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Table 3 Financial outcomes and enterprise impact

From: A systematic review of the evidence of how hospitals capture financial benefits of process improvement and the impact on hospital financial performance

Citation

Country

PI scope

PI financial outcomes reported?

PI Financial methods described?

Type of PI financial outcomes

Enterprise impact from PI specified?

Gabow, P. A. (2014). The Lean Prescription: Powerful Medicine for Our Ailing Healthcare System (1st ed.): OR: Productivity Press

U.S

Whole hospital

√

X

money not spent (‘savings’) revenue increases

√

Chatfield SC, Volpicelli FM, Adler NM, et al. Bending the cost curve: time series analysis of a value transformation programme at an academic medical centre BMJ Qual Saf 2019;28:449–458

U.S

Whole hospital

√

X

mean monthly variable direct cost per case

√

Barnas, K. (2011) ThedaCare’s Business Performance System: Sustaining Continuous Daily Improvement Through Hospital Management in a Lean Environment. The Joint Commission Journal on Quality and Patient Safety, 37( 9), 387–399

U.S

Whole hospital

√

X

increased revenue reduced staff costs costs per case

X

Lee, V. S., Kawamoto, K., Hess, R., Park, C., Young, J., Hunter, C., Pendleton, R. C. (2016). Implementation of a Value-Driven Outcomes Program to Identify High Variability in Clinical Costs and Outcomes and Association With Reduced Cost and Improved Quality. JAMA, 316(10), 1061–1072

U.S

3 Clinical projects

√

√

Reduced direct patient care costs

X

Nimeri, A. A., Bautista, J., & Philip, R. (2019). Reducing healthcare costs using ACS NSQIP-driven quality improvement projects: a success story from Sheikh Khalifa Medical City (SKMC). World journal of surgery, 43(2), 331–338

U.A.E

Surgical Value Stream

√

X

Money not spent (due to preventing adverse events)

X

Vincent Martinez Ibañez, Anna Ochoa de Echagüen, Antonio Campos & Soledad Romea (2021) Creating efficient professional healthcare organizations, International Journal of Healthcare Management, https://doi.org/10.1080/20479700.2020.1870347

Spain

5 value/process streams

√

X

increased revenue cost savings

X

Khowaja AR, Willms AJ, Krause C, Carriere S, Ridout B, Kennedy C, et al. The Return on Investment of a Province-Wide Quality Improvement Initiative for Reducing In-Hospital Sepsis Rates and Mortality in British Columbia, Canada. Critical Care Medicine. 2022;50(4):e340-e50

Canada

All in-hospital sepsis cases and sepsis mortality

√

X

Money not spent (due to preventing adverse events)

X