Building a child-friendly hospital of multi-campuses based on lean six sigma method
10.3760/cma.j.cn111325-20250226-00160
- VernacularTitle:基于精益六西格玛法的多院区儿童友好医院建设实践
- Author:
Jing GAO
1
;
Shurui MA
;
Yingying YU
;
Xiaomin ZHANG
;
Fanlong BU
;
Chenning YAO
;
Senqi YANG
;
Hao WU
;
Zhe CAO
;
Qi ZHOU
;
Weilin LI
;
Jie ZHANG
Author Information
1. 郑州大学附属儿童医院院长办公室，郑州 450018
- Publication Type:Journal Article
- Keywords:
Pediatric hospital;
Multi-campus management;
Child-friendly hospitals;
Lean six sigma
- From:
Chinese Journal of Hospital Administration
2025;41(8):580-586
- CountryChina
- Language:Chinese
-
Abstract:
Lean six sigma (LSS) emphasizes patient demand-oriented, and continuously optimizing prolesses to achieve efficiency and standardization in medical services. Starting in 2021, a specialized children′s hospital (comprising one main campus and three branch campuses) introduced the LSS management method. Through define, measure, analyze, improve, and control, the hospital utilized tools such as questionnaire surveys, SIPOC models, and fishbone diagrams to identify pain points in the building of multi-campus child-friendly hospital and develop improvement measures.To address the main issues of insufficient cross-campus collaboration, significant disparities in service quality among different campuses, unclear functional positioning of each campus, and inadequate integration with social security mechanisms, the hospital implemented a " homogeneity-differentiation-coordination" management mode. The hospital implemented unified diagnosis and treatment standards and clinical pathways, carried out remote consultations and expert rotations, completed mutual recognition of examination and testing results, optimized child friendly labeling and child friendly environment, and built a " hospital-to-hospitals, hospital to medical schools, and hospital to community health centers" linkage platform, etc., to promote the standardization of diagnosis and treatment processes, clear functional positioning of the hospital area, and efficient resource allocation. Through practice, the outpatient appointment rate and patient satisfaction rate in the main hospital had increased from 86.72% and 98.64% in January December 2021 to 91.87% and 99.72% in January December 2024, respectively; The patient waiting time had been shortened from 26.54 minutes to 21.94 minutes, and the efficiency of medical treatment and service experience had been significantly improved. As of 2024, mutual recognition of 214 inspection and testing items had been achieved cross hospital campuses, forming a collaborative pattern of " main hospital leading, campuses support, and resource complementarity", and significantly improving the level of collaboration and child friendly connotation among multi-campus. This practice explored the integration path of multi-campus collaborative governance and child-friendly services, which could provide reference and inspiration for the similar hospitals.
