Purpose

Lean Six Sigma (LSS) is a widely accepted business improvement methodology in healthcare, which aims to improve operations and quality and reduce cost, medical errors and waiting time by combing the principles of lean thinking with Six Sigma methodologies. To implement LSS successfully in healthcare organizations it is necessary to know the readiness level before starting the change process. Thus, the purpose of this paper is to assess the readiness level for the implementation of LSS in healthcare using a fuzzy logic approach.

Design/methodology/approach

The current study uses a fuzzy logic approach to develop an assessment model for readiness to implement LSS. The conceptual model for readiness is developed with 5 enablers, 16 criteria and 48 attributes identified from the literature review. The current study does the study in a medium-size hospital from India.

Findings

The fuzzy readiness for implementation of LSS index (FRLSSI) and fuzzy performance importance index (FPII) are calculated to identify the readiness level for the implementation of LSS in the case hospital. The FRLSSI is computed as average ready with (3.30, 5.06 and 6.83) and the FPII computed helps to identify 15 weaker attributes from 48 attributes.

Research limitations/implications

The current study uses only one hospital for study. In the future, the model can be tested in many hospitals.

Practical implications

The current study would be used by the managers of a healthcare organization to identify the readiness level of their organization to implement LSS. The proposed model is based on the identification of enablers, criteria and attributes to assess the readiness level of a healthcare organization and it helps to improve the readiness level to implement LSS effectively.

Originality/value

The present study contributes to the knowledge of readiness for the implementation of LSS in a healthcare organization. The conceptual model is developed for assessing the readiness level of a healthcare organization and it helps to improve the readiness level for successful implementation of LSS. Weaker attributes are identified and necessary corrective actions should be taken by the management to improve the readiness. The continuation of the assessment readiness model over a period of time would help to improve the readiness level of healthcare for the implementation of LSS.

中文翻译：

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使用模糊逻辑方法评估在医疗机构中实施精益6西格玛的准备水平

目的

精益六西格码（LSS）是医疗保健领域一种广为接受的业务改进方法，旨在通过将精益思维原理与六西格玛方法相结合来改善运营和质量，并降低成本，医疗错误和等待时间。为了在医疗保健组织中成功实施LSS，必须在开始更改过程之前了解准备水平。因此，本文的目的是使用模糊逻辑方法评估在医疗保健领域实施LSS的准备程度。

设计/方法/方法

当前的研究使用模糊逻辑方法来开发评估模型，以准备实施LSS。准备就绪的概念模型由文献综述中确定的5个促成因素，16个标准和48个属性开发而成。目前的研究是在印度的一家中型医院进行的。

发现

计算了实施LSS指数的模糊准备程度（FRLSSI）和模糊绩效重要性指数（FPII），以识别案例医院中实施LSS的准备程度。FRLSSI的平均准备值为（3.30、5.06和6.83），而FPII可以帮助从48个属性中识别出15个较弱的属性。

研究局限/意义

当前的研究仅使用一家医院进行研究。将来，该模型可以在许多医院进行测试。

实际影响

卫生组织的管理人员将使用当前的研究来确定其组织实施LSS的准备程度。所提出的模型基于对使能者，标准和属性的识别，以评估医疗保健组织的准备水平，并有助于提高准备水平，以有效地实施LSS。

创意/价值

本研究有助于在医疗保健组织中为实施LSS做好准备的知识。开发概念模型是为了评估医疗保健组织的准备水平，它有助于提高成功实施LSS的准备水平。确定较弱的属性，管理层应采取必要的纠正措施以改善准备状态。评估准备模型在一段时间内的延续将有助于提高医疗保健对实施LSS的准备水平。