| Summary: | 碩士 === 東海大學 === 工業工程與經營資訊學系 === 101 === There are many wastes and inefficiencies in medical institutions which cause more works among staff and departments and eventually influence the whole service system towards patients. In this study, we use Lean Thinking and Value Stream Map (VSM) to improve hospital processes and analyze the root reason of problems. The features of VSM are showing the Value-Added (VA), Non-value-added (NVA) actions and time, the relationship between staff and departments, as well as the delivery wastes. VSM not only eliminates processes wastes and maintains manpower but also promotes the quality of medical care.
However, there are many different product features between manufacturing industry and medical institutions. The sorts of manufacturing industry are similar, which is like a linear performance, on the contrary, medical institutions vary its products according to each individual patient’s needs, with represents an nonlinear performance. Therefore, we should adapt VSM to replenish medical institutions characteristics.
In order to make VSM a more appropriate system for medical institutions, instead of using specify value, identify the value stream, flow, custom pull, and perfection, we adjust the last two principles into patient basis demand and individual patient process. We hope to make the modified VSM a patient-centered model. We use a stat order process to prove that the modified VSM can actually help us find out more wastes in this process and the adapting of Mobile Nursing can solve the wastes. In brief, the modified VSM can eliminate more wastes and achieve the goal of reducing human resources as well as increasing patient satisfaction and hospital service quality.
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