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Abstract

Research in Medical & Engineering Sciences

Lean Enablers for Clinical Laboratories

  • Open or Close Bohdan W Oppenheim1*, Michael H Kanter2, Onie Bueno3, Vincent L Dizon4, Louie M Farnacio5, Paulette L Medina6, Mike M Moradian7, Chiemi Tabata8 and Michael S Tiffert9

    1PhD, Professor of Systems Engineering, Associate Director for Healthcare Systems Engineering, Loyola Marymount University, Los Angeles

    2MD, CPPS, Regional Medical Director of Quality & Clinical Analysis, Southern California Permanente Medical Group (SCPMG), Executive Vice President, Chief Quality Officer, The Permanente Federation

    3Director of Operations, Bacteriology and Molecular Microbiology, SCPMG, Regional Reference Laboratories, Chino Hills

    4MBA MT(ASCP) DLM SBB. Director of Operations, Chemistry Services, Kaiser Permanente SCPMG Regional Reference Laboratories

    5Director of Laboratory Services, Kaiser Permanente Southern California Regional Reference Laboratory

    6Assistant Director of Operations, RRL Bacteriology, Kaiser Permanente SCPMG Regional Reference Lab

    7PhD, Director of Operations, Molecular Genetic Pathology Regional Laboratory, Kaiser Permanente SCPMG Regional Reference Laboratories

    8Assistant Director of Operations, RRL Automated Chemistry, Kaiser Permanente SCPMG, Regional Reference Laboratories

    9MS, Section Manager, Cytogenetics, Regional Genetics Laboratory, Kaiser Permanente SCPMG, Regional Reference Laboratories

    *Corresponding author: Dr. Bohdan W Oppenheim, Professor of Systems Engineering, Associate Director for Healthcare Systems Engineering, Loyola Marymount University, Los Angeles, USA

Submission: October 23, 2017; Published: November 27, 2017

DOI: 10.31031/RMES.2017.02.000543

ISSN : 2576-8816
Volume2 Issue4

Abstract

A new intellectual product named Lean Enablers for Clinical Laboratories (LEfCL) is described. It is a collection of 136 best practices for clinical laboratory operations, containing collective wisdom on how to practice laboratory management, focusing on simultaneous improvements in test quality, productivity, laboratory capacity and stakeholder satisfaction, and reductions of test turnaround time and cost. The methodology follows an awarded method established in Systems Engineering and represents an extension of that engineering knowledge into clinical practice. The product has been developed by experienced directors from Kaiser Permanente regional clinical laboratory while pursuing a graduate Certificate in Lean Healthcare at Loyola Marymount University. LEfCL are organized into six well-known Lean Principles: Value, Value Stream Mapping, Flow, Pull, Perfection and Respect. The paper also identifies 46 Challenges that prevent success. Results of Lean improvements measured over the period of 2014-2016 are quoted for five laboratories. The LEfCL are not intended to become a mandatory practice. Instead, they should be used as a checklist of good practices. LEfCL are formulated as a comprehensive set of practices, intended for future training of new hires and as reference material. As such, they include both basic and advanced practices.

Keywords: Lean; Lean enablers; Clinical laboratories; Process improvement; Streamlining

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