background recognizing the significant impact of wait times for care for individuals with complex chronic conditions, we applied a lean methodology, namely – an adaptation of value stream mapping (vsm) to meet the needs of people with multiple chronic conditions and to improve wait times without additional resources or funding.   methods over an 18-month time period, staff applied a patient-cen...

The survival of any organization depends upon its competitive edge. Even though Lean is one of the most powerful quality improvement methodologies, nearly two-thirds of the Lean implementations results in failures and less than one-fifth of those implemented have sustained results. One of the most significant tasks of top management is to identify, understand and deploy the significant Lean pra...

disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. for patients living with multiple chronic conditions, such disconnects can be particularly detrimental. lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...

Over the past years, raising costs of health care in most countries cause to attract more attention to different aspects in the field. One of the best improvement methodologies known in literature is based on lean principles. The main aim of this methodology is to create values in the system by eliminating losses and creating continuous efforts toward improvement. Therefore, by measuring the pe...

Background Recognizing the significant impact of wait times for care for individuals with complex chronic conditions, we applied a LEAN methodology, namely – an adaptation of Value Stream Mapping (VSM) to meet the needs of people with multiple chronic conditions and to improve wait times without additional resources or funding.   Methods Over an 18-month time period, staff applied a patient-cen...

Purpose – The purpose of this paper is to present the fundamental and critical differences between two of the most powerful methodologies in a process excellence initiative in any organisation. Design/methodology/approach – The approach taken was to collate opinions from a number of leading academics and practitioners from five different countries. It was also important to ensure that all parti...

The six-sigma systems can promote the enterprise competitive ability, such as pursuing cost improvement, promoting quality, the customer’s satisfaction and valid strategy performance. This paper explored the synergies resulting from the combination of state-of-the art quality initiatives, lean and design for Six Sigma, and develop an integrated SCOR with lean and design for Six Sigma methodolog...

Software development industry is inventing new development methodologies in last 10 years for improving the existing developing tools, process and delivering a high-quality software to end customer in short time. In recent year's waterfall development becomes less attractive in the software industry and shifted its attention towards the new software development methodologies such as agile. Agil...

Choosing the appropriate software development methodology is something which continues to occupy the minds of many IT professionals. The introduction of “Agile” development methodologies such as XP and SCRUM held the promise of improved software quality and reduced delivery times. Combined with a Lean philosophy, there would seem to be potential for much benefit. While evidence does exist to su...