Achieving transformation to lean management systems in health care.

ABSTRACT:

Objective

To understand what factors and organizational dynamics enable Lean transformation of health care organizations.

Data sources

Primary data were collected through two waves of interviews in 2016-2017 with leaders and staff at seven veterans affairs medical centers participating in Lean enterprise transformation.

Study design

Using an observational study design, for each site we coded and rated seven potential enablers of transformation. The outcome measure was the extent of Lean transformation, constructed by coding and rating 11 markers of depth and spread of transformation. Using multivalue coincidence analysis (CNA), we identified enablers that distinguished among sites having different levels of transformation. We identified representative quotes for the e

SUBMITTER: Charns MP 

PROVIDER: S-EPMC10012231 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature