Process Reengineering in the Dutch HealthCare: Focusing on the CARE qualities

Voogd, Eddy (2009) Process Reengineering in the Dutch HealthCare: Focusing on the CARE qualities. thesis, Other studies (UMCG).

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Abstract

Introduction The University Medical Center Groningen is confronted with changing demands of the healthcare market and planned changes in the internal hospital structure. The costs of the care process should be lowered and the quality of the process should be raised. Elaborate saving plans should lead to a greater effectiveness and efficiency of the logistics, economically depreciated infrastructure at the sterile processing department and operations center require new investments and spare capacity at the logistical center at The Eemspoort demands for extra work. The combination of these internal – and external perspective resulted in this research towards the organization and structure of the logistical processes between the sterile processing department and an operation room and the logistical center The Eemspoort and an operation room. Method Healthcare systems may be able to achieve significant cost savings by reengineering their supply systems around patient needs instead of around traditional functional departments. Business Process Reengineering is a radical breakthrough way of generating improvement in an organization. Process reengineering is a combination of different operations management techniques as just-in- time, process flow charting, critical examination in method study, operations network management and customer-focused operations. Based on the BPR concept we defined six different research directions that examined the current organization of the logistical process in the direction of an operation room. Results We first of all studied the current organization and structure of the logistical processes in the direction of an operation room. The result was an elaborate description of the different logistical and care related tasks and an overview of the involved employees and departments. We secondly studied the current relationships between the different involved persons and departments. The main conclusion was that the current structure and organization of the different processes in the direction of an operation room are not adjusted to the characteristics of the logistical process. Third we created an overview of the current work processes and task diversity of a surgical assistant and the related influence of placing the transition point at the surgical assistant function. We showed that the content of the surgical assistant function currently contains a great amount of logistical related tasks that interfere with their core care related tasks. The fourth research theme stressed the demand for surgeries and the resulting demand for materials and instruments. We have shown that only 4.03% of the surgeries cannot be buffered with the available time until the moment of surgery. In view of the fact that the UMCG currently is using high inventories as buffer, it thus is possible to significantly reduce the amount of stock and use the available extra time until a surgery as buffer. In the fifth research theme, we showed that there actually is no inventory management strategy at the operations center. The formulated inventory management strategy is our sixth and final research theme. Conclusion Based on the results and analysis of six research themes we were able to conclude that the current organization of the logistical – and care related processes in the direction of an operation room needs significant changes to be able to improve the quality and speed and decrease the costs.

Item Type:	Thesis (Thesis)
Supervisor name:	Pols, dr. J.
Supervisor name:	Mobach, dr. M.P. and Vaart, dr. T.J. van der
Faculty:	Economics and Business
Keywords:	processen, taken, capaciteit, voorraad, logistiek, communicatie
Date Deposited:	25 Jun 2020 10:54
Last Modified:	25 Jun 2020 10:54
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/1482

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