Title: Application of integrated Lean Six Sigma quality healthcare system practice in Indian healthcare

Authors: K. Sathish Kumar; R. Venkatesh Babu; K.P. Paranitharan

Addresses: Bharath Institute of Higher Education and Research, Agharam Road, Selaiyur, Chennai, Tamil Nadu 600073, India ' Bharath Institute of Higher Education and Research, Agharam Road, Selaiyur, Chennai, Tamil Nadu 600073, India ' TVS Sensing Solutions Private Limited, Madurai-Melur National Highway Road, Vellaripatti, Madurai, Tamil Nadu 625122, India

Abstract: Integration of continuous improvement methodologies has gained momentum and international fame on improving healthcare performance. However, there is an individual methodology not gained due to dynamic conditions in the marketplace. The study investigates the impact on the integration of Lean, Six Sigma (DMAIC) and TQM concepts in the Indian healthcare sector to maintain its sustainability. The integrated Lean Six Sigma quality healthcare system (ILSSQHS) was developed under ten critical success factors (CSFs) through extant literature review and from experts' opinions. The purpose of this ILSSQHS model is to assess the performance and quality of care in private hospitals in India. Data were analysed by performing statistical analysis using SPSS. This study revealed that CSF leadership management commitment is higher in rank and healthcare operational effectiveness seems lower rank in the healthcare. The result revealed that all CSFs are found a significant and positive association with ILSSQHS practice as perceived by healthcare managers.

Keywords: healthcare; hospitals; lean; Six Sigma; quality; India; integrated Lean Six Sigma quality healthcare system; ILSSQHS model; critical success factors; CSFs.

DOI: 10.1504/IJVCM.2022.122165

International Journal of Value Chain Management, 2022 Vol.13 No.1, pp.112 - 139

Received: 11 Sep 2020
Accepted: 16 May 2021
Published online: 11 Apr 2022 *