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Improving Healthcare Operations: The Application of Lean, Agile and Leagility in Care Pathway Design

Healthcare Systems in the Twenty-first Century The Context: Global Healthcare The Context—UK Healthcare Healthcare Operations Management Quality Improvement and the NHS Outline of the Study Definitions Conclusions Structure of the Publication References Improving Healthcare Systems Supply Chain Management Systems Thinking and Seamless Healthcare Systems Quality Improvement in Healthcare Conclusions References Lean in Healthcare Fundamentals of Lean Thinking Lean from a Supply Chain Perspective Critics of Lean Key Themes in the Lean Healthcare Literature Contemporary Writings on Lean in Healthcare Improved Patient Satisfaction Readiness for Lean Implementation Effectiveness of Lean Interventions in Healthcare Conclusions References Delivering Agile and Person-centred Care Agility—A Manufacturing Perspective Agility from a Supply Chain Perspective Person-Centred Care Co-designing and Co-producing Health Improvement Cycles Conclusions References Leanness Plus Agility = Leagility Leanness and Agility—Leagility Leagile Supply Chains Decoupling Points Front-Office and Back-Office Activities Leagility in Healthcare Conclusions References Methodology Preparation and Understanding the Research Environment Study Design and Methods Selection of Care Pathways Chronic Obstructive Pulmonary Disease Pathway Huntington’s Disease Pathway Data Collection and Data Analysis Non-participant Observation Semi-structured Interviews with Patients, Relatives/Carers and Staff Participants Focus Groups Validation of Results Data Analysis Credibility and Rigour Conclusions References Analysis of the COPD Pathway: Lean, Agile and Leagility Chronic Obstructive Pulmonary Disease Thematic Analysis of Data Architecture of the COPD Pathway Definitions of Pathway Process Map: Visualising the Pathway Critical Points in the Pathway Care Management in the Community Decoupling Back-Office and Front-Office Activities Patient Flows Information Flows Availability of Information Communication Medication Information Information Feedback Loops Resource Flows Emotional Flows Discussion Conclusions References Analysis of the Huntington’s Disease Pathway: Lean, Agility and Leagility Huntington’s Disease Pathway Thematic Analysis of Data Architecture of the HD Patient Pathway Lean and the HD Pathway Agility and the HD Pathway Decoupling Back-Office and Front-Office Activities From Person-Centred Care to Family-Centred Care Information Flows Role of the Broker Emotional Flows Resource Flow Co-production of Care Discussion Conclusions References Discussion and Theoretical Reflections Pathway Architecture Lean, Agile and Leagile in Pathway Design Role of the Brokering Agent Emotional Flows Conclusions References Linking Theory and Practice Quality improvement in healthcare Systems thinking and seamless healthcare systems Supply chain management and pathway design Implications of the Research Healthcare Organisations and Practitioners Academics Policy makers Limitations of the Study Research Agenda Conclusions References

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Analysis of the COPD Pathway: Lean, Agile and Leagility
Abstract This chapter presents case research on the design of a long-term respiratory condition, chronic obstructive pulmonary disease (COPD), patient pathway. The case draws on the design of a service which spans three hospital sites and two commissioning groups in the UK. From conducting observations,...
(Improving Healthcare Operations: The Application of Lean, Agile and Leagility in Care Pathway Design)
Analysis of the Huntington’s Disease Pathway: Lean, Agility and Leagility
Abstract This chapter presents case research on the design of a patient pathway for a chronic condition Huntington’s disease (HD). The case draws on the design of two different services delivered in the UK. From interviewing healthcare professionals, patients and relatives, the qualitative analysis...
(Improving Healthcare Operations: The Application of Lean, Agile and Leagility in Care Pathway Design)
Lean, Agile and Leagile in Pathway Design
As a result of the case analyses we propose lean and agile attributes are present in the design of both pathways (see Table 9.1). Described by healthcare participants as the “bread and butter” of respiratory, the COPD pathway needs to accommodate high volumes of patients (e.g. 900,000 patients diagnosed...
(Improving Healthcare Operations: The Application of Lean, Agile and Leagility in Care Pathway Design)
Active Contributions to Activating Idle Social Assets and Improving Overall Operational Quality of National Economy
Chinese securities companies fully played a role in adjustment and optimization of the idle social assets, adjusting the structure of the national economy, optimizing the industrial landscape, and bolstering smooth and healthy growth of the overall economy by actively promoting IPOs and M&As. Regarding...
(Chinese securities companies)
Treatment, Payment, and Healthcare Operations
A covered entity may use and disclose PHI for its own treatment, payment, and healthcare operations activities. A covered entity also may disclose PHI for (i) the treatment activities of any healthcare provider; (ii) the payment activities of another covered entity or any other healthcare provider; or...
(Information Privacy in the Evolving Healthcare Environment)
Healthcare Operations Management
Improving and managing healthcare operations is fundamental to the performance of individual healthcare organisations and the wider healthcare system. Within the discipline of service operations management Chase and Apte (2007) propose the following three areas of research: • adaption of manufacturing...
(Improving Healthcare Operations: The Application of Lean, Agile and Leagility in Care Pathway Design)
Improving Healthcare Systems
Abstract Improving healthcare has been on management and organisation agendas since the 1990s. This chapter reviews three different but complementary theoretical lenses: supply chain management (SCM), systems thinking and quality improvement (QI). In relation to improvement of healthcare the results...
(Improving Healthcare Operations: The Application of Lean, Agile and Leagility in Care Pathway Design)
Improving Your Operations Value Behaviors
Attempting to change and improve an organization's operational behavior to function more like an HRSP is likely to meet quite a bit of resistance. It's one thing to point out that we need a new way to look at failure. I don't get a lot of argument among security people when I propose that we need a better...
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Improving Scheduling, Operations, and Maintenance
Bill mentioned that while working at his last job at a large oil company, he explored implementing a continuous-improvement program in order to comply with government-mandated process safety management regulations for handling hazardous chemicals. "What became clear to me," Bill said, "is that an organization...
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IoT-Based Healthcare Services and Applications
The IoT-dependent health observing results are applications in a series of regions, namely opinion of extended diseases, maintenance to mature and pediatric patients, and supervision of isolated fitness as well as health. For improving the type of this general topic, this section separates the conversation...
(Artificial Intelligence for the Internet of Health Things)