A new value stream mapping approach for healthcare environments
Abstract
Hospitals worldwide are giving a growing emphasis to the application of lean concepts in the healthcare sector, commonly known as 'lean healthcare'. A fundamental tool that allows such implementations is the value stream mapping (VSM). The problem is that VSM models used in implementations of lean healthcare are simple adaptations of the original VSM model, which was initially directed towards manufacturing and may not always represent important support activities for the patient flow that directly impact treatment time. Within this context, this paper presents a new VSM approach for healthcare environments. This new VSM model, specifically designed for healthcare environments, contemplates all activities that directly affect the treatment time. In addition, the present paper also presents an action research in a Brazilian hospital where the proposed VSM model is compared to other VSM models found in the literature. The results shown that the proposed VSM model was able to identify some operational bottlenecks and wastes that interfere in the patient's treatment that could not be identified by other mapping models studied.
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Organizational and cultural changes result in direct impacts on clinical aspect of patients, such as infections rate reduction and shorter treatment time.
“Organizational and cultural changes result in direct impacts on clinical aspect of patients. For this matter, we can highlight, for instance, effects such as “infections rate reduction” and “shorter treatment time” [31,55,63].”
From Lean Healthcare Tools for Processes Evaluation: An Integrative Review. (2021) · cites this paper as [31]
Brazilian authors have also published in international journals, which shows that the results achieved in Brazil have supported research around the world.
“These Brazilian authors have also published in international journals, which shows that the results achieved in Brazil have supported research around the world [21,29,30,31].”
From Lean Healthcare Tools for Processes Evaluation: An Integrative Review. (2021) · cites this paper as [31]
Cites
Redesigning care at the Flinders Medical Centre: clinical process redesign using “Lean thinking.”
Ben‐Tovim, D. I., Bassham, J. E., Bennett, D. M., Dougherty, M. L., Martin, M. A., O’Neill, S. J., Sincock, J. L., & Szwarcbord, M. G. (2008) · Medical Journal of Australia · doi:10.5694/j.1326-5377.2008.tb01671.x · Cited by 139 · see citing works
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A systematic literature review of empirical research in Lean and Six Sigma in healthcare
Henrique, D. B., & Godinho Filho, M. (2020) · Total Quality Management & Business Excellence · doi:10.1080/14783363.2018.1429259 · Cited by 199 · see citing works
Self-citationGodinho Filho, M., Ganga, G. M. D., & Gunasekaran, A. (2016) · International Journal of Production Research · doi:10.1080/00207543.2016.1201606 · Cited by 182 · see citing works
Lean Healthcare Tools for Processes Evaluation: An Integrative Review.
de Barros, L. B., Bassi, L. D. C., Caldas, L. P., Sarantopoulos, A., Zeferino, E. B. B., Minatogawa, V., & Gasparino, R. C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18147389 · Cited by 90 · see citing works
“For this matter, we can highlight, for instance, effects such as “infections rate reduction” and “shorter treatment time” [31,55,63].”
Background
- Authors
- Henrique, D. B., Rentes, A. F., Godinho Filho, M., & Esposto, K. F.
- Affiliations
- Universidade Federal de São Carlos (BR)
- Universidade de São Paulo (BR)
- ,
- Venue
- Production Planning & Control
- Publisher
- Informa UK Limited
- Published
- 2015-07-17
- Volume
- 27
- Issue
- 1
- Pages
- 24-48
- ISSN
- 0953-7287 (ISSN-L)
- 1366-5871
- OpenAlex
- W1865711797
- Cited by
- 148
- References
- 1
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 14 · 2023: 15 · 2022: 16 · 2021: 23 · 2020: 18 · 2019: 15 · 2018: 21 · 2017: 8 · 2016: 8
- FWCI
- 21.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Production Planning & Control (publishedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Healthcare Operations and Scheduling Optimization
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Social Sciences › Business, Management and Accounting › Management Information Systems › Quality and Supply Management
- Keywords
- value stream mapping, lean healthcare, healthcare operations, patient flow, treatment duration, operational bottlenecks, waste identification, hospital operations
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