To address several challenges faced in healthcare, the Triple Aim (3A) was targeted by institutions to improve health outcomes and patient experience while reducing the costs of health. Process improvement techniques in manufacturing, such as Lean systems, were applied as tools to achieve the 3A framework. Unfortunately, the high level...
In the face of a disruptive event or prolonged period of stress, resilient performance ischaracterized by preventative measures, effective response, and the integration of lessonslearned. In healthcare, resilience significantly affects patient safety. However, currentguidelines for healthcare performance assessment, such as the Triple Aim, do notconsider physician satisfaction and preventative measures...
The application of lean to new product development (NPD) processes has been claimed to generate positive impact on NPD performance. There are very few empirical studies, however, on how organizations should apply lean practices or on the exact nature of the impact of lean on NPD performance. To further understand...
Improvement behaviors, specifically double loop, have been linked to successful lean implementations. Although the lean literature supports individual cognitive transformation to double loop learning as an important element of lean success, there remains a strategic methodology to achieve sustainable double loop behavior. Perceptions toward behavior and employee satisfaction have been...
Medical professionals experience higher rates of burnout than other professions due to the highly stressful nature of their environment. In 2018, 94 percent of physicians reported experiencing burnout – characterized by emotional fatigue, and feelings of depersonalization and low personal accomplishment – at some point in their careers. As emotional...
Change initiatives have a 70 percent failure rate, but effective change is necessary if a company is to remain competitive. Current organizational change research around lean process improvement links unsatisfactory implementation results to organizational behaviors, but does not assess how individual cognitive characteristics affect successful lean implementation. Although a range...
Increasing complexity and demand of healthcare has not been matched with policy changes and improvements in healthcare training. In Linn, Benton, and Lincoln Counties (LBL), a few challenges that prevent the efficient training of healthcare providers are (1) limited training capacity due to clinical placements and availability of qualified faculty...
Many projects fail because employees and managers have different understandings of project "success" or "value". Other projects fail because managers are unable to effectively align organizational values with those of their employees. This problem is widely understood, but there is little empirical research that specifies the nature and effect of...
The Lean process improvement philosophy has been proposed as a method for improving components of Higher Education (HE), including student learning outcomes; however, current lean applications to HE have focused on administrative operations or general institutional interventions. Comparatively little work has been performed applying lean to teaching. This work fills...
Burnout is a state of physical or emotional exhaustion and disconnectedness induced by continuous stress that affects various aspects of an individual’s life. Physicians experience burnout at a higher rate than other professions due to the highly stressful nature of their work. Consequently, physicians are at a higher risk of...