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Experience of implementing lean thinking in an Indian healthcare institution

Gopalakrishnan Narayanamurthy (University of St. Gallen (HSG), St. Gallen, Switzerland)
Anand Gurumurthy (Quantitative Methods and Operations Management (QM and OM) Area, Indian Institute of Management Kozhikode (IIMK), Kozhikode, India)
Arjun Athikkamannil Lankayil (Indian Institute of Management Kozhikode (IIMK), Kozhikode, India)

International Journal of Lean Six Sigma

ISSN: 2040-4166

Article publication date: 4 July 2018

Issue publication date: 18 February 2021

850

Abstract

Purpose

The purpose of this study is to document the experience and impact of implementing lean thinking (LT) in an Indian healthcare institution.

Design/methodology/approach

A detailed review of literature documenting the experience of implementing LT in healthcare institutions is carried out. Review revealed that there is a dearth of documentation on implementation of LT in Indian healthcare institutions. To address this gap, the experience of implementing LT in an Indian case hospital is documented by adopting a single case study research methodology.

Findings

Lean practices adopted by the Indian case hospital are documented. Performance measures before and after implementation of lean practices in the case hospital are compared. Based on this experience, a framework for implementing LT is proposed for healthcare institutions.

Research limitations/implications

The current study documents the experience of an Indian case hospital, which is only at its initial stages of LT implementation. Future studies can be undertaken to assess the long-term impact of implementing LT in a healthcare institution. Similarly, the proposed framework for implementing LT can be validated by using the same in different healthcare institutions.

Practical implications

Review of lean principles, practices and performance measures discussed in the literature on implementing LT in healthcare institutions can act as a ready reckoner for practitioners. Framework proposed based on the experience of the case hospital is expected to guide healthcare practitioners in their lean journey.

Originality/value

This study is unique, as it documents the experience of implementing LT in an Indian healthcare institution and proposes a framework for implementing LT for future validation.

Keywords

Acknowledgements

The initial version of this paper titled “Lean Thinking in Healthcare Sector: Experience from an Indian Hospital” was presented at the 25th Annual Conference of Production and Operations Management Society (POM 2014), 9-12 May 2014, Atlanta, USA. The authors thank the conference reviewers, session chairs and participants for their valuable suggestions, which have resulted in significant improvement in comparison to the initial versions. The authors gratefully acknowledge the detailed and constructive comments of anonymous reviewers and guest editors of this special issue.

Citation

Narayanamurthy, G., Gurumurthy, A. and Lankayil, A.A. (2021), "Experience of implementing lean thinking in an Indian healthcare institution", International Journal of Lean Six Sigma, Vol. 12 No. 1, pp. 23-60. https://doi.org/10.1108/IJLSS-10-2016-0062

Publisher

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Emerald Publishing Limited

Copyright © 2018, Emerald Publishing Limited

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