Lean hospital management implementation in health care service: A multicase study

Lean hospital play a crucial role in the hospital service performance. It has been proved that implementing lean hospital management concept enhance the quality of hospital services. The purpose of this article is to investigate the waste and its causal factors. This paper is based upon a multi case study of lean hospital management practice of emergency unit in two generalhospital. Data collected by semi structured interview, document analysis andobservation. Value stream mapping is used to analyze hospital service process. Results of the analysis shows that waste identified on hospital services such as waiting times, defect in administrative services, inappropriate processes mainly due to lack coordination of officers, lack of thorough and administrative errors. Originality of this paper is analyzing thelean hospital management practice of integrated process of clinical and administrative process.