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Table 3 Lean adoption maturity

From: Lean adoption, implementation, and outcomes in public hospitals: benchmarking the US and Italy health systems

 

US

Italy

N

%

Mean

SD

N

%

Mean

SD

Current Performance Improvement Approach

 

282

  

97

  

  Benchmarking for Best Practices

131

46

  

44

45

  

  Lean

149

53

  

35

36

  

  The Model for Improvement

54

19

  

NA

NA

  

  High Reliability Organization (HRO)

81

29

  

69

71

  

  Value-based Healthcare

NA

NA

  

9

9

  

  FOCUS-PDCA

88

31

  

4

4

  

  Six Sigma without Lean

18

6

  

1

1

  

Currently doing any Lean?

282

   

97

   

 Yes

149

53

  

35

36

  

 No

133

47

  

62

64

  

MATURITY ADOPTION

Number of years doing Lean

143

 

4.6

3.56

35

 

4

3.57

Lean self- reported maturity

144

   

34

   

  Still in the new start-up stage

32

22

  

10

29

  

  Beyond start-up, but challenged moving forward

49

34

  

4

12

  

  Expanding to other units and getting traction

55

38

  

16

47

  

  Mature transformational performance improvement

8

6

  

4

12

  

 Number of units doing Lean

138

 

11.9

7.69

35

 

6

3.87