DMAIC for Process Digitalization: A Hospital Case Study
DMAIC for Process Digitalization: A Hospital Case Study
Índice
Purpose – This paper presents how to implement the DMAIC cycle as an element to X-ray the progress of a digitalization initiative focused on the ambulance’s request system for daily transport of patients initiated in a Portuguese hospital, which was not achieving the expected results. The research has the goal of not only contributing to the literature on the application of the Lean Six Sigma methodology to healthcare operations but also, of giving practical recommendations on how managers can leverage on the same approach, and apply the concept in their internal process improvement initiatives to reduce friction in digitalized processes. Ultimately, it is shown how a methodology like DMAIC, presents in itself a great option to start and methodically lead a business process digitalization project.
Methodology – The authors chose to follow an Action Research methodology while approaching the problem at stake with the DMAIC framework.
Findings – DMAIC can be a relevant problem-solving structure to measure the success and support the digitalization of business processes.
Originality – The originality of this paper lies in the application of a logical structure such as the DMAIC cycle to analyze the quality issues inherent to the digital version of an ambulance’s request system.
Practical implications – This case study depicts how the operationalization of digitalization initiatives using the DMAIC framework can be more effective while allowing organizations to adequately and actively react to the implementation problems. It presents improvements of 23% lower lead times for a redesigned digitalized ambulance’s request system.
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Abu Bakar, F., Subari, K. and Mohd Daril, M. A. (2015) ‘Critical success factors of Lean Six Sigma deployment: a current review’, International Journal of Lean Six Sigma, 6, pp. 339–348. doi: 10.1108/IJLSS-04-2015-0011.
Barry, R., Murcko, A. C. and Brubaker, C. E. (2002) The Six Sigma Book for Healthcare: Improving Outcomes by Reducing Errors. 1st Editio. Health Administration Press.
Bisgaard, S. (2009) Solutions to the Healthcare Quality Crisis: Cases and Examples of Lean Six Sigma in Healthcare. ASQ Quality Press.
Eikeland, O. (2012) ‘Action research and organizational learning: A Norwegian approach to doing action research in complex organizations’, Educational Action Research, 20, pp. 267–290. doi: 10.1080/09650792.2012.676303.
Hanne, T., Melo, T. and Nickel, S. (2009) ‘Bringing Robustness to Patient Flow Management Through Optimized Patient Transports in Hospitals’, Interfaces, 39(3), pp. 241–255. doi: 10.1287/inte.1080.0379.
Heuvel, J., Does, R. and Koning, H. (2006) ‘Lean Six Sigma in a hospital’, Int. J. Six Sigma and Competitive Advantage Int. J. Six Sigma and Competitive Advantage, 2, pp. 377–388. doi: 10.1504/IJSSCA.2006.011566.
Karout, R. and Awasthi, A. (2017) ‘Improving software quality using Six Sigma DMAIC-based approach: a case study’, Business Process Management Journal, 23. doi: 10.1108/BPMJ-02-2017- 0028.
Koning, H. de and Mast, J. de (2006) ‘A rational reconstruction of Six Sigma’s Breakthrough Cookbook August 2006Intern’, International Journal of Quality & Reliability, 23(7), pp. 766–787.
doi: 10.1108/02656710610701044.
Kuvvetli, Ü. and Firuzan, A. R. (2019) ‘Applying Six Sigma in urban public transportation to reduce traffic accidents involving municipality buses’, Total Quality Management & Business Excellence, 30(1–2), pp. 82–107. doi: 10.1080/14783363.2017.1297198.
Mast, J., and Lokkerbol, J. (2012) ‘An analysis of the Six Sigma DMAIC method from the perspective of problem-solving’, Int J Prod Econ, 139, pp. 604–614. doi: https://doi.org/10.1016/j.ijpe.2012.05.035.
Nave, D. (2002) ‘How To Compare Six Sigma, Lean, and the Theory of Constraints’, Quality Progress – American Society for Quality, pp. 73–78. Available at: www.asq.org.
Shankar, R. (2009) Process Improvement Using Six Sigma: A DMAIC Guide. Quality Press.
Snee, R. D. (2010) ‘Lean Six Sigma – getting better all the time’, International Journal of Lean Six Sigma, 1(1), pp. 9–29. doi: 10.1108/20401461011033130.
Snee, R. and Hoerl, R. W. (2007) ‘Integrating Lean and Six Sigma – A Holistic Approach’, ASQ Six Sigma Forum Magazine, pp. 15–21.
Sokovic, M., Pavletic, D. and Pipan, K. (2010) ‘Quality improvement methodologies – PDCA cycle, RADAR matrix, DMAIC, and DFSS’, Journal of Achievements in Materials and Manufacturing Engineering, 43.
Taner, M., Sezen, B. and Antony, J. (2007) ‘An overview of six sigma applications in healthcare industry’, International Journal of Health Care Quality Assurance, 20, pp. 329–340. doi: 10.1108/09526860710754398.
Healthcare, Lean Six Sigma, DMAIC methodology, Digitalization
