Table 1 Conceptual model for dispensary agility assessment
From: Agility assessment using fuzzy logic approach: a case of healthcare dispensary
Category of agile enablers | Agile criteria | Agile attributes |
|---|---|---|
Agility through management driver (AM 1 ) | Management structure of dispensary (AM 11 ) | • Decentralised organisation structure (AM 111 ) • Team managed organisation (AM 112 ) • Transparent information flow (AM 113 ) |
Autonomy of work force (AM 12 ) | • Empowered work force (AM 121 ) • Autonomous decision making power (AM 122 ) • Responsibility of work (AM 123 ) • Work sharing culture (AM 124 ) | |
Top management support (AM 13 ) | • Managing good relationship with caregivers (AM 131 ) • Adequate meeting with caregivers and work facilitation (AM 132 ) • Management involvement and transparent decisions (AM 133 ) • Adequate salary and bonuses for caregivers (AM 134 ) | |
Agility through technology driver (AM 2 ) | IT integration (AM 21 ) | • Patient information and medical history/records storages (AM 211 ) • Avoiding the medical descriptions reading error (AM 212 ) • Paperless work (AM 213 ) |
Automation of equipments (AM 22 ) | • The latest diagnostic equipment (AM 221 ) • Accuracy of diagnosis (AM 222 ) • Time saving through automation (AM 223 ) | |
Change in service and technical process (AM 23 ) | • Up-gradation of pharmacy systems (AM 231 ) • Technical up-gradation of dispensary equipments and facilities (AM 232 ) • Change of patient pathway for minimising patient movements (AM 233 ) | |
Patient flow and time management (AM 24 ) | • Patient flow monitoring and queuing system (AM 241 ) • Comfort system in the patient waiting place (AM 242 ) • Minimization of patient throughput time (AM 243 ) | |
Visual Control (AM 25 ) | • Visual inspection of patient condition (AM 251 ) • Visually recognise the patient urgency (AM 252 ) | |
Agility through service strategy driver (AM 3 ) | Patients’ response adaptation (AM 31 ) | • Continuous quality improvement culture (AM 311 ) • Analyse the patients feedback and consider for future service improvements (AM 312 ) |
Status of the Caregivers (AM 32 ) | • Flexible caregivers to accept the advanced equipment implementation (AM 321 ) • Proper training about the new technology or systems (AM 322 ) • Multi-skilled and working on routine shifts (AM 323 ) | |
Flexible work practices (AM 33 ) | • Manage the work responsibility within the available workforce (AM 331 ) • Mutual shift changes are allowed for caregivers (AM 332 ) • Flexible weekly offs of the caregivers with the prior information (AM 333 ) • Sharing the lessons learned from the day to day medical practices to their colleagues for better services (AM 334 ) | |
Agility through competitive driver (AM 4 ) | Patients’ service quality (AM 41 ) | • Ensuring the patients’ service quality (AM 411 ) • Progressive improvements of the patient recovery from sick (AM 412 ) |
Optimum treatment cost (AM 42 ) | • Maximum utilization of available equipment (AM 421 ) • Activity based cost classification system (AM 422 ) • Reduction of non-value added time and cost (AM 423 ) | |
Patient and caregivers safety (AM 43 ) | • Adequate training programme for safety practices (AM 431 ) • Continuous maintenance of fire extinguishers in the dispensary (AM 432 ) • Maintain the safe and clean environment in-and-around the dispensary (AM 433 ) | |
Caregivers involvement (AM 44 ) | • Creative thinking (AM 441 ) • Minimization of non-value added activities (AM 442 ) • Strong involvement and co-operations (AM 443 ) |