Abstract
In this paper we present how ASST Cremona, an Italian hospital belonging to the National healthcare system, started its lean journey. In order to spread out the lean culture within the company and to engage people, the first initiative launched was a 4 months improvement project within Internal Medicine department. This was carried out following A3 framework and was aimed at improving the service level provided to the patients, in terms of the critical KPI represented by the length of stay. The improvement project was successful leading both to a strong reduction in the length of stay and to the spread of improvement culture within the hospital, that will continue its lean journey in different departments.
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Notes
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Discharge classification: 1. Ordinaria domicilio del paziente; 2. Volontaria; 3. Trasferimento ad un altro istituto di cura per acuti; 4. Deceduto; 5. Dimissione ordinaria presso Residenza Sanitaria Assistenziale; 6. Dimissione al domicilio del paziente con attivazione di ospedalizzazione domiciliare; 7. Trasferimento ad altro regime o tipologia di ricovero all’interno dello stesso istituto; 8. Trasferimento ad un altro istituto pubblico o privato non per acuti; 9. Dimissione ordinaria con attivazione di assistenza domiciliare integrata.
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Acknowledgements
We would like to thank Dr. Rosario Canino, Medical Director of ASST Cremona, Dr. Matteo Giorgi Pierfranceschi, Director of Operations of Internal Medicine, Serena De Marco and Marco Spadari, brilliant students of Politecnico di Milano, for their collaboration and support.
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Cifone, F.D., Portioli-Staudacher, A., Silla, A. (2020). Lean Healthcare: How to Start the Lean Journey. In: Rossi, M., Rossini, M., Terzi, S. (eds) Proceedings of the 6th European Lean Educator Conference. ELEC 2019. Lecture Notes in Networks and Systems, vol 122. Springer, Cham. https://doi.org/10.1007/978-3-030-41429-0_32
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DOI: https://doi.org/10.1007/978-3-030-41429-0_32
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