Abstract
Hospitals have been implementing lean projects in recent years and gaining significant results in diverse operational flows. Such developments are often not integrated with the hospital management system, nor performed according to the dynamics of each professional area, or even not governed by trained and empowered lean healthcare project leaders. This study proposes, by means of an action research approach, to raise the functions and competencies that a Lean Healthcare project manager needs to develop projects using DMAIC as general guide. From the case of a large hospital in southeastern Brazil, the researchers listed general project management functions, technical and behavioral competencies, and present a general method for conducting lean projects in a hospital environment. As a conclusion of the study is perceived that the required competencies are related to the literature studied in project management and lean thinking, namely, Communication, Teamwork, Focus on Results, and a Systemic Vision. These were evaluated as the basic competencies for a Lean Healthcare Project Leader.
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Aaronson, E., Mort, E., Soghoian, S.: Mapping the process of emergency care at a teaching hospital in Ghana. Healthcare 5(2017), 214–220 (2017)
Aij, K.H., Teunissen, M.: Lean leadership attributes: a systematic review of the literature. J. Health Organ. Manag. (2017)
Al-Balushi, S., Sohal, A.S., Singh, P.J., Al Hajri, A., Al Farsi, Y.M., Al Abri, R.: Readiness factors for lean implementation in healthcare settings–a literature review. J. Health Organ. Manag. 28(2), 135–153 (2014)
Ariente, M., Casadei, M.A., Giuliani, A.C., Spers, E.E., Pizzinatto, N.K.: Processo de mudança organizacional: estudo de caso do Seis Sigma. Revista da FAE 8(1) (2005)
Burdett, R.L., Kozana, E.: An integrated approach for scheduling health care activities in a hospital. Eur. J. Oper. Res. 264, 756–773 (2018)
Costa, G.M.: Change management: uma abordagem prática e sistêmica. Nova Prova, Porto Alegre (2008)
Coughlan, P., Coghlan, D.: Action research for operations management. Int. J. Oper. Prod. Manag. 22(2), 220–240 (2002)
Dias, D.S., Perciuncula, G., Maffia, J., Antoniolli, P.D.: Perfil da Liderança na Gestão de Projetos: Uma Pesquisa com Profissionais da Área. Revista de Gestão e Projetos - GeP 8(1) (2017)
Dombrowski, U., Mielke, T.: Lean leadership—fundamental principles and their application. Procedia CIRP 7, 569–574 (2013)
Heldman, K.: Gerência de projetos: guia para o exame oficial do PMI. Elservier, Rio de Janeiro (2005)
Hors, C., Goldberg, A.C., Almeida, E.H., Babio Júnior, F.G., Rizzo, L.V.: Aplicação das ferramentas de gestão empresarial Lean Seis Sigma e PMBOK no desenvolvimento de um programa de gestão da pesquisa científica. Gestão e economia em saúde 10(4), 480–490 (2012)
Jones, K., Filochowski, M.: Lean healthcare. Think yourself thin. Health Serv. J. 116(6000) (2006)
Joosten, T., Bongers, I., Janssen, R.: Application of lean thinking to health care: issues and observations. Int. J. Qual. Health Care 21(5), 341–347 (2009)
Kerzner, H.: Gestão de projetos: as melhores práticas. Bookman, Porto Alegre (2006)
Lima, R.M., Mesquita, D., Rocha, C., Rabelo, M.: Defining the industrial and engineering management professional profile: a longitudinal study based on job advertisements. Production 27 (2017)
Lindgren, M., Packendorff, J.: What’s new in new forms of organizing? On the construction of gender in project-based work. J. Manag. Stud. 43(4), 841–866 (2006)
Lloyd-Walker, B., French, E., Crawford, L.: Rethinking researching project management: understanding the reality of project management careers. Int. J. Manag. Project Bus. 9(4), 903–930 (2016)
Mann, D.: The missing link: lean leadership. Front. Health Serv. Manag. 26(1), 15 (2014)
Paton, S., Hodgson, D.E., Cicmil, S.J.K.: Who am I and what am I doing here? Becoming and being a project manager. J. Manag. Dev. 29(2), 157–166 (2010)
PMBOK: PMBOK Guia Conjunto de Conhecimentos em Gerenciamento de Projetos (5a. ed.). PMI, Pennsylvania (2013)
Shenhar, A.J., Tishler, A., Dvir, D., Lipovetsky, S., Lechler, T.: Refining the search for project success factors: a multivariate, typological approach. R&D Manag. 32(2), 111–126 (2002)
Shtub, A., Raz, T.: Optimal segmentation of projects—schedule and cost considerations. Eur. J. Oper. Res. 95(2) (1996)
Souza, T.A.: Lean healthcare: aplicação dos conceitos de gestão de operações em centros cirúrgicos. Dissertação (Dissertação em Engenharia de Produção e Sistemas) UNISINOS, São Leopoldo (2015)
Susman, G.I., Evered, R.D.: An assessment of the scientific merits of action research. Adm. Sci. Q. 582–603 (1978)
Takao, M.R.V., Woldt, J., Silva, I.B.: Six Sigma methodology advantages for small- and medium-sized enterprises: a case study in the plumbing industry in the United States. Adv. Mech. Eng. 9(10), 1–10 (2017)
Thiollent, M.: Metodologia da Pesquisa-Ação, 14th edn. Cortez, São Paulo (2005)
Wally, S.: Strategic decision speed and firm performance. Strategic Manag. J. 24(11), 1107–1129 (2003)
Waring, J.J., Bishop S.: Lean healthcare: Rhetoric, ritual and resistance. Soc. Sci. Med. 71, 1332–1340 (2010)
Werkema, M.C.C.: Lean seis sigma: Introdução às ferramentas do lean manufacturing. Werkema Editora, Belo Horizonte (2006)
Winter, M., Smith, C., Morris, P.W.G., Cicmil, S.: Directions for future research in project management: the main findings of a UK government-funded research network. Int. J. Project Manag. 24(8), 638–649 (2006)
Womack, J.P., Jones, D.T.: Lean Thinking: Banish Waste and Create Wealth in Your Corporation. Free Press, New York, NY (2003)
Acknowledgements
This work was partially supported by projects COMPETE-POCI-01-0145-FEDER-007043 and FCT-UID-CEC-00319-2013, from Portugal.
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Souza, T.A., de Souza, M.C., Lima, R.M., Pimenta, L.V., Oliveira, M.S. (2019). Lean Healthcare Project Leader: A Framework Based on Functions and Competencies. In: Reis, J., Pinelas, S., Melão, N. (eds) Industrial Engineering and Operations Management II. IJCIEOM 2018. Springer Proceedings in Mathematics & Statistics, vol 281. Springer, Cham. https://doi.org/10.1007/978-3-030-14973-4_25
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