THE IMPACT OF IMPROVEMENT TECHNIQUES FROM THE TOYOTA PRODUCTION SYSTEM (TPS) IN A NORTH CENTRAL PENNSYLVANIA HEALTHCARE FACILITY

Open Access
Author:
Piccolo, John D
Graduate Program:
Workforce Education and Development
Degree:
Doctor of Philosophy
Document Type:
Dissertation
Date of Defense:
February 17, 2010
Committee Members:
  • William J Rothwell, Dissertation Advisor
  • William J Rothwell, Committee Chair
  • Susan E Cromwell, Committee Member
  • Wesley Edward Donahue, Committee Member
  • Edgar Paul Yoder, Committee Member
Keywords:
  • Toyota Production System (TPS)
  • Lean
  • Return On Investment (ROI)
  • Impact Study
  • Long Term Care
  • Healthcare
  • reVIEW
Abstract:
Healthcare organizations are continually looking for ways to improve quality and efficiency through new and innovative initiatives. Along with the quality and efficiency movement, Return on Investment (ROI) has also become a topic of interest across the healthcare system. As policymakers and consumers demand greater value for dollars spent on healthcare, creating and maintaining a culture of quality, efficiency and accountability has never been more important. This single point embedded case study examines the impact of improvement techniques from the Toyota Production System (TPS) in a north central Pennsylvania long-term care facility. The study utilizes the Phillips Return on Investment (ROI) methodology™ to evaluate the impact of three projects completed during a reVIEW™ (Realizing Exceptional Value In Everyday Work) seven-week training and implementation program. The research questions align with the five levels of evaluation as defined by the Phillips Methodology: 1) reaction, 2) learning, 3) application, 4) impact, and 5) ROI. The results of this study begin to show that projects using the techniques taught in the reVIEW program can produce positive and significant ROIs for healthcare organizations.