Value-add optimization stands for the reorganization of value-adding activities with the objective of avoiding a waste of resources. Value stream orientation denotes a particular concept, used in industry, and is implemented using a pearl chain concept. The pearl chain concepts bases on maintaining a stable order sequence in factory processes. The key performance indicator (KPI) pearl chain grade measures the compliance of the order sequence. While this is already successfully implemented in automotive and supplier industries, this dissertation researches into the applicability of the pearl chain concept for hospital and clinical processes. In hospital management, most key performance indicators to date focus on the commercial success from an institutional, aggregated view. The scope of this work is a first-time development of value stream KPIs for operating rooms based on a stable patient sequence. Furthermore, this work investigates the possibilities and limitations of the pearl chain concept to operating rooms in hospitals. The methodical procedure of this work includes the analysis of mathematical correlations between mainly used and newly developed value stream orientated KPIs. The results of the analysis form a theoretical framework. The applicability of the developed theoretical framework is verified and evaluated using an empirical examination. The objective of adapting the pearl chain concept on medical services is to improve the commercial success by optimizing the added value. In future, value stream orientation in hospitals may be regarded as a useful complement of existing mainstream KPIs.
|School:||Universitaet Bayreuth (Germany)|
|Source:||DAI-C 81/1(E), Dissertation Abstracts International|
|Subjects:||Operations research, Industrial engineering, Health care management, Systems science|
|Keywords:||Pearl chain grade, Hospital management|
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