Examining the Relationship Between the Lean Management System and Quality Improvement Care Management Processes

Background and Objectives: The United States has an underperforming health care system on both cost and quality criteria in comparison with other developed countries. One approach to improving system performance on both cost and quality is to use the Lean Management System based on the Shingo principles originally developed by Toyota in Japan. Our objective was to examine the association between hospital use of the Lean Management System and evidence-based or recommended quality improvement care management processes. Methods: A cross-sectional analysis of data from 223 hospitals that responded to both the 2017 National Survey of Healthcare Organizations and Systems and the 2017 National Survey of Lean/Transformational Performance Improvement in Hospitals was conducted. Results: Controlling for hospital organizational and market characteristics, the number of years using Lean was positively associated with use of electronic health record–based decision support, use of quality-focused information management, use of evidence-based guidelines, and support for care transitions at the P
Source: Quality Management in Healthcare - Category: Health Management Tags: Original Research Source Type: research