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首页> 外文会议>Annual Conference and Expo of the Institute of Industrial Engineers >Evaluating Lean Implementation: Challenges in Developing a Research Agenda For Lean Enterprise Transformation in Healthcare
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Evaluating Lean Implementation: Challenges in Developing a Research Agenda For Lean Enterprise Transformation in Healthcare

机译：评估精益执行：在医疗保健方面开发精益企业转型研究议程的挑战

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摘要

This paper describes a prospective, mixed methods evaluation of Lean Enterprise Transformation (LET) within the context of healthcare. The Consolidated Framework for Implementation Research (CFIR) served as the general framework for this evaluation. The evaluation supported the successful implementation of Lean Healthcare Enterprise Deployment at seven pilot VA Medical Centers (VAMCs) and included a special focus on the impact of local context on implementation, piloting a "context matrix" approach for integrating unstructured data from multi-site initiatives into a single cumulative project file to assist with rapid-cycle reporting and real-time access to data. A persistent challenge throughout the evaluation involved achieving a balance across three different kinds of questions: if change occurred, how change occurred, and how well specific components of LET had been implemented. This evaluation drew upon the ongoing major collaboration between the VA Stroke Quality Enhancement Research Initiative (QUERI) and the Veterans Engineering Resource Center (VERC) program within the VA, where the combined disciplines of industrial engineering and implementation science helped to develop a deeper understanding of LET implementation and the complex phenomenon of the influence of local context on transformation initiatives.
机译：本文介绍了在医疗保健的背景下对精益企业转型（Let）的预期，混合方法评估。实施研究的综合框架（CFIR）担任此评估的一般框架。该评估支持在七个试点VA医疗中心（VAMC）中成功实施精益医疗保健企业部署，并包括特别关注当地背景对实施的影响，试验“上下文矩阵”方法，用于将非结构化数据与多站点举措集成进入单个累积项目文件，以帮助快速循环报告和实时访问数据。整个评估中的持续挑战涉及在三种不同问题上实现余额：如果发生变化，如何发生变化，以及允许的具体组成部分。该评估制定了VA中风质量增强研究倡议（Queri）和VA中的退伍军人工程资源中心（VERC）计划之间的正在进行的主要合作，工业工程和实施科学的合并学科有助于发展更深入的了解让实施与地方背景对转型举措的影响的复杂现象。

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