Model za implementaciju lean koncepta u kliničkim laboratorijama

The aim of this doctoral thesis is to develop a methodology that will allow the selection of lean methods and tools that are applicable in the service systems – hospitals and to explore the issues about implementing the lean concept in clinical laboratories. The need for such approach lies in the fact that the implementation of the lean concept in healthcare enables the elimination of all unnecessary processes. This doctoral dissertation presents development of the framework for the implementation and application of the lean concept in clinical laboratories, which allow modernization of institutional arrangements, both organizational and managerial.Cilj ove doktorkse disertacije jeste razvoj metodologije koja će obezbediti odabir lean metoda i alata koji su pogodni za implementaciju u uslužnim sistemima - bolnicama kao i da istraži problematiku prilikom implementacije lean koncepta u kliničkim laboratorijama. Potreba za ovakvim pristupom leži u činjenici da se implementacijom lean koncepta u zdravstvu obezbeđuje eliminisanje svih nepotrebnih procesa. Doktorska disertacija predstavlja razvoj podloga za implementaciju i primenu lean koncepta u kliničkim laboratorijama koji će omogućiti modernizaciju institucionalnog uređenja kako organizacionog tako i menadžerskog

Case Study of Healthcare Organization Improvement with Lean Concept

The goal of each company today is to improve business and increase profit through the reorganization and simplification of its processes, decrease of costs and resources utilization etc. Improving the business is usually implemented through different techniques and methodologies that have been developed. One of the ways to improve service processes, and health system processes also, is the implementation of the lean concept. This study shows benefits from using Lean tools value stream mapping (VSM) and simulations to simplify the laboratory work process. Using the VSM and simulation in department of clinical biochemistry authors showed significant improvement of the clinical processes such as eliminating non-value added times (NVAT) by minimum 30 working days/year, increasing number of laboratories analyses by approximately 80.000 analyses/year, eliminating unnecessary movement of 39,000 - 52,000 meters/year for samples and 78,000 - 104,000 meters/year for stuff and decreasing patient waiting times from average 70 to 20 min/patient