Factors facilitating and inhibiting Value Stream Mapping processes at hospital units in three Nordic countries - A Nordic Multicenter study
1.Conceptual framework and PurposeIn healthcare Value Stream Mapping (VSM) is a common Lean tool used to improve the efficiency of patient flows by identifying and minimizing waste (Keyte & Locher, 2004). It is a participatory tool, i.e. those affected by this type of rationalization are perform...
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ftchalmersuniv:oai:research.chalmers.se:201857 2023-05-15T16:48:03+02:00 Factors facilitating and inhibiting Value Stream Mapping processes at hospital units in three Nordic countries - A Nordic Multicenter study Winkel, Jörgen Birgisdóttir, Birna D Ulin, Kerstin Edwards, K Gunnarsdóttir, S Ny Harlin, Ulrika Jarebrant, Caroline Johansson Hanse, Jan 2014 text https://research.chalmers.se/en/publication/201857 unknown https://research.chalmers.se/en/publication/201857 Production Engineering Human Work Science and Ergonomics Work Sciences Other Engineering and Technologies Applied Psychology Environmental Health and Occupational Health Lean Production Production Ergonomics Healthcare 2014 ftchalmersuniv 2022-12-11T06:54:12Z 1.Conceptual framework and PurposeIn healthcare Value Stream Mapping (VSM) is a common Lean tool used to improve the efficiency of patient flows by identifying and minimizing waste (Keyte & Locher, 2004). It is a participatory tool, i.e. those affected by this type of rationalization are performing the analyses and subsequently suggesting appropriate interventions. Participation has been shown to be crucial to obtain ownership of the suggested interventions and thereby increase impact. VSM has been shown to be a powerful rationalization tool. However, the resulting interventions may imply physical work intensification and impaired psychosocial work environment. Due to this, Lean is often perceived as a “threat” by employees at hospitals (Härenstam et al 2000, personal communications). Physical and psychosocial working conditions should therefore be taken into account in the rationalization process to obtain sustainable solutions, i.e. solutions that allow for competitive performance and acceptable work environment in a long term perspective. On this background we have complemented the VSM tool by an ergonomic module assisting the users to consider also physical and psychosocial implications of the suggested interventions. This ErgoVSM tool is now evaluated in a Nordic Multicenter Study including Denmark, Iceland and Sweden (Winkel et al, 2012). The aim of this paper is to present observations that may indicate facilitating and inhibiting factors for the VSM process.2.MethodsSeven wards have used the ErgoVSM and seven the traditional VSM. Information was obtained by screening key hospital documents and interviewing participants in the VSM processes.3.ResultsIn Sweden one out of three wards using VSM decided not to fulfil the VSM process. On Iceland the only ward using VSM also decided not to fulfil their VSM process. The hospitals of the investigated wards using VSM in Sweden and Iceland had a strong primary focus on financial balance of the business according to key documents. Decisions on when and which ... Other/Unknown Material Iceland Chalmers University of Technology: Chalmers research |
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Chalmers University of Technology: Chalmers research |
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Production Engineering Human Work Science and Ergonomics Work Sciences Other Engineering and Technologies Applied Psychology Environmental Health and Occupational Health Lean Production Production Ergonomics Healthcare |
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Production Engineering Human Work Science and Ergonomics Work Sciences Other Engineering and Technologies Applied Psychology Environmental Health and Occupational Health Lean Production Production Ergonomics Healthcare Winkel, Jörgen Birgisdóttir, Birna D Ulin, Kerstin Edwards, K Gunnarsdóttir, S Ny Harlin, Ulrika Jarebrant, Caroline Johansson Hanse, Jan Factors facilitating and inhibiting Value Stream Mapping processes at hospital units in three Nordic countries - A Nordic Multicenter study |
topic_facet |
Production Engineering Human Work Science and Ergonomics Work Sciences Other Engineering and Technologies Applied Psychology Environmental Health and Occupational Health Lean Production Production Ergonomics Healthcare |
description |
1.Conceptual framework and PurposeIn healthcare Value Stream Mapping (VSM) is a common Lean tool used to improve the efficiency of patient flows by identifying and minimizing waste (Keyte & Locher, 2004). It is a participatory tool, i.e. those affected by this type of rationalization are performing the analyses and subsequently suggesting appropriate interventions. Participation has been shown to be crucial to obtain ownership of the suggested interventions and thereby increase impact. VSM has been shown to be a powerful rationalization tool. However, the resulting interventions may imply physical work intensification and impaired psychosocial work environment. Due to this, Lean is often perceived as a “threat” by employees at hospitals (Härenstam et al 2000, personal communications). Physical and psychosocial working conditions should therefore be taken into account in the rationalization process to obtain sustainable solutions, i.e. solutions that allow for competitive performance and acceptable work environment in a long term perspective. On this background we have complemented the VSM tool by an ergonomic module assisting the users to consider also physical and psychosocial implications of the suggested interventions. This ErgoVSM tool is now evaluated in a Nordic Multicenter Study including Denmark, Iceland and Sweden (Winkel et al, 2012). The aim of this paper is to present observations that may indicate facilitating and inhibiting factors for the VSM process.2.MethodsSeven wards have used the ErgoVSM and seven the traditional VSM. Information was obtained by screening key hospital documents and interviewing participants in the VSM processes.3.ResultsIn Sweden one out of three wards using VSM decided not to fulfil the VSM process. On Iceland the only ward using VSM also decided not to fulfil their VSM process. The hospitals of the investigated wards using VSM in Sweden and Iceland had a strong primary focus on financial balance of the business according to key documents. Decisions on when and which ... |
author |
Winkel, Jörgen Birgisdóttir, Birna D Ulin, Kerstin Edwards, K Gunnarsdóttir, S Ny Harlin, Ulrika Jarebrant, Caroline Johansson Hanse, Jan |
author_facet |
Winkel, Jörgen Birgisdóttir, Birna D Ulin, Kerstin Edwards, K Gunnarsdóttir, S Ny Harlin, Ulrika Jarebrant, Caroline Johansson Hanse, Jan |
author_sort |
Winkel, Jörgen |
title |
Factors facilitating and inhibiting Value Stream Mapping processes at hospital units in three Nordic countries - A Nordic Multicenter study |
title_short |
Factors facilitating and inhibiting Value Stream Mapping processes at hospital units in three Nordic countries - A Nordic Multicenter study |
title_full |
Factors facilitating and inhibiting Value Stream Mapping processes at hospital units in three Nordic countries - A Nordic Multicenter study |
title_fullStr |
Factors facilitating and inhibiting Value Stream Mapping processes at hospital units in three Nordic countries - A Nordic Multicenter study |
title_full_unstemmed |
Factors facilitating and inhibiting Value Stream Mapping processes at hospital units in three Nordic countries - A Nordic Multicenter study |
title_sort |
factors facilitating and inhibiting value stream mapping processes at hospital units in three nordic countries - a nordic multicenter study |
publishDate |
2014 |
url |
https://research.chalmers.se/en/publication/201857 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
https://research.chalmers.se/en/publication/201857 |
_version_ |
1766038168764678144 |