A proposed framework for assessing lean readiness in South African healthcare institutions

Abstract: Recent healthcare literature has upheld lean as a methodology for improving operational efficiency and quality of care. However, the uncertainty of implementing lean successfully is still of concern as implementation failures have been recorded. Insufficient preparedness and lack of readiness assessment among other factors have been highlighted as a reason for failure. This paper develops an instrument for assessing the capabilities, quality management practices, and general preparedness of healthcare institutions for a lean implementation journey. The study identifies, through a comprehensive review of lean healthcare literature and the South African healthcare quality improvement literature to find current best quality management practices, and resource requirements needed to create a healthcare system that is supportive of lean. Application of this framework may provide an opportunity for hospital managers to benchmark with emerging lean success stories within the same operating context for organizational learning

Computerised software systems in replacement maintenance information management : a South African case study

Abstract: Computerised software systems have undeniably continued to gain recognition in the implementation of reliable maintenance policies in today’s Industries. While significant investigations corroborating the importance of management technology in developed economies abound, this study examines the level of the technology’s success in a typical manufacturing firm in South Africa. Using an analytical research approach, useful maintenance indices were established from the dataset stored in the maintenance information management system of a case example manufacturing firm, designated ‘X-Company’ in this research for the sake of confidentiality. The result shows that, as applied currently to the replacement maintenance of the case example system, the technology requires optimisation. Maintenance policies that can improve the poor correlation between the current status on the one hand, and the established trends in the maintenance engineering literature and practice on the other, are recommended

Improving supply chain performance in the South African healthcare service : a literature based perspective

Abstract: Supply chain performance management plays an imperative role in keeping healthcare organizations sustainable and competitive by handling the storage and efficient distribution of resources in the value chain. Managing the complexity of healthcare demands and the application of improved technologies requires best practice supply chain models. The South African healthcare industry experiences unsatisfactory capacity limitations where there are extreme deficiencies of beds, equipment, facilities and trained healthcare professionals. This study highlights supply chain management strategies that can enhance efficient healthcare accessibility and delivery in South Africa using literature data. The results show that advanced healthcare delivery approaches such as ambulance divert and predictive analytics stand a good chance of improving supply chain management in the country