Forthcoming and Online First Articles

International Journal of Lean Enterprise Research

International Journal of Lean Enterprise Research (IJLER)

Forthcoming articles have been peer-reviewed and accepted for publication but are pending final changes, are not yet published and may not appear here in their final order of publication until they are assigned to issues. Therefore, the content conforms to our standards but the presentation (e.g. typesetting and proof-reading) is not necessarily up to the Inderscience standard. Additionally, titles, authors, abstracts and keywords may change before publication. Articles will not be published until the final proofs are validated by their authors.

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International Journal of Lean Enterprise Research (One paper in press)

Regular Issues

  • Identifying the Effect of the Covid-19 Pandemic on Process Waste in a Primary Care Clinic using Lean Methodologies   Order a copy of this article
    by Anna Wilson, Daniel F. Silva, Katherine A. Meese 
    Abstract: This study aims to identify process waste at a primary care clinic using Lean methodologies, focusing on how those wastes were affected by process changes stemming from the Covid-19 pandemic. Wastes were identified before the pandemic using in-person time-motion studies, observations, and voice-of-the-process (VoP) interviews (November 2019 - February 2020). After the onset of the pandemic, wastes were identified using virtual VoP interviews (April-July 2020), and data was collected automatically by the clinic’s information technology systems. Our team identified five types of waste that increased, one waste that stayed the same, four types of waste that decreased, and two new sources of waste created by the new workflows. Considering the similarities among primary care clinics in the southeastern United States, the findings presented here could be used as a guide by small clinics to adjust processes and workflows during a public health emergency, while avoiding the creation of additional process waste.
    Keywords: Lean methodologies; primary care; Covid-19; pandemic; wastes; VSM.
    DOI: 10.1504/IJLER.2024.10071274
     

 

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