To understand those delays a Lean improvement tool: Value Stream Mapping (VSM) has been applied to a NHS Emergency Department (ED) in the South West of England. This paper reports on the findings from that VSM research and particularly the use of the VSM visualisation. We highlight the ...
–This paper finds that lean tools such as value-stream mapping and root cause analysis can lead to dramatic reductions in waste and improvements in productivity. The problems of the majority of patients paying for their own healthcare and lacking transportation created scheduling problems that requir...
The singular characteristics of the Spanish NHS make it challenging to implement new ways of working, so this study has significant theoretical and managerial implications offering directions in which improvement is possible. Keywords: healthcare operations; value stream mapping; lean healthcare; ...