.

[7]  Douglas McCarthy,et al.  Henry Ford Health System: A Framework for System Integration, Coordination, Collaboration, and Innovation , 2009 .

[8]  J. Cutcher-Gershenfeld,et al.  Lean Thinking , 2019, Encyclopedia of Sustainable Management.

[9]  E. McGlynn,et al.  The quality of health care delivered to adults in the United States. , 2003, The New England journal of medicine.

[10]  C. Adair,et al.  Continuity of care: a multidisciplinary review , 2003, BMJ : British Medical Journal.

[11]  S. Shortell,et al.  Crossing the quality chasm: implications for health services administration education. , 2004, The Journal of health administration education.

[12]  Deborah J. Nightingale,et al.  Development of a Lean Enterprise Transformation Maturity Model , 2002, Inf. Knowl. Syst. Manag..

[13]  Chuan Yi Tang,et al.  A 2.|E|-Bit Distributed Algorithm for the Directed Euler Trail Problem , 1993, Inf. Process. Lett..

[14]  Mark Graban,et al.  Lean Hospitals: Improving Quality, Patient Safety, and Employee Satisfaction , 2008 .

[15]  Donald M Berwick,et al.  Cottage industry to postindustrial care--the revolution in health care delivery. , 2010, The New England journal of medicine.

[16]  D. Berwick.  A user's manual for the IOM's 'Quality Chasm' report. , 2002, Health affairs.

[17]  D. Collier,et al.  Measurement Validity: A Shared Standard for Qualitative and Quantitative Research , 2001, American Political Science Review.

[18]  D. Das.  Practice of Social Research , 2000 .

[19]  J. Grossman,et al.  Building a Better Delivery System: A New Engineering/Health Care Partnership , 2005 .

[20]  Jeffrey K. Liker,et al.  The Toyota Product Development System: Integrating People, Process And Technology , 2006 .

[21]  Christopher S Kim,et al.  Creating value in health care: The case for Lean Thinking , 2009 .

[22]  Raymond Lister,et al.  Grand challenges , 2005, SGCS.

[23]  Deborah Nightingale,et al.  Principles of Enterprise Systems , 2009 .

[24]  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.

[25]  H. Black,et al.  Black's Law Dictionary , 1968 .

[26]  Roger W Bush,et al.  Reducing waste in US health care systems. , 2007, JAMA.

[27]  Jonathan Cylus,et al.  Health spending projections through 2019: the recession's impact continues. , 2010, Health affairs.