International Journal of Academic Research in Business and Social Sciences

search-icon

A Proposed Tool for Lean Healthcare Performance Improvement (LHPI)

Open access

Nurul Fadly Habidin, Norlaile Salleh Hudin, Wan Salmuni binti Wan Mustaffa, Zuriadah Zainol, Sharon Yong Yee Ong, Nursyazwani Mohd Fuzi

Pages 1050-1060 Received: 15 Apr, 2017 Revised: 09 May, 2017 Published Online: 28 Jun, 2017

http://dx.doi.org/10.46886/IJARBSS/v7-i6/3144
In current competitive business and modern work, organizational culture and Lean Healthcare (LH) is important to improve organizational performance in healthcare industry. Healthcare industry itself is moving forward toward preparing a cost and time efficient, morale, quality, and safety healthcare providers. Thus, the aim of this study is to develop a lean healthcare tool that incorporate lean healthcare practices, quality improvement effort and performance measure in Malaysian healthcare industry. This finding is to provide a lower cost of material, improve supply chain process, better service quality for customer, and Just in Time (JIT) services deliveries. This study also expect to eliminate healthcare waste and defects in many aspects of the healthcare operation, strengthening relationships with vendors, producing high quality products, and ultimately serve customers better than competitors. The development through lean healthcare tool will be conduct in Malaysia healthcare industry and will also be adopt to analyze the data gather from systems validation process. Further, the findings of the study are expects to provide a practical guideline for healthcare practitioner to enhance performance improvement and to provide tested lean healthcare system, quality improvement effort and performance improvement systems in healthcare industries through a tool. Development of lean healthcare tool will be test in this research. Hence, this research might be important to Malaysian Healthcare industry in improving performance improvement. As such, it is expected to benefit both researchers, practitioners, consultant and academic player.
Achanga, P., Shehab, E., Roy, R., & Nelder, G. (2006). Critical success factors for lean implementation within SMEs. Journal of Manufacturing Technology Management, 17(4), 460-471.

Ali, N., Habidin, N. F., Jamaluddin, N. H., Khaidir, N. A., & Shazali, N. A., (2013). Customer Relationship Management and Organizational Performance in Malaysian Healthcare Industry. International Journal of Advancements in Research and Technology, 2 (1), 1-5.


Arawati, A. (2005). The structural linkages between TQM, product quality performance, and business performance: preliminary empirical study in electronics companies. Singapore Management Review, 27 (1), 87-105.

Bacon, L. D. (1997). Using Amos for structural equation modeling in market research. Lynd, Bacon and Associates, SPSS Inc.

Bentler, P. M. (1990). Comparative fit indixes in structural models. Psychological Bulletin. 107(2), 238-246

Boyer, K. K. (1996). An assessment of managerial commitment to lean production. International Journal of Operation Management, 16(9), 48-59.

Cooke, R. A., & Szumal, J. L. (1993). Measuring normative beliefs and shared behavioral expectations in organizations: The reliability and validity of the Organizational Culture Inventory. Psychological Reports, 72, 1299-1330.

Doman, J. L. (2007). Leveraging lean process improvement methodology to promote economic abd environmental sustainability: Obstacle and opportunities.( Master Thesis, Department of Civil Engineering Technology Environmental Management and Safety, Rochester Institute of Technology, Rochester, NY).

Flynn, B. B., Sakakibara, S. Schroeder, R. G., Bates, K. A., & Flynn, J. B. (1990). Empirical research methods in operation management. Journal of Operations Management, 9(2), 250-284.

Flynn, B. B., Sakakibara, S., & Schroeder, R. G. (1995). Relationship between JIT and TQM: practice and performance, Academy of Management Journal, 38(5), 1325-1360.

Forrester, P., and Shimizu, U, Soriano-Meier, H., Garza-Reyes, J., & Basso, L. (2010). Lean production, market share and value creation in the agricultural machinery sector in Brazil. Journal of Manufacturing Technology Management. 21(7), 853-871.

Graban, M. (2009). Lean Hospitals: Improving Quality, Patient Safety and Employee Satisfaction. Ortho-Clinical Diagnostics, Taylor and Francis Group: Boca Raton, London, New York.

Habidin, N. F. (2017). The development of Lean Healthcare Management System (LHMS) for Healthcare industry. Asian Journal of Pharmaceutical and Clinical Research, 10 (2), 97-102.

Habidin, N. F., Khaidir, N. A., Shazali, N. A., Ali, N., & Jamaludin, N. H. (2015). The Development of Process Innovation and Organizational Performance in Malaysian healthcare industry. International Journal of Business Innovation and Research, 9 (2), 148-162.

Habidin, N. F., Shazali, N. A., Ali, N., Khaidir, N. A., & Jamaludin, N. H. (2014). Exploring lean healthcare practice and supply chain innovation for Malaysian healthcare industry. International Journal of Business Excellence, 7 (3), 394-410.

Habidin, N. A., Omar, C. M. Z. C., & Ibrahim, N. (2012). Confirmatory factor analysis for lean healthcare practices in Malaysian healthcare industry. Journal of Contemporary Issues and Thought, 2(1), 17–26.

Hagg, H., Suskovich, D., Workman, J., Scachitti, S., & Hudson, B. (2004). Adaption of Lean Methodologies for Healthcare Applications. RCHE Publications, 24.

Hair, J. F., Anderson, R. E., Tatham, R. & Black, W. (1998). Multivariate data analysis with readings (4th ed.). Prentice Hall, Englewood Cliffs: New Jersey.

Holweg, M., (2007). The genealogy of lean production. Journal of Operations Management, 25, 420–437.

Imai, M. (1997). Gemmba Kaizen. McGraw-Hill: New York.

Jamaludin, N. H., Habidin, N. F., Shazali, N. A., Ali, N., & Khaidir, N. A. (2013). Exploring Sustainable Healthcare Service and Sustainable Healthcare Performance: Based on Malaysian Healthcare Industry. Journal of Sustainable Development Studies. 3 (1), 14-26.

Jimmerson, C, Weber, D., & Sobek, D. K. (2005). Reducing Waste and Errors: Piloting Lean Principles at Intermountain Healthcare. Journal on Quality and Patient Safety, 31(5), 249-257.

Khaidir, N. A., Habidin, N. F., Shazali, N. A., Ali, N., & Jamaluddin, N. H. (2014). Investigation of Six Sigma Practices and Process Innovation for Malaysian Healthcare Industry. International Journal of Innovation and Applied Studies, 5 (2), 131-138.

Khaidir, N. A., Habidin, N. F., Ali, N., Shazali, N. A., & Jamaludin, N. H. (2013). Six sigma and organizational performance in Malaysian healthcare industry. Journal of Business and Management, 6(5), 29–37.

Kollberg, B., Dahlgaard, J. J., & Brehmer, P. (2007). Measuring lean initiatives in healthcare services: issues and findings. International Journal of Productivity and Performance Management, 56(1), 7–24.

Li, S., Rao., S. S., Ragu-Nathan, T. S., & Ragu-Nathan, B. (2005). Development and validation of a measurement instrument for studying supply chain management practices. Journal of Operation management, 23, 618-641.

Liker, J. (2004). The Toyota Way. McGraw-Hill: New York.

Narasimhan, R., Swink, M., & Kim, S. W. (2006). Disentangling leanness and agility: An empirical investigation. Journal of Operation Management, 24(5), 440-457.

NHSIII. (2007). Going lean in the NHS. Warwick: NHS Instuitie for Innovation and Improvement.

Norazlan, A. N. I, Habidin, N. F., Roslan, M. H., and Zainudin, M. Z. (2014). Investigation of Kaizen Blitz and Sustainable Performance for Malaysian Healthcare Industry, International Journal of Quality and Innovation, 2 (3/4), 272-284.

Ohno, T. (1998). Toyota Production System. Productivity Press: New York.

Papadopoulou, T. C., & Ozbayrak, M. (2005). Leanness: Experiences from the journey to date. Journal of Manufacturing Technology Management. 16(7), 784-807.

Radnor, Z. J. (2010). Review of business process improvement methodologies in public. AIM Research: United Kingdom.

Radnor, Z., & Boaden, R. (2008). Lean in the public services: panacea or paradox? Public Money and Management, 28(1), 3e6.

Roslan, M. H, Habidin, N. F., Zainudin, M. Z., Norazlan, A. N. I, (2014). Waste Management Practices and Organization Performance in Malaysian Healthcare Industries, Journal of Applied Science and Research, 2 (2), 14-22.

Sakakibara, S., Flynn, B. B., & Schroeder, R. G. (1993). A framework and measurement instrument for just-in-tme manufacturing. Production and Operation Management, 2(3), 177-194.

Sekaran, U. (2000). Research Methods for Business: A skill-Building Approach (3rd ed.), New York: John Wiley and Sons.

Shah, R., & Ward, P. T. (2007). Defining and developing measures of lean production. Journal of Operations Management, 25(4), 785-805.

Shazali, N. A., Habidin, N. F., Ali, N., Khaidir, N. Afni, & Jamaluddin, N. H. (2013). Lean Healthcare Practice and Healthcare Performance in Malaysian Healthcare Industry. International Journal of Scientific and Reseach Publications, 3 (1). 1-5.

Silvester, K., Lendon, R., Bevan, H.R.S., & Walley, P. (2004). Reducing waiting times in the NHS: Is lack of capacity the problem? Clinician in Management, 12 (3), 105–111.

Singler, T. & Pearson, C. (2000). Creating and empowering culture: Examining the relationship between organizational culture and perceptions of empowerment. Journal of Quality Management, 5, 27-52.

Snyder, K. D., & McDermott, M. (2009). A rural hospital takes on lean. Journal For Healthcare Quality, 31(3), 23-28.

Spear, L. P. (2000). The adolescent brain and age-related behavioral manifestations. Neuroscience & Biobehavioral Reviews, 24(4), 417-463.

Swink, M., Narasimhan, R., & Kim, S. W. (2005). Manufacturing practices and strategy integration: effects on cost efficiency, flexibility, and market-based performance. Decision Sciences, 36(3), 427-457.

Verbeke, W., Volgering, M., & Hessels, M. (1998). Exploring the conceptual expansion within the field of organizational behavior:,Organizational climate and organizational culture. Journal of Management Studies, 35, 303-329.

Villeneuve, C. (2011). Fujitsu’s Lean solutions group: lean healthcare in Canada. Fujitsu Science Technology Journal, 41(1), 41–48.

Visser, E. J. (2008). Logistic innovation in global supply chain: an empirical test of dynamic transaction-cost theory. GeoJournal, 70(2), 213–226.

Vlachos, I., & Bogdanovic, A. (2013). Lean thinking in the European hotel industry. Tourism Management, 36, 354-363.

Womack, J. P., & Jones, D. T. (1996). Beyond Toyota: how to root out waste and pursue perfection. Harvard Business Review, 74(5), 140-158.

Womack, J. P., Jones, D. T., & Roos, D. (1990). The Machine that Change the World. New York: Macmillan Publishing Company.

Womack, J.P., & Jones, D. T. (1996). Lean Thinking, Book Review in Financial Times, 30th September 1996.

Yin, R. K. (1989). Case Study Research: Applied Social Research Methods Series. Newbury Park, CA: Sage Publication, Inc.

Zakuan, N. M. (2009), Structural analysis of total quality management, ISO/TS 16949 and organizational performance in Malaysian and Thailand automotive industry (Phd Thesis, Faculty of Mechanical Engineering, Universiti Technology Malaysia, Malaysia).
Habidin, N. F., Hudin, N. S., Mustaffa, W. S. binti W., Zainol, Z., Ong, S. Y. Y., & Fuzi, N. M. (2017). A Proposed Tool for Lean Healthcare Performance Improvement (LHPI). International Journal of Academic Research in Business and Social Sciences, 7(6), 1050-1060.