Managing variation through system redesign
by Paul Walley
International Journal of Healthcare Technology and Management (IJHTM), Vol. 8, No. 6, 2007

Abstract: Previous studies of reengineering in healthcare have identified a lack of process standardisation and inherent process variability as barriers to successful redesign. Some regard healthcare as unsuitable for a process redesign approach. The pilot studies and longitudinal case study presented here demonstrate that process stability can be achieved using a reengineering approach and that this can help reduce patient journey times and the variation in flow times. Furthermore, a cellular approach to process streaming did not create process stability at the expense of system flexibility. The process-based view that was introduced by the redesign activity was seen to be extremely valuable because of the way in which it helped to define patient flows.

Online publication date: Mon, 25-Jun-2007

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