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| 2. |
- Iversen, Carina, et al.
(författare)
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Increasing Patient Accessibility to a Surgery Department Through Operations Management Principles
- 2014
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Ingår i: Proceedings of the sixth Swedish Production Symposium, 16-18 September 2014, Gothenburg, Sweden.
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Konferensbidrag (refereegranskat)abstract
- This paper investigates how the application of operations management principles can be used to increase patients’ access to an inpatient care facility that supplies acute and non-acute care, in a Swedish University Hospital. This paper also identifies problems and solutions related to patient flow, as well as facilitators and barriers to implementation process. The study shows that patient accessibility can be increased by using operations management principles such as separated flows. The implementation was facilitated by short term gains, management support, and visible leadership. The barriers to implementation were identified as lack of operations management knowledge, deficiencies in improvement work and regulations.
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| 3. |
- Jacobsson, Torbjörn, 1971, et al.
(författare)
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Factors that hinder the implementation of process flow solutions in healthcare - Empirical findings from four emergency departments
- 2010
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Ingår i: Proceedings of the 17th International Annual EurOMA Conference – Managing Operations in Service Economies, 6-9 June 2010, Catholic University, Porto, Portugal..
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Konferensbidrag (refereegranskat)abstract
- This paper investigates factors that hinder the implementation of process flow solutions in healthcare. Empirical findings are based on case studies from four emergency departments. A qualitative research method was used. The main factors can be categorized into following areas: management on strategic and operational level, professional hierarchies and traditions, existing knowledge paradigm. These areas are connected to a multifaceted customer conception with differing perceptions on what are value-creating activities which lead to insufficient patient focus in the implementation.
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| 4. |
- Jacobsson, Torbjörn, 1971, et al.
(författare)
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Factors that hinder the implementation of process flow solutions related to the existing knowledge paradigm in healthcare
- 2010
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Ingår i: Proceedings of APMS 2010 - International Conference on Advances in Production Management Systems. - 9788864930077 ; , s. NS.5.1; id 195-
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Konferensbidrag (refereegranskat)abstract
- This paper investigates factors that hinder the implementation of process flow solutions related to the existing knowledge paradigm in healthcare. There is a prevailing view of the knowledge areas that healthcare should master. Medical science is, of course, in focus but in order to create efficiency in production of care, there is a need of widening the traditional approach and being open to knowledge from the operations management field.Physicians play a significant role when implementing process flow solutions and they have a severe impact on how knowledge in operations management is developed and established in healthcare organizations. There is a challenge in having both physicians and nurses involved in patient flow improvement projects that are not explicitly connected to their research or specialist areas.
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| 5. |
- Jacobsson, Torbjörn, 1971
(författare)
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Flow efficiency in the emergency department – solutions and implementation
- 2014
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Ingår i: Proceedings of the 21th International Annual EurOMA Conference – Operations Management in an Innovation Economy, 20-25 June 2014, Palermo, Italy.
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Konferensbidrag (refereegranskat)abstract
- This paper investigates flow efficiency in the production of care in emergency departments, process flow solutions and the factors that hinder the implementation of these solutions. Qualitative research, similar to a clinical methodology, is used to analyze the cases. Various process flow solutions were identified based on standardization of work routines, focused factory, multi-disciplinary teamwork, capacity planning, and patient flow visualization. The factors found to play a significant role in the implementation of process flow solutions include top-management leadership, physicians’ autonomy, existing knowledge paradigm, barriers to continuous improvement work and a multifaceted conception of the customer.
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| 6. |
- Jacobsson, Torbjörn, 1971
(författare)
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Implementering av processlösningar i sjukvården
- 2010
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Many healthcare organizations are increasingly confronting long waiting times and queues of patients. It is no longer feasible to add resources, due to increasing economic constraints. Implementing process flow solutions, derived from the operations management field, is a promising way of trying to meet these challenges.This dissertation investigates factors influencing the implementation of process flow solutions in healthcare. Findings are based on five empirical case studies, i.e. four emergency departments and one out-patient clinic.The term ‘process flow solutions’ is used as an umbrella term for all kinds of solutions that strive to establish a swift and even flow of patients before and after their meeting with physician or nurse. These process flow solutions can come from a number of different techniques and approaches such as Lean Production, Toyota Production System or Focused Operations.Although there has been theoretical work published regarding the benefits of using process flow solutions in healthcare, in reality the impact has often been limited. One explanation lies in the implementation difficulties of these solutions in an ambiguous healthcare context. There is a need of more research to draw conclusions regarding factors that influence the implementation. A qualitative research method was used, and data collection was based on interviews, conversations and participant observations.Several factors were identified which play a significant role when attempting to implement process flow solutions in the production of care. This dissertation shows that all key factors that hinder the implementation can be categorized into three main areas: Management on strategic and operational level, Professional hierarchies and traditions, and Existing knowledge paradigm. These areas are connected, implicitly or explicitly, to an experienced multifaceted customer conception which leads to insufficient patient focus in the implementation. This dissertation suggests that this patient focus, initiated in the production of care, can further help healthcare organizations to increase the required integrations of the present separate worlds of professions and functions.
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| 7. |
- Jacobsson, Torbjörn, 1971, et al.
(författare)
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IMPLEMENTING PROCESS FLOW SOLUTIONS IN HEALTHCARE:A CASE STUDY AT A DERMATOLOGY CLINIC
- 2007
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Ingår i: 14th International Annual Euroma Conference. - 9789756090237 ; , s. 10-
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Konferensbidrag (refereegranskat)abstract
- Today, many healthcare organizations are confronting queues of patients who need treatment. Implementing process flow improvements, derived from the operations management field is a promising way to meet these challenges. Although literature exists on how practices born out of manufacturing can be applied in healthcare, the study of the implementation of these practices is not that common. Based on an in-depth case study of the implementation of process flow solutions in a Swedish dermatology clinic, we identify several factors that played a significant role when implementing the process flow solutions. The contribution of this paper is foremost to increase awareness of factors that have impact on the implementation process.
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| 8. |
- Jacobsson, Torbjörn, 1971
(författare)
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Leadership and Barriers in the Implementation of Process Flow Solutions in the Emergency Department
- 2013
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Ingår i: Proceedings of the 20th International Annual EurOMA Conference – Operations Management: At the Heart of Recovery, 7-12 June 2013, Dublin, Ireland.
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Konferensbidrag (refereegranskat)abstract
- This paper investigates leadership-related factors that influence the implementation of process flow solutions in healthcare. Qualitative research on four emergency departments identifies important factors related to the physicians´ traditional high level of autonomy and their management preferences, the lack of support from top hospital management, and the lack of communication between the head of the emergency department and head nurse. Top management commitment is crucial. Production of care requires an explicit patient focus with a throughput time perspective and leadership from top management to cope with the barriers to the implementation of a process flow solutions.
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| 9. |
- Jacobsson, Torbjörn, 1971
(författare)
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Obstacles to continuous improvements in care production in hospital emergency departments
- 2016
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Ingår i: Proceedings of the 7th International Swedish Production Symposium, 25-27 October 2016, Lund, Sweden.
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Konferensbidrag (refereegranskat)abstract
- Patients at emergency departments often face waiting times and queues. Due to budgetary constraints, these problems are not easily resolved. Previous research has shown that the implementation of process flow solutions derived from the operations management field could offer a way to overcome these challenges. Several theories have been proposed regarding the benefits of process flow solutions, but their impact is often limited. This paper is based on empirical data from a longitudinal case study of emergency departments at a university hospital. The paper addresses the research question of why it is so hard to work with continuous improvement in emergency departments in order to achieve increased flow efficiency. A qualitative method similar to a clinical methodology was used to study the factors that influence continuous improvement work. This identified several factors which play a significant role in continuous improvement work, related to professions and their traditional ways of working, physicians´ traditional autonomy, and difficulties related to changing established hierarchies and ideas. Traditions and professional hierarchies have an impact on leadership and how knowledge in operations management is developed and established in the organization.
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| 10. |
- Jacobsson, Torbjörn, 1971
(författare)
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Operations Management in Healthcare – principles for creating swift even patient flow and increased accessibility
- 2012
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Ingår i: International Conference ARCH12 and Forum Vårdbyggnad Nordic Conference.
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Konferensbidrag (refereegranskat)abstract
- This paper investigates the operations management principles that potentially could be transferred to healthcare in order to improve care production processes, i.e. ensuring a swift even flow of patients through the healthcare unit. The discussion and the conclusion from this study are based on qualitative case studies in planned and unplanned healthcare operations, in a large university hospital in Sweden. Given how much we know about the ways in which healthcare could be improved, the efforts devoted trying out different approaches would seem to question why more has not been done to solve the many problems in this sector. Rather than concentrating debate and discussion on the differences with industry, we should concentrate on the similarities with healthcare and draw on the potential for mutual learning between contexts which might facilitate a creative process and identify solutions that would result in swift, even patient flows.
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