Hatice Camgoz Akdag, Mustafa Orcun Oduncu, Gorkem Saglam, Nuh Zafer Canturk

LEAN MANAGEMENT APPLICATION AND PROCESS DESIGN AT RESEARCH HOSPITAL OUTPATIENT CLINICS

Responding customers’ demands quickly and providing the superior quality for them is vital for companies to keep in their business and raise their market share in today’s competing work environment. It is necessary to focus on customers’ needs and demands in service sector such as hospitals. Main customers in hospitals are patients so that waiting in queues is the main problem for this specific environment. Anticipations are mostly non-value added activities and cause waste of money and time. Non-value added activities and insufficient usage of valuable devices must be disposed of the system. Lean management techniques is one of the most significant technique, help to lower wastes and decrease patients wait time. Lean management also known as Toyota production system and there are various techniques of it. Value stream mapping (VSM), job standardization and 5S are most applied ones in service sector. The thesis shows applied lean management techniques could increase efficiency on material usage and decrease patients wait time in hospitals. VSM leads to determine the wastes, job standardization leads to specify the work rules for every worker and 5S leads to organize the work environment; these 3 approaches has been evaluated during thesis. The Arena simulation depends on the determined flow of patients in the research hospital. Non-value added and unnecessary activities, which cause patients to wait has been determined, simulated within different scenarios and eliminated by using Arena.

Keywords:

Lean Hospital 5S, Value Stream Map, Simulation, Outpatient Clinics,

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Anderson, D. R., Sweeney, J. D., Thomas, A. W., (2000), “An Introduction to Management Science Quantitative Approaches to Decision Making”, Sout – Western College Publising.
Artıışık, O. (2015). Yalın Lojistik Ve Bir 3pl Şirketinde Değer Akışı Analizi (Doctoral dissertation, Fen Bilimleri Enstitüsü).
Bahensky, J.A., Roe, J., Bolton, R., (2005). Lean Sigma—Will It Work for Healthcare? Journal of Healthcare Information Management.
Dickson, E. W., Sıngh, S., Cheung, D. S., Wyatt, C. C., Nugent, A. S. (2009). Application of Lean Manufacturing Tecniques in the Emergency Department, The Journal of Emergency Medicine, 37 (2), 177–182.
Dickson, E. W., Anguelov, Z., Vetterıck, D., Eller, A., Sıngh, S. (2009). Use of Lean in the Emergency Department: A Case Series of 4 Hospitals, American College of Emergency Physicians, 54 (4), 504-510.
Fliehman D.G., Auld D.D. (1993). “Customer Retention Througt Quality Leadership”, The boxter approach.
Hagg, H., Workman-German, J., (2007), “Implementing Lean Six Sigma Methodologies in the Radiology Department of A Hospital”, RCHE Publications, 27.
Harrell, C., Ghols, Biman, K., Bowden, R. (2000). Simulation using promodel, Hill Companies, Inc, America.
Kumar, C. S., & Panneerselvam, R. (2007). Literature review of JIT-KANBAN system. The International Journal of Advanced Manufacturing Technology,32(3-4), 393-408.
Langabeer, J. R., Dellıfraıne, J. L., HEINEKE, J., ABBASS, I. (2009). Implementation of Lean and Six Sigma quality initiatives in hospitals: A goal theoretic perspective, Springer Science, 9 (21), 1-15.
Marshall L., Hagood C., Royer A., Reece C., Maloney S. (2006). Using lean methods to improve OR turnover times, Association of Operating Room Nurses. AORN Journal.
Naraghi, A. M. and Ravipati, U. P., (2009). “Lean Healthcare in the Emergency Ward of Sahlgrenska”
Özyörük, B., Kütük, D., “İş Ortamını Yeniden Düzenlemenin İş Verimliliğine Etkileri”, Ergoterapi ve Rehabilitasyon 2014 Mayıs; 2, 2: 74-75.
Rexhepi, L. and Shrestha, P., (2011). “Lean Service Implementation in Hospital: A Case study conducted in University Clinical Centre of Kosovo, Rheumatology department”.
Shazali, N. A., Habidin, N.F., Ali, N., Khaidir, N. A. & Jamaludin, N. H. (2013) “Lean Healthcare Practice and Healthcare Performance in Malaysian Healthcare Industry” International Journal of Scientific and Research Publications, Malay.
Sur H., “Sağlığın ve Sağlık Hizmetlerinin Planlanması”, SAYED Sağlık Yönetimi ve Eğitimi Dergisi, Yıl 1, Sayı 2, Mayıs 2008.
Tikici, M., & Derin, A. (2006). TOPLAM KALİTE YÖNETİMİNİN RADİKAL UNSURLARINDAN BİRİSİ OLARAK YALIN YÖNETİM. Elektronik Sosyal Bilimler Dergisi, 15(15).
Yalçın, M., (2008), [Acil Servis Hizmetlerinin Simülasyonu: Karşıyaka Devlet Hastanesi Uygulaması], ss. 45-102. “Yalın Hastane Sistemleri ve Uygulamaları Projesi”, Özellikli Sağlık Hizmetleri ve Proje Daire Başkanlığı, erişim 5 Haziran, 2015. http://www.tkhk.gov.tr/DB/8/2946_yalin-hastane-sistem.
Yıldız, S., [Benzetim Modellemesi İle Üretim Sistemlerinde Süreç Optimizasyonu Ve Bir Uygulama Çalışması], ss. 34-35.
Yıldız, S., Yalman, A. G. F. (2015). Sağlık İşletmelerinde Yalın Uygulamalar Üzerine Genel Bir Literatür Taraması. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 1(1).
Zerenler, M., & İraz, R. (2006). Japon yönetim anlayışı ve şirket ağları (keiretsu) analizi. Selçuk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 16, 757-776.