LEAN HEALTHCARE IMPLEMENTATION IN MALAYSIAN SPECIALIST HOSPITALS: CHALLENGES AND PERFORMANCE EVALUATION
https://doi.org/10.22452/jummec.vol25no1.6
- Author:
Nur Jihan Noris
1
;
Ku Anis Shazura Indera Putera
2
;
Zalina Libasin
1
;
Home / Archives / Vol. 25 No. 1 (2022) / Research article LEAN HEALTHCARE IMPLEMENTATION IN MALAYSIAN SPECIALIST HOSPITALS: CHALLENGES AND PERFORMANCE EVALUATION Received 2020-08-17
;
Accepted 2021-06-02
;
Published 2021-10-07 Authors Nur Jihan Noris Institute for Health Systems Research, Ministry of Health, Block B2, National Institutes of Health (NIH), No. 1, Jalan Setia Murni U13/52, Seksyen U13 Setia Alam, 40170 Shah Alam, Selangor, Malaysia. Ku Anis Shazura Indera Putera Institute for Health Management, Ministry of Health, Block B1, National Institutes of Health (NIH), No. 1, Jalan Setia Murni U13/52, Seksyen U13 Setia Alam, 40170 Shah Alam, Selangor, Malaysia. Zalina Libasin Institute for Health Systems Research, Ministry of Health, Block B2, National Institutes of Health (NIH), No. 1, Jalan Setia Murni U13/52, Seksyen U13 Setia Alam, 40170 Shah Alam, Selangor, Malaysia. Muniamal Krishnan
1
Author Information
1. Institute for Health Systems Research, Ministry of Health, Block B2, National Institutes of Health (NIH), No. 1, Jalan Setia Murni U13/52, Seksyen U13 Setia Alam, 40170 Shah Alam, Selangor, Malaysia.
2. Institute for Health Management, Ministry of Health, Block B1, National Institutes of Health (NIH), No. 1, Jalan Setia Murni U13/52, Seksyen U13 Setia Alam, 40170 Shah Alam, Selangor, Malaysia.
- Publication Type:Journal Article
- Keywords:
Hospital overcrowding;
Lean;
healthcare;
waiting times;
silo mentality;
discharge time
- From:Journal of University of Malaya Medical Centre
2022;25(1):27-39
- CountryMalaysia
- Language:English
-
Abstract:
Hospital overcrowding is a major issue in Malaysia which has led to increased patient waiting times. Lean healthcare initiative, which focuses on identifying and eliminating non-value-added activities in work processes, was introduced by the government to tackle congestion by improving day-to-day work efficiency while optimising the use of resources at Emergency Departments and Medical Wards. This paper reports on Lean initiatives applied in major and minor specialist hospitals, their performances and challenges faced. Performances of 36 major and minor specialist Ministry of Health hospitals were analysed using four outcome variables: arrival to consultation (ATC), length of stay (LOS), bed waiting time (BWT) and discharge time (DT). The median difference in minutes between pre- and post-Lean implementation at six months and one year, as well as post-Lean at six months and one-year implementation, were
compared using the Wilcoxon-Signed Ranks Test. Significant time reduction (p<0.05) was evident in DT for both major and minor specialist hospitals post six months and one year of Lean implementation. For BWT and LOS, significant reduction was seen only in major specialist hospitals post six months and post one year, respectively. There was no significant time reduction in ATC for both major and minor specialist hospitals. The results indicated that Lean healthcare is important. However, it is not the sole determinant for measuring the hospitals’ performance; other challenges including different departments’ silo mentality, staff’s resistance to change, financial constraints and IT system, also play important roles in Lean implementation.
- Full text:202508141044410189780283.pdf
