32 research outputs found
Identifying and Prioritizing the Effective Criteria in Selecting Lean Six Sigma Improvement Projects in the Healthcare Sector
[EN] The main objective of this study was to identify and prioritize effective criteria in selecting Lean Six Sigma improvement projects in the healthcare and treatment sector in Iran. The present study was an applied research in terms of objective and a descriptive and analytical one according to the research methodology and data collection approach. The research statistical population included experts and managers with experience in the field of implementing the lean six sigma methodology in the field of healthcare and treatment in Iran. We used interviews and questionnaire tools to collect the data. The effective criteria were identified through reviewing previous research, which were then prioritized based on the experts’ opinions using the BWM method. According to the results, out of the six main dimensions and 20 criteria identified, the customer development dimension with a weight of 0.387 and the customer satisfaction criterion with a weight of 0.066 were determined as the most effective dimension and the most effective criterion, respectively. Accordingly, the directors of medical centers and organizations affiliated with the healthcare sector are recommended to pay special attention to these defined criteria of the customer development dimension to effectively implement the lean six sigma methodology and managing an effective customer relationship.Bazrkar, A.; Aramoon, V.; Aramoon, E. (2021). Identifying and Prioritizing the Effective Criteria in Selecting Lean Six Sigma Improvement Projects in the Healthcare Sector. WPOM-Working Papers on Operations Management. 12(2):41-55. https://doi.org/10.4995/wpom.15766OJS4155122Ahmed, S., Abd Manaf, N. H., & Islam, R. (2018). Effect of Lean Six Sigma on quality performance in Malaysian hospitals. International journal of health care quality assurance,13(8),973-987. https://doi.org/10.1108/IJHCQA-07-2017-0138Antony, J., Rodgers, B., & Gijo, E. V. (2016). Can Lean Six Sigma make UK public sector organisations more efficient and effective?. International Journal of Productivity and Performance Management,65(7),995-1002. https://doi.org/10.1108/IJPPM-03-2016-0069Aramoon, V., Aramoon, E., & Bazrkar, A. (2020). Investigating the Effect of Implementing the Lean Six Sigma on Organizational Performance Based on the Mediating Role of Strategic Knowledge Management with Structural Equation Modeling Approach. Navus-Revista de Gestão e Tecnologia, 10, 01-16. https://doi.org/10.22279/navus.2020.v10.p01-16.1302Assarlind, M., & Aaboen, L. (2014). Forces affecting one Lean Six Sigma adoption process. International Journal of Lean Six Sigma,5(3),324-340. https://doi.org/10.1108/IJLSS-07-2013-0039Bazrkar, A., & Iranzadeh, S. (2017). Prioritization of Lean Six Sigma improvement projects using data envelopment analysis cross efficiency model. Quality - Access to Success, 18(157), 72-76.Bhat, S., Antony, J., Gijo, E. V., & Cudney, E. A. (2019). Lean Six Sigma for the healthcare sector: a multiple case study analysis from the Indian context. International Journal of Quality & Reliability Management.,37(1),90-111. https://doi.org/10.1108/IJQRM-07-2018-0193Bumjaid, S. E., & Malik, H. A. M. (2019). The Effect of Implementing of Six Sigma Approach in Improving the Quality of Higher Education Institutions in Bahrain. International Journal of Engineering and Management Research, 9,12-27. https://doi.org/10.31033/ijemr.9.2.17de Miranda Lammoglia, J. A., Brandalise, N., & Hernandez, C. T. (2020). Analytical hierarchy processbocr applied for the best lean project selection for production lines. Independent Journal of Management & Production, 11(1), 054-064. https://doi.org/10.14807/ijmp.v11i1.990Erdil, N. O., Aktas, C. B., & Arani, O. M. (2018). Embedding sustainability in lean six sigma efforts. Journal of Cleaner Production, 198, 520-529. https://doi.org/10.1016/j.jclepro.2018.07.048Gupta, H., & Barua, M. K. (2016). Identifying enablers of technological innovation for Indian MSMEs using best-worst multi criteria decision making method. Technological Forecasting and Social Change, 107, 69-79. https://doi.org/10.1016/j.techfore.2016.03.028Gupta, P., Anand, S., & Gupta, H. (2017). Developing a roadmap to overcome barriers to energy efficiency in buildings using best worst method. Sustainable Cities and Society, 31, 244-259. https://doi.org/10.1016/j.scs.2017.02.005Gupta, S., Modgil, S., & Gunasekaran, A. (2020). Big data in lean six sigma: a review and further research directions. International Journal of Production Research, 58(3), 947-969. https://doi.org/10.1080/00207543.2019.1598599Guo, S., & Zhao, H. (2017). Fuzzy best-worst multi-criteria decision-making method and its applications. Knowledge-Based Systems, 121, 23-31. https://doi.org/10.1016/j.knosys.2017.01.010Henrique, D. B., & Godinho Filho, M. (2020). A systematic literature review of empirical research in Lean and Six Sigma in healthcare. Total Quality Management & Business Excellence, 31(3-4), 429-449. https://doi.org/10.1080/14783363.2018.1429259Improta, G., Cesarelli, M., Montuori, P., Santillo, L. C., & Triassi, M. (2018). Reducing the risk of healthcare‐associated infections through Lean Six Sigma: The case of the medicine areas at the Federico II University Hospital in Naples (Italy). Journal of evaluation in clinical practice, 24(2), 338-346. https://doi.org/10.1111/jep.12844Kadarova, J., & Demecko, M. (2016). New approaches in lean management. Procedia Economics and Finance, 39(1), 11-16. https://doi.org/10.1016/S2212-5671(16)30234-9Laureani, A., & Antony, J. (2017). Leadership characteristics for lean six sigma. Total Quality Management & Business Excellence, 28(3-4), 405-426. https://doi.org/10.1080/14783363.2015.1090291Li, J., Wang, J. Q., & Hu, J. H. (2019). Multi-criteria decision-making method based on dominance degree and BWM with probabilistic hesitant fuzzy information. International Journal of Machine Learning and Cybernetics, 10(7), 1671-1685. https://doi.org/10.1007/s13042-018-0845-2Lizarelli, F. L., & Alliprandini, D. H. (2020). Comparative analysis of Lean and Six Sigma improvement projects: performance, changes, investment, time and complexity. Total Quality Management & Business Excellence, 31(3-4), 407-428. https://doi.org/10.1080/14783363.2018.1428087Maghsoodi, A. I., Mosavat, M., Hafezalkotob, A., & Hafezalkotob, A. (2019). Hybrid hierarchical fuzzy group decision-making based on information axioms and BWM: Prototype design selection. Computers & Industrial Engineering, 127, 788-804. https://doi.org/10.1016/j.cie.2018.11.018Malek, J., & Desai, T. N. (2019). Prioritization of sustainable manufacturing barriers using Best Worst Method. Journal of Cleaner Production, 226, 589-600. https://doi.org/10.1016/j.jclepro.2019.04.056Marodin, G. A., Frank, A. G., Tortorella, G. L., & Saurin, T. A. (2016). Contextual factors and lean production implementation in the Brazilian automotive supply chain. Supply Chain Management: An International Journal,21(4),417-432. https://doi.org/10.1108/SCM-05-2015-0170Mason, S. E., Nicolay, C. R., & Darzi, A. (2015). The use of Lean and Six Sigma methodologies in surgery: A systematic review. The Surgeon, 13(2), 91-100. https://doi.org/10.1016/j.surge.2014.08.002McCann, L., Hassard, J. S., Granter, E., & Hyde, P. J. (2015). Casting the lean spell: The promotion, dilution and erosion of lean management in the NHS. Human Relations, 68(10), 1557-1577. https://doi.org/10.1177/0018726714561697Mi, X., Tang, M., Liao, H., Shen, W., & Lev, B. (2019). The state-of-the-art survey on integrations and applications of the best worst method in decision making: Why, what, what for and what's next?. Omega, 87, 205-225. https://doi.org/10.1016/j.omega.2019.01.009Morell-Santandreu, O., Santandreu-Mascarell, C., & Garcia-Sabater, J. J. (2021). A Model for the Implementation of Lean Improvements in Healthcare Environments as Applied in a Primary Care Center. International Journal of Environmental Research and Public Health, 18(6), 2876. https://doi.org/10.3390/ijerph18062876Morell-Santandreu,O., Santandreu-Mascarell, C., & García-Sabater, J. (2020). Sustainability and Kaizen: Business Model Trends in Healthcare. Sustainability, 12(24), 10622. https://doi.org/10.3390/su122410622Mrugalska, B., & Wyrwicka, M. K. (2017). Towards lean production in industry 4.0. Procedia Engineering, 182, 466-473. https://doi.org/10.1016/j.proeng.2017.03.135Naumovich, A. (2020). The Japanese concept of lean production: possibility of implementation in the Belarusian economy,http://edoc.bseu.by/.Okpala, C. C., Obiuto, N. C., & Elijah, O. C. (2020). Lean Production System Implementation in an Original Equipment Manufacturing Company: Benefits, Challenges, and Critical Success Factors. International Journal of Engineering Research & Technology,9(7),1665-1672.Pakdil, F., Toktaş, P. and Can, G.F. (2020), Six sigma project prioritization and selection: a multi-criteria decision making approach in healthcare industry,International Journal of Lean Six Sigma, Vol. ahead-ofprint No. ahead-of-print. https://doi.org/10.1108/IJLSS-04-2020-0054Pamučar, D., Petrović, I., & Ćirović, G. (2018). "Modification of the Best-Worst and MABAC methods: A novel approach based on interval- valued fuzzy-rough numbers. Expert Systems with Applications, 91, 89-106. https://doi.org/10.1016/j.eswa.2017.08.042Rahul, G., Samanta, A. K., & Varaprasad, G. (2020, July). A Lean Six Sigma approach to reduce overcrowding of patients and improving the discharge process in a super-specialty hospital. In 2020 International Conference on System, Computation, Automation and Networking (ICSCAN) (pp. 1-6). IEEE.Rezaei, J. (2015). Best-worst multi-criteria decision-making method. Omega, 53, 49-57. https://doi.org/10.1016/j.omega.2014.11.009Rezaei, J., van Roekel, W. S., & Tavasszy, L. (2018). Measuring the relative importance of the logistics performance index indicators using Best Worst Method. Transport Policy, 68, 158-169. https://doi.org/10.1016/j.tranpol.2018.05.007Sá, J. C., Vaz, S., Carvalho, O., Lima, V., Morgado, L., Fonseca, L., ... & Santos, G. (2020). A model of integration ISO 9001 with Lean six sigma and main benefits achieved. Total Quality Management & Business Excellence, 1-25. https://doi.org/10.1080/14783363.2020.1829969Shenshinov, Y., & Abdulsattar Al-Ali. (2020). THE TOOLS OF INCREASING EFFICIENCY OF HUMAN RESOURCE IN THE LEAN PRODUCTION ENVIRONMENT: CONCEPTUAL STUDY. International Journal of Core Engineering & Managenet,6(7),1-18.Singh,M.,Rathi,R.,Antony,J.,Garza-Reyes,J.A.(2021).L Lean Six Sigma Project Selection in a Manufacturing Environment Using Hybrid Methodology Based on Intuitionistic Fuzzy MADM Approach, IEEE Transactions on Engineering Management, doi: 10.1109/TEM.2021.3049877. https://doi.org/10.1109/TEM.2021.3049877Sunder, M. V. (2013). Synergies of lean six sigma. IUP Journal of Operations Management, 12(1), 21.Sunder., M, V., & Kunnath, N. R. (2020). Six Sigma to reduce claims processing errors in a healthcare payer firm. Production Planning & Control, 31(6), 496-511. https://doi.org/10.1080/09537287.2019.1652857Swarnakar, V., & Vinodh, S. (2014). Lean Six Sigma Project Selection using Analytical Network Process. Proceedings of SOM, Conference: XVIII Annual International Conference of the Society of Operations Management,2014.Trakulsunti, Y., & Antony, J. (2018). Can Lean Six Sigma be used to reduce medication errors in the healthcare sector?. Leadership in Health Services, 31(4),426-433. https://doi.org/10.1108/LHS-09-2017-0055Trakulsunti, Y., Antony, J., Ghadge, A., & Gupta, S. (2020). Reducing medication errors using LSS Methodology: A systematic literature review and key findings. Total Quality Management & Business Excellence, 31(5-6), 550-568. https://doi.org/10.1080/14783363.2018.1434771Vinodh, S., & Swarnakar, V. (2015). Lean Six Sigma project selection using hybrid approach based on fuzzy DEMATEL-ANP-TOPSIS. International Journal of Lean Six Sigma,6(4),313-338. https://doi.org/10.1108/IJLSS-12-2014-0041Wang, F. K., & Chen, K. S. (2010). Applying Lean Six Sigma and TRIZ methodology in banking services. Total Quality Management, 21(3), 301-315. https://doi.org/10.1080/14783360903553248Yadav, G., & Desai, T. N. (2017a). A fuzzy AHP approach to prioritize the barriers of integrated Lean Six Sigma. International Journal of Quality & Reliability Management,34(8),1167-1185. https://doi.org/10.1108/IJQRM-01-2016-0010Yadav, G., & Desai, T. N. (2017b). Analyzing lean six sigma enablers: a hybrid ISM-fuzzy MICMAC approach. The TQM Journal,29(3).488-511. https://doi.org/10.1108/TQM-04-2016-004
Utjecaj marketinške strategije društvenih medija na korisnikovu namjeru sudjelovanja u odnosu na medijatorsku ulogu korisnikove percipirane vrijednosti
Purpose – The main purpose of this study is to assess the effect of social media marketing strategy components on customer participation with organizations active in the Iranian insurance industry, taking into account the mediating role of value perceived by insurance service customers.
Design/Methodology/Approach – This is an applied research study based on the objective and a descriptive survey. A questionnaire was used in the research to collect the research data among the customers of Iranian insurance companies. Fifteen insurance companies were randomly selected for the sample using the simple random sampling method. The respondents to the questionnaires were identified using a judgmental method.
Findings and implications – The results of this study show that social media marketing strategy has a positive and significant effect on customer participation intention. The results also indicated that the perceived value of customers in the insurance industry plays a mediating role in the relationship between the social media marketing strategy and customer participation intention. Companies working in the insurance industry as well as other service-providing organizations can apply the findings of this research to enhance the level of participation of their customers and improve the performance of social media marketing in attracting customers.
Limitations – Since this is an exploratory study, the research findings are limited to the specific sample, and thus, the results may change in the case of changes in the sample size. Also, different opinions about the research topic among members of the sample population can affect the research results to a certain extent.
Originality – Proper analysis of the impact of social media marketing strategies on customer participation intention, and attention to the perceived value of customers when receiving insurance services, is crucial in improving the performance of insurance companies. This is the first time that research on the Iranian insurance industry was conducted for this purpose and the results can be very effective.Svrha – Glavna svrha studije jest procijeniti učinak komponenata marketinške strategije društvenih medija na sudjelovanje korisnika u uslugama u iranskoj industriji osiguranja, a s obzirom na medijatorsku ulogu percipirane vrijednosti korisnika usluge osiguranja.
Metodološki pristup – Radi se o primijenjenom, opisnom anketnom istraživanju. Za prikupljanje podataka korišten je anketni upitnik. Statistički skup istraživanja činila su aktivna poduzeća u iranskoj industriji osiguranja. Metodom slučajnog uzorkovanja odabran je uzorak od 15 osiguravajućih poduzeća. Ispitanici koji su sudjelovali u anketnom istraživanju odabrani su na temelju prosudbe.
Rezultati i implikacije – Rezultati studije otkrili su da marketinška strategija društvenih medija ima pozitivan i značajan učinak na namjeru sudjelovanja korisnika. Rezultati su također pokazali da percipirana vrijednost korisnika u industriji osiguranja igra posredničku ulogu u odnosu između marketinške strategije društvenih medija i namjere sudjelovanja korisnika. Poduzeća u industriji osiguranja, kao i druge uslužne organizacije, mogu koristiti zaključke ovog istraživanja kako bi unaprijedili razinu sudjelovanja korisnika usluga i poboljšali učinkovitost marketinga na društvenim medijima radi privlačenja korisnika usluga.
Ograničenja – S obzirom da se radi o izviđajnom istraživanju, rezultati su ograničeni veličinom uzorka pa se mogu i promijeniti ako se promijeni veličina uzorka. Osim toga, različita mišljenja o temi istraživanja među ispitanicima mogu donekle utjecati na rezultate.
Doprinos – Pravilna analiza utjecaja marketinških strategija društvenih medija na korisnikovu namjeru sudjelovanja, kao i njegovu pozornost na percipiranu vrijednost pri korištenju usluga osiguranja, presudni su za poboljšanje poslovanja osiguravajućih poduzeća. Ovo je prvi put da se u iranskoj osiguravajućoj industriji provodi istraživanje u tu svrhu, a dobiveni rezultati mogu biti korisni
Providing a Model for Ranking Suppliers in the Sustainable Supply Chain Using Cross Efficiency Method in Data Envelopment Analysis
Goals: This research seeks to identify the basic indices of sustainability in three dimensions (economic, social and environmental) in the Iranian automotive industry suppliers by reviewing previous research and ranking the suppliers using a cross efficiency approach. In this paper, the performance and ranking of sustainable supply chain suppliers are evaluated by presenting a secondary objective model in terms of cross efficiency.
Design / Methodology / Approach: In the first step of this research, a preliminary screening of the identified criteria is carried out. the data on the final criteria is collected using a questionnaire. Finally, the evaluation and ranking of suppliers in sustainable supply chain of the automotive industry in Iran is done by the cross-efficiency model presented in this paper.
Results: The results showed that, according to the criteria of the triple profit model (including 3 dimensions, 7 criteria), supplier No. 8 was identified as the most efficient decision maker unit (DMU) among 12 suppliers of Iran Khodro Company.
Limitations of the investigation: The main constraints include the timeliness of information gathering and the lack of cooperation of suppliers in providing information.
Originality / Value: Using the cross efficiency model in data envelopment analysis technique in the field of evaluating supplier performance is a very practical and unrestricted approach
Creación de una ventaja competitiva sostenible para las organizaciones a través de la implementación de la gestión del conocimiento con la ayuda de la moderna tecnología de la información
Today, rapid environmental, organizational and technological changes have created a complex competitive environment for organizations. Information technology is a tool and strategy for organizations to deal with these complexities and changes. The present study Creating a sustainable competitive advantage for organizations through the implementation of knowledge management with the help of modern information technology. In fact, this study assesses the mediating role of modern information technology on the relationship between knowledge management and sustainable competitive advantage. To test the significance of the hypotheses, two critical value (CR and P) in Structural equation model was used. Based on the 5% significance level, the critical value must be greater than 1.96. According to the results, for all the research hypotheses, this value was more than 1.96 and the P value was less than 5%. It can be concluded that information technology and knowledge management have a positive and significant impact on the creation and development of a sustainable competitive advantage for organizations. It was also found that modern information technology an important mediating role on the relationship between knowledge management and sustainable competitive advantage.Hoy, los rápidos cambios ambientales, organizativos y tecnológicos han creado un entorno competitivo complejo para las organizaciones. La tecnología de la información es una herramienta y una estrategia para que las organizaciones interactúen con estas complejidades y cambios. El presente estudio evalúa el papel mediador de la tecnología de la información moderna en relación con la gestión del conocimiento y la ventaja competitiva sostenible. Para verificar las hipótesis, se utilizaron dos valores críticos (CR y P) sustentado en el modelo de ecuación estructural. Basado en el nivel de significancia del 5%, el valor crítico debe ser mayor que 1.96. De acuerdo, con los resultados, para todas las hipótesis de investigación, este valor fue más de 1.96 y el valor de P fue menor al 5%. Se puede concluir que la tecnología de la información y la gestión del conocimiento tienen un impacto positivo y significativo en la creación y el desarrollo de una ventaja competitiva sostenible para las organizaciones. Por último, se encontró que la tecnología de la información moderna es un importante papel mediador en la relación entre la gestión del conocimiento y la ventaja competitiva sostenible.Universidad Pablo de Olavid
SWAT Modeling of Non-Point Source Pollution in Depression-Dominated Basins under Varying Hydroclimatic Conditions
Non-point source (NPS) pollution from agricultural lands is the leading cause of various water quality problems across the United States. Particularly, surface depressions often alter the releasing patterns of NPS pollutants into the environment. However, most commonly-used hydrologic models may not be applicable to such depression-dominated regions. The objective of this study is to improve water quantity/quality modeling and its calibration for depression-dominated basins under wet and dry hydroclimatic conditions. Specifically, the Soil and Water Assessment Tool (SWAT) was applied for hydrologic and water quality modeling in the Red River of the North Basin (RRB). Surface depressions across the RRB were incorporated into the model by employing a surface delineation method and the impacts of depressions were evaluated for two modeling scenarios, MS1 (basic scenario) and MS2 (depression-oriented scenario). Moreover, a traditional calibration scheme (CS1) was compared to a wet-dry calibration scheme (CS2) that accounted for the effects of hydroclimatic variations on hydrologic and water quality modeling. Results indicated that the surface runoff simulation and the associated water quality modeling were improved when topographic characteristics of depressions were incorporated into the model (MS2). The Nash–Sutcliffe efficiency (NSE) coefficient indicated an average increase of 30.4% and 19.6% from CS1 to CS2 for the calibration and validation periods, respectively. Additionally, the CS2 provided acceptable simulations of water quality, with the NSE values of 0.50 and 0.74 for calibration and validation periods, respectively. These results highlight the enhanced capability of the proposed approach for simulating water quantity and quality for depression-dominated basins under the influence of varying hydroclimatic conditions
Fenugreek (Trigonella foenum-graecum L.): An Important Medicinal and Aromatic Crop
Fenugreek (Trigonella foenum-graecum L.) is an annual forage legume and a traditional spice and aromatic crop that has been grown for centuries across the Indian subcontinent. In addition to South Asia, the crop is also grown in some parts of North Africa, Middle East, Mediterranean Europe, China, South East (SE) Asia, Australia, the USA, Argentina and Canada. The plant has been used traditionally in Indian Ayurvedic medicines as well as in traditional Tibetan and Chinese medication for several centuries. Modern research has also demonstrated that fenugreek seed and leaves are useful in the treatment of a number of diseases including successfully reducing blood sugar and blood cholesterol levels in both animals and humans. The plant has recently attracted great interest in the pharmaceutical, nutraceutical and functional food industries due to its rich medicinal properties
THE RELATIONSHIP BETWEEN MANAGEMENT COMMITMENT TO SERVICE QUALITY AND ORGANIZATIONAL OUTPUTS CONSIDERING THE MEDIATING ROLE OF EFFECTIVE PARTICIPATION OF EMPLOYEES IN BANKING SERVICES
Nowadays, the competition to improve service quality is considered as a key strategic issue for organizations operating in the service sector. The purpose of the study was to measure the relationship between management commitment and quality of service with job satisfaction of employees and CS with service performance in the banks of Tehran. The results showed a significant and positive relationship between management commitment and effective participation of employees. Moreover, the results showed a positive and significant relationship between effective employee participation with job satisfaction of staff and CS with service performance. Therefore, according to the results of the study, it can generally be stated that the management commitment to the quality of services has a positive effect on the organizational outputs (employee satisfaction and CS from service performance) in the banks of Tehran province
The investigation of the mediating role of innovation and organizational intelligence on the relationship between knowledge management and financial performance of the organizations active in the e-banking industry
Knowledge management is essential for activities such as problem-solving, dynamic learning and decision making, and can improve organizational performance and in particular the financial performance of the organizations by enabling the organization to perform smarter. The main purpose of this study was to investigate the impact of knowledge management on the financial performance of the organizations considering the mediating role of innovation and organizational intelligence in the e-banking industry. The statistical population of the study consisted of senior executives of 31 public and private banks active in the e-banking industry of Iran (n=54). Library and field research (questionnaire) was used to collect research data. In this study, Kolmogorov-Smirnov and Spearman-Bartlett tests were used to analyze the data to determine the normality of the research data and to determine the adequacy of the sample size (using SPSS software). Then, structural equation modeling was used to analyze the conceptual model and to test the hypotheses (using Smart PLS software). The hypotheses test results showed that knowledge management has a positive and significant impact on the financial performance of the organizations active in the e-banking industry and the innovation and organizational intelligence influence the relationship between knowledge management and the financial performance of the organizations. Thus, the mediating role of these two variables (innovation and intelligence) was confirmed
Investigating the Effect of Implementing the Lean Six Sigma on Organizational Performance Based on the Mediating Role of Strategic Knowledge Management with Structural Equation Modeling Approach
The main purpose of this study was to investigate the effect of implementing the lean six sigma on organizational performance with the strategic knowledge management as mediating variable in private hospitals in Tehran- Iran. The research method was based on purpose of applied research and in terms of data collection and the analysis method was survey-correlation. The statistical population of this study were 51 private hospitals in Tehran. Questionnaires were used for data collection. Structural equation modeling was used to analyze the data. The results showed that the implementation of the lean six sigma does not have a positive and significant effect on organizational performance; however, it is effective on the strategic knowledge management. On the other hand, strategic knowledge management has a positive and significant effect on organizational performance. Moreover, the implementation of the lean six sigma has a positive effect on the organizational performance through the mediating variable of strategic knowledge management. The research findings can be used to improve the Organizational Performance of Medical centers and private hospitals through the implementation of Lean Six Sigma.