Skip to main content

Lean Management: Inventory, Waste Management

  • Chapter
  • First Online:
Manual of Practice Management for Ambulatory Surgery Centers

Abstract

In this chapter, we introduce the concept of lean management as it relates to ambulatory surgical centers (ASCs). The main objectives of medical organizations, including ASCs, are compatible with the concepts of lean management. The practice management goals at ASCs mainly center on care that is more convenient for patients, with higher satisfaction and lower healthcare costs. Lean management aims to keep the items that add value while eliminating waste. We discuss different tools, such as Six Sigma and the 5S Method (sort, simplify, sweep, standardize, sustain), which can be effective for incorporating lean into ASCs. We list the seven wastes as related to ASCs with examples given and possible solutions discussed. Lean implementation is a time intensive and continuous improvement journey. It requires commitment from everyone in the enterprise. Application and implementation of lean principles and philosophies in ASC daily activities are essential to decrease waste, improve efficiency and quality, and ultimately lead to better and safer patient care.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Robinson ST, Kirsch JR. Lean strategies in the operating room. Anesthesiol Clin. 2015;33(4):713–30.

    Article  Google Scholar 

  2. Mason SE, Nicolay CR, Darzi A. The use of lean and six sigma methodologies in surgery: a systematic review. Surgeon. 2015;13(2):91–100.

    Article  CAS  Google Scholar 

  3. D’Andreamatteo A, Ianni L, Lega F, Sargiacomo M. Lean in healthcare: a comprehensive review. Health Policy. 2015;119(9):1197–209.

    Article  Google Scholar 

  4. Toussaint JS, Berry LL. The promise of lean in health care. Mayo Clin Proc. 2013;88(1):74–82.

    Article  Google Scholar 

  5. Wellman J, Jeffries H, Hagan P. Leading the lean healthcare journey: driving culture change to increase value. New York: Productivity Press; 2010.

    Book  Google Scholar 

  6. Stoutzenberger TL, Kitner SA, Ulrich BL, D’Silva I, Shah M. Using Lean strategies to improve operating room efficiency. OR Manager. 2014;30(1):18–20.

    Google Scholar 

  7. Southard PB, Chandra C, Kumar S. RFID in healthcare: a six sigma DMAIC and simulation case study. Int J Health Care Qual Assur. 2012;25(4):291–321.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maria A. Michaelis .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Elsharydah, A., Michaelis, M.A., Rajan, N. (2020). Lean Management: Inventory, Waste Management. In: Rajan, N. (eds) Manual of Practice Management for Ambulatory Surgery Centers. Springer, Cham. https://doi.org/10.1007/978-3-030-19171-9_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-19171-9_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-19170-2

  • Online ISBN: 978-3-030-19171-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics