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Dissemination strategy for Lean thinking in health care
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences. (Division of Community Medicine (SAM))
Linköping University, Department of Management and Engineering, Quality Technology and Management. Linköping University, The Institute of Technology. (Quality Technology & Management)ORCID iD: 0000-0003-4040-8302
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences. (Division of Community Medicine (SAM))
2014 (English)In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, no 5, 391-404 p.Article in journal (Refereed) Published
Abstract [en]

Purpose – The purpose of this paper is to contribute to knowledge about dissemination strategies for Lean thinking throughout multiple healthcare organisations.

Design/methodology/approach – The Östergötland county council, Sweden (CCÖ ) was chosenas a case study for an healthcare Lean-thinking dissemination strategies. Document analysis and interviews were used and results were compared with similar strategies employed by staff at the National Health Service Institute for Innovation (NHSI) and improvement in Great Britain and the Odense University Hospital in Denmark.

Findings – The Lean improvement programme was introduced to tackle challenges such as anageing society, rising care expectations and budgetary and economic constraints. It was designedas a long-term programme to create added value for patients and employee involvement. The dissemination strategy was: forming clear visions and objectives; piloting; training potential adopters; and formal dissemination. The CCÖ strategy was focused primarily on managers and was not meant to involve all staff until the implementation stage. Staff at the NHS attempted to address nurses’ needs during dissemination, which questioned whether the CCÖ managers’ dissemination strategy is sustainable.

Practical implications – This paper inspires healthcare managers and decision makers who aim to disseminate Lean production in their organisations.

Originality/value – There are many case studies describing Lean implementation in single healthcare organisations, but little is known about effective dissemination and implementation strategies in large healthcare systems. The authors, therefore, suggest activities for developing and implementing dissemination strategies in multiple healthcare organisations.

Place, publisher, year, edition, pages
2014. Vol. 27, no 5, 391-404 p.
Keyword [en]
Lean production, Dissemination strategy, Implementation approach
National Category
Basic Medicine Mechanical Engineering
Identifiers
URN: urn:nbn:se:liu:diva-113703PubMedID: 25087337OAI: oai:DiVA.org:liu-113703DiVA: diva2:784330
Available from: 2015-01-29 Created: 2015-01-29 Last updated: 2017-12-05

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Dannapfel, PetraPoksinska, BozenaThomas, Kristin

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