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HPI4010 Summary
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2021-2022SUMMARY
HPI4010
MAASTRICHT UNIVERSITY
,Contents
Day 1: (Eco)-system Thinking.................................................................................................................2
Theory................................................................................................................................................2
Literature...........................................................................................................................................9
Hospital of the future....................................................................................................................9
Human Systems Inquiry...................................................................................................................11
Day 2....................................................................................................................................................13
Theory..............................................................................................................................................13
Literature.........................................................................................................................................16
How To Compare Six Sigma, Lean and the Theory of Constraints................................................17
Using industrial processes to improve patient care.....................................................................22
Healthcare Operations management...........................................................................................24
Lean thinking- Banish Waste and Create Wealth in your Corporation.........................................26
Lean: Toyota Way- 14 Principles from the World’s greatest manufacturer.................................28
Theory of constraints...................................................................................................................32
Theory of constraint institute......................................................................................................35
Effects of lean healthcare on patient flow: a systematic review..................................................37
A systematic literature review of empirical research in lean and six sigma in healthcare
Henrique & Filho..........................................................................................................................38
.........................................................................................................................................................38
Impact of quality management systems on firm performance....................................................39
Day 3....................................................................................................................................................40
Theory..............................................................................................................................................40
Literature.........................................................................................................................................48
Towards a total workplace innovation concept based on socio technical systems design..........48
Business models 101: For healthcare to work, they must stand on their own............................49
A Socio-technical perspective on the digital era..........................................................................50
From complex organizations with simple jobs to simple organizations with complex jobs.........54
Cybernetically sound organizational structures...........................................................................59
Reinventing Organizations...........................................................................................................62
Day 4....................................................................................................................................................64
Theory..............................................................................................................................................64
1
,Day 1: (Eco)-system Thinking
Lecture: Mark Govers
Lecture: Arno van Raak
Assignments
Theory
Focus of the module: From the design of flows (operation) we look from the perspectives of
improvement, renewal & transformation inspired by lessons learned in manufacturing.
Flow
Flow: a steady, continuous stream of ‘something’ such as water, goods.
Flow is not limited to the boundaries of one organization. Rather, flows are designed, organized and
managed within eco-systems.
Eco-systems
Eco-systems: dynamic and co-evolving communities e,g, network of organizations - incl. suppliers,
distributors, customers (patients), competitors, government agencies, and so on – involved in the
delivery of a product or service through both competition and cooperation. They are:
- Purposeful
- Collection of entities
- Relationships between entities (structure)
- Behaviour: dynamic interactions (system as a negotiated order)
- External environment (open systems) (boundaries allow exchange + relationships)
- Input-transformation-output-feedback
- Process, flow
Integrated healthcare eco-system: dynamic and co-evolving community:
- Of sovereign and unique organizations, independent care providers, informal care givers,
care networks, patients, funders, regulatory agencies, and others;
- Which co-produce care or develop care innovations; Related to a specific or to multiple
patient populations;
- Through various levels of collaboration, competition, dependence and independence;
- Within unique social, physical and systemic conditions;
- Which typically have various levels of success in achieving the quadruple aim
Eco-systems vs networks:
Networks Eco-system
Purpose Well-defined, common target General, framed purpose
Composition Formal membership No formal membership
Intentional collaboration Not intentionally created,
‘always already there’.
Integration Collaboration Collaboration and competition
Dependence Independence and
dependence
Governance Present Absent
2
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