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Journal of Medical Systems

, 41:163 | Cite as

Efficiency Analysis of Integrated Public Hospital Networks in Outpatient Internal Medicine

  • Miguel Angel Ortíz-Barrios
  • Juan P. Escorcia-Caballero
  • Fabián Sánchez-Sánchez
  • Fabio De Felice
  • Antonella Petrillo
Systems-Level Quality Improvement
Part of the following topical collections:
  1. Systems-Level Quality Improvement

Abstract

Healthcare systems are evolving towards a complex network of interconnected services due to the increasing costs and the increasing expectations for high service levels. It is evidenced in the literature the importance of implementing management techniques and sophisticated methods to improve the efficiency of healthcare systems, especially in emerging economies. This paper proposes an integrated collaboration model between two public hospitals to reach the reduction of weighted average lead time in outpatient internal medicine department. A strategic framework based on value stream mapping and collaborative practices has been developed in real case study settled in Colombia.

Keywords

Efficiency Public healthcare Value stream mapping Collaborative practices DSS 

Notes

Compliance with Ethical Standards

Conflict of Interest

Prof. Miguel Ortiz Barrios declares that he has no conflict of interest. Dr. Juan Escorcia Caballero declares that he has no conflict of interest. Dr. Fabián Sánchez Sánchez declares that he has no conflict of interest. Prof. Fabio De Felice declares that he has no conflict of interest. Prof. Antonella Petrillo declares that she has no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

References

  1. 1.
    Abo Hamad, W., Crowe, J., and Arisha, A., Towards leaner healthcare facility: Application of simulation Modelling and value stream mapping, proceedings of the international workshop on innovative simulation for healthcare (I-WISH). Vol. 19. Austria, Vienna, 2012.Google Scholar
  2. 2.
    Ahmed, M., Jones, E., Redmond, E., Hewedi, M., Wingert, A., and El Rab, M.G., Food production and service in uk hospitals. International Journal of Health Care Quality Assurance. 28(1):40–54, 2015.CrossRefPubMedGoogle Scholar
  3. 3.
    Antonelli, D., Bruno, G. Application of process mining and semantic structuring towards a lean healthcare network. In Proceedings of 16th IFIP WG 5.5 Working Conference on Virtual Enterprises, PRO-VE 2015; Albi; France; 2015.Google Scholar
  4. 4.
    Arbelaez, C., and Patiño, A., State of emergency medicine in Colombia. International Journal of Emergency Medicine. 8:9, 2015.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Aronson, J., Liang, T., and Turban, E., Decision support systems and intelligent systems. Andi, Yoyakarta, 2005.Google Scholar
  6. 6.
    Avery, M.D., Montgomery, O., and Brandl-Salutz, E., Essential components of successful collaborative maternity care models: The ACOG-ACNM project. Obstet Gynecol Clin North Am. 39(3):423–434, 2012.CrossRefPubMedGoogle Scholar
  7. 7.
    Baguma, D., Public health safety and environment in inadequate hospital and healthcare settings: A review. Public Health. 144:23–31, 2017.CrossRefPubMedGoogle Scholar
  8. 8.
    Banks, J., Carson, J., Nelson, B., Nicol, D. Discrete-Event System Simulation. Prentice Hall, 2001.Google Scholar
  9. 9.
    Barratt, M., and Oliveira, A., Exploring the experiences of collaborative planning initiatives. International Journal of Physical Distribution & Logistics Management. 31(4):266–289, 2001.CrossRefGoogle Scholar
  10. 10.
    Barrios, M.O., Jiménez, H.F., Isaza, S.N., Comparative analysis between ANP and ANP-DEMATEL for six sigma project selection process in a healthcare provider. In: Ambient assisted living and daily activities. Springer, p. 413–6, 2014.Google Scholar
  11. 11.
    Basole, R.C., Bodner, D.A., and Rouse, W.B., Healthcare management through organizational simulation. Decision Support Systems. 55(2):552–563, 2013.CrossRefGoogle Scholar
  12. 12.
    Campbell, B., Fryers, M., Devitt, R., and Vestal, K., Towards a collaborative model of care. Healthcare Management Forum; Elsevier, 2009.Google Scholar
  13. 13.
    Caro, J., Moller, J., and Getsios, D., Discrete event simulation: The preferred technique for health economic evaluations? Value In Health. 13(8):1056–1060, 2010.CrossRefPubMedGoogle Scholar
  14. 14.
    Choi, J.H., Park, I., Jung, I., and Dey, A., Complementary effect of patient volume and quality of care on hospital cost efficiency. Health Care Management Science. 20(2):221–231, 2017.CrossRefPubMedGoogle Scholar
  15. 15.
    De Felice, F., and Petrillo, A., Critical success factors for e-healthcare: Integrated set of performance indicators system (ISPIS). Lecture Notes in Computer Science, Volume. 8868(2014):398–401, 2014.CrossRefGoogle Scholar
  16. 16.
    De Felice, F., Petrillo A., Improving Italian healthcare service quality using analytic hierarchy process methodology. In 6th European Conference of the International Federation for Medical and Biological Engineering, MBEC 2014; Dubrovnik; Croatia; 7 September 2014 through 11 September 2014, Volume 45, 2015, Pages 981-984, 2015.Google Scholar
  17. 17.
    Dickson, E.W., Anguelov, Z., Vetterick, D., Eller, A., and Singh, S., Use of lean in the emergency department: A case series of 4 hospitals. Ann Emerg Med. 54(4):504–510, 2009.CrossRefPubMedGoogle Scholar
  18. 18.
    Doğan, N.Ö. and Unutulmaz, O., 2016 Lean production in healthcare: a simulation-based value stream mapping in the physical therapy and rehabilitation department of a public hospital. Total Quality Management and Business Excellence, Volume 27, Issue 1–2, 2 January 2016, Pages 64–80.Google Scholar
  19. 19.
    Douglas, T.J., Ryman, J.A., Understanding competitive advantage in the general hospital industry: Evaluating strategic competencies. Strategic Management Journal, Volume 24, Issue 4, April 2003, Pages 333–347. 2003.Google Scholar
  20. 20.
    Dyer, J.H., and Singh, H., The relational view: Cooperative strategy and sources of interorganizational competitive advantage. Academy of management review. 23(4):660–679, 1998.Google Scholar
  21. 21.
    Graban, M., Lean hospitals: Improving quality, patient safety, and employee engagement. CRC Press, Boca Raton, FL, 2011 9781439870433.Google Scholar
  22. 22.
    Harry, M. J., Mann, P. S., De Hodgins, O. C., Hulbert, R. L., Lacke, C. J., Practitioner’s Guide to Statistics and Lean Six Sigma for Process Improvements. John Wiley and Sons, 2011.Google Scholar
  23. 23.
    Hassan, S.A., Port activity simulation: An overview. ACM SIGSIM Simulation Digest. 23(2):17–36, 1993.CrossRefGoogle Scholar
  24. 24.
    Hong, P., Dobrzykowski, D., Won Park, Y., Näslund, D., and Hulthen, H., Supply chain management integration: A critical analysis. Benchmarking: An International Journal. 19(4/5):481–501, 2012.CrossRefGoogle Scholar
  25. 25.
    Johns, B., Probandari, A., Mahendradhata, Y., and Ahmad, R.A., An analysis of the costs and treatment success of collaborative arrangements among public and private providers for tuberculosis control in Indonesia. Health Policy. 93(2):214–224, 2009.CrossRefPubMedGoogle Scholar
  26. 26.
    Kampstra, R., Ashayeri, J., and Gattorna, J., Realities of supply chain collaboration. The International Journal of Logistics Management. 17(3):312–330, 2006.CrossRefGoogle Scholar
  27. 27.
    Karnon, J., Stahl, J., Brennan, A., Caro, J.J., Mar, J., and Möller, J., Modeling using discrete event simulation a report of the ISPOR-SMDM modeling good research practices task force–4. Medical decision making. 32(5):701–711, 2012.CrossRefPubMedGoogle Scholar
  28. 28.
    Keyte, B., and Locher, D., The complete lean Enterprise: Value stream mapping for administrative and office processes. Productivity Press, New York, 2004 9781563273018.CrossRefGoogle Scholar
  29. 29.
    Krisjanous, J., and Maude, R., Customer value co-creation within partnership models of health care: An examination of the New Zealand midwifery partnership model. Australasian Marketing Journal. 22(3):230–237, 2014.CrossRefGoogle Scholar
  30. 30.
    Kulkarni, P., Smith, L.D., and Woeltje, K.F., Assessing risk of hospital readmissions for improving medical practice. Health Care Management Science. 19(3):291–299, 2016.CrossRefPubMedGoogle Scholar
  31. 31.
    Laberge, C., Roberts, C., and Kowal, K., Value stream mapping toward cardiac surgery process improvement: Putting lean into action. Can J Cardiol. 10(29):S393, 2013.CrossRefGoogle Scholar
  32. 32.
    Lambert, D.M., Cooper, M.C., and Pagh, J.D., Supply chain management: Implementation issues and research opportunities. The international journal of logistics management. 9(2):1–20, 1998.CrossRefGoogle Scholar
  33. 33.
    Liker, J.K., The Toyota way: 14 management principles from the world’s greatest manufacturer. McGraw-Hil, New York, 2004.Google Scholar
  34. 34.
    Lin, W.D., Jin, X., Chia, S.Y., Simulation based lean six sigma approach to reduce patients waiting time in an outpatient eye clinic. In Proceedings of IEEE international conference on industrial engineering and engineering management, IEEM 2014; Selangor; Malaysia; 2014.Google Scholar
  35. 35.
    Lummus, R.R., Vokurka, R.J., and Rodeghiero, B., Improving quality through value stream mapping: A case study of a physician's clinic. Total Qual. Manage. 17(8):1063–1075, 2006.Google Scholar
  36. 36.
    Marshall, D.A., Burgos-Liz, L., IJzerman, M.J., Crown, W., Padula, W.V., Wong, P.K., et al., Selecting a dynamic simulation modeling method for health care delivery research—Part 2: Report of the ISPOR dynamic simulation modeling emerging good practices task force. Value in health. 18(2):147–160, 2015.CrossRefPubMedGoogle Scholar
  37. 37.
    McClean, S.I., Barton, M., Garg, L., and Fullerton, K., Combining Markov models and discrete event simulation to plan stroke patient care. Transactions on modeling and computer. Science. 21(4), 2011.Google Scholar
  38. 38.
    Muñoz-Villamizar, A.F., Montoya-Torres, J.R., and Herazo-Padilla, N., Mathematical programming modeling and resolution of the location-routing problem in urban logistics. Ingeniería y Universidad. 18(2):271–289, 2014.CrossRefGoogle Scholar
  39. 39.
    Musoles, M.B., Escortell, A.I., Matemáticas de las operaciones financieras: (teoría y práctica), 1994.Google Scholar
  40. 40.
    Nash, M.A., and Poling, S.R., Mapping the Total value stream: A comprehensive guide for production and transactional processes. Taylor & Francis Group, LLC, New York, 2008.Google Scholar
  41. 41.
    Oluwatoyin Folayan, M., and Haire, B., Communitarian societies and public engagement in public health. Critical Public Health. 27(1):6–13, 2017.CrossRefGoogle Scholar
  42. 42.
    Ortíz, M.A., Felizzola, H.A., and Isaza, S.N., A contrast between DEMATEL-ANP and ANP methods for six sigma project selection: A case study in healthcare industry. BMC medical informatics and decision making. 15(Suppl 3), 2015.Google Scholar
  43. 43.
    Osborne, T.F., Clark, R.H., Blackowiak, J., Williamson, P.J., Werb, S.M., and Strong, B.W., Efficiency analysis of an interoperable healthcare operations platform. Journal of Medical Systems. 41(4):52, 2017.CrossRefPubMedGoogle Scholar
  44. 44.
    Owusu-Addo, E., Cross, R., and Sarfo-Mensah, P., Evidence-based practice in local public health service in Ghana. Critical Public Health. 27(1):125–138, 2017.CrossRefGoogle Scholar
  45. 45.
    Polovina, M., Polovina, R., Yenigella, M.C., Chen, S.-J., Analysis of medication delivery errors in medical/surgical unit. In Proceedings of IIE annual conference and expo 2014; Palais des Congres de Montreal 159, rue saint-Antoine Ouest Montreal; Canada; 2014.Google Scholar
  46. 46.
    Reddy, M.C., and Jansen, B.J., A model for understanding collaborative information behavior in context: A study of two healthcare teams. Information Processing & Management. 44(1):256–273, 2008.CrossRefGoogle Scholar
  47. 47.
    Riley, R.H., Chapter 38: Society for Simulation in healthcare by Raemer. Manual of Simulation in Healthcare. Oxford University Press, Dan IN, 2008.Google Scholar
  48. 48.
    Sahay, B., 2003. Supply chain collaboration: The key to value creation. Work study. 52(2):76–83, 2003.CrossRefGoogle Scholar
  49. 49.
    Salleh, S., Thokala, P., Brennan, A., Hughes, R., and Booth, A., Simulation Modelling in healthcare: An umbrella review of systematic literature reviews. Pharmaco Economics. 1-13, 2017.Google Scholar
  50. 50.
    Senot, C., Chandrasekaran, A., and Peter, T., Ward collaboration between service professionals during the delivery of health care: Evidence from a multiple-case study in U.S. hospitals. Journal of Operations Management, Volumes. 42–43:62–79, 2016.CrossRefGoogle Scholar
  51. 51.
    Simatupang, T.M., and Sridharan, R., The collaborative supply chain. The International Journal of Logistics Management. 13(1):15–30, 2002.CrossRefGoogle Scholar
  52. 52.
    Sokolowski, J.A., and Banks, C.M., Principles of modeling and simulation. Wiley, Hoboken, NJ, 2009.CrossRefGoogle Scholar
  53. 53.
    Taddei, A., Gori, A., Rocca, E., Carducci, T., Piccini, G., Assanta, N., et al., Tele-consulting for collaborative diagnosis and care of heart malformations. Computing in cardiology. In: 2011; IEEE, 2011.Google Scholar
  54. 54.
    Tarakci, M., Ates, N.Y., Porck, J.P., Van Knippenberg, D., Groenen, P.J.F., De Haas, M., Strategic consensus mapping: A new method for testing and visualizing strategic consensus within and between teams. Strategic Management Journal, Volume 35, Issue 7, July 2014, Pages 1053–1069, 2014.Google Scholar
  55. 55.
    Taylor, G.J., McClean, S.I., and Millard, P.H., Using a continuous-time Markov model with Poisson arrivals to describe the movement of geriatric patients. Applied Stochastic Models in Business and Industry. 14(2):165–174, 1998.CrossRefGoogle Scholar
  56. 56.
    Teichgräber, U.K., and de Bucourt, M., Applying value stream mapping techniques to eliminate non-value-added waste for the procurement of endovascular stents. Eur J Radiol. 81(1):47–52, 2012.CrossRefGoogle Scholar
  57. 57.
    Tennant, G., SIX SIGMA: SPC and TQM in manufacturing and services. Gower Publishing, Ltd, 2001Google Scholar
  58. 58.
    Thota, A.B., Sipe, T.A., Byard, G.J., Zometa, C.S., Hahn, R.A., McKnight-Eily, L.R., et al., Collaborative care to improve the management of depressive disorders: A community guide systematic review and meta-analysis. Am J Prev Med. 42(5):525–538, 2012.CrossRefPubMedGoogle Scholar
  59. 59.
    Tortorella, G.L., Fogliatto, F., Anzanello, M., Garcia, M., Esteves, R., Marodin, G., Making the value flow: Application of value stream mapping in a Department of a Brazilian public healthcare organization. In Proceedings of 23rd international conference for production research, ICPR 2015; Marriott hotel manila; Philippines; 2015.Google Scholar
  60. 60.
    Varkey, P., Reller, M.K., and Resar, R.K., Basics of quality improvement in health care. Mayo Clinic Proceedings; Elsevier, 2007.Google Scholar
  61. 61.
    Vereecke, A., and Muylle, S., Performance improvement through supply chain collaboration in Europe. International journal of operations & production management. 26(11):1176–1198, 2006.CrossRefGoogle Scholar
  62. 62.
    Xie, H., Chaussalet, T.J., and Millard, P.H., A model-based approach to the analysis of patterns of length of stay in institutional long-term care. IEEE Trans. Info. Tech. Biomed. 10:512–518, 2006.CrossRefGoogle Scholar
  63. 63.
    Zimmerman, J., and Dabelko, H.I., Collaborative models of patient care: New opportunities for hospital social workers. Soc Work Health Care. 44(4):33–47, 2007.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Miguel Angel Ortíz-Barrios
    • 1
  • Juan P. Escorcia-Caballero
    • 2
  • Fabián Sánchez-Sánchez
    • 3
  • Fabio De Felice
    • 4
  • Antonella Petrillo
    • 5
  1. 1.Universidad de la Costa CUCBarranquillaColombia
  2. 2.Department of Business ManagementUniversidad del NorteBarranquillaColombia
  3. 3.Department of Industrial EngineeringUniversidad Autónoma del CaribeBarranquillaColombia
  4. 4.Department of Civil and Mechanical EngineeringUniversity of Cassino and Southern LazioCassinoItaly
  5. 5.Department of EngineeringUniversity of Napoli “Parthenope”NapoliItaly

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