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Lean Six Sigma's Impact on Reducing Length of Stay and Readmission in a Pediatric Hospital : = A Quantitative Study.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Lean Six Sigma's Impact on Reducing Length of Stay and Readmission in a Pediatric Hospital :/
Reminder of title:	A Quantitative Study.
Author:	Loubnan, Georgette.
Description:	1 online resource (179 pages)
Notes:	Source: Dissertation Abstracts International, Volume: 79-12(E), Section: B.
Contained By:	Dissertation Abstracts International79-12B(E).
Subject:	Health care management. -
Online resource:	click for full text (PQDT)
ISBN:	9780438197077

Lean Six Sigma's Impact on Reducing Length of Stay and Readmission in a Pediatric Hospital : = A Quantitative Study.
Loubnan, Georgette.

Lean Six Sigma's Impact on Reducing Length of Stay and Readmission in a Pediatric Hospital :A Quantitative Study. - 1 online resource (179 pages)

Source: Dissertation Abstracts International, Volume: 79-12(E), Section: B.

Thesis (D.B.A.)--Northcentral University, 2018.

Includes bibliographical references

The problem addressed in this study was the rising health care costs, particularly the costs due to avoidable prolonged length of stay (LOS). The purpose of this single site comparative quantitative study was to examine the effectiveness of Lean Six Sigma methodologies on reducing the length of stay in nursing units where nurses have adopted the improved process versus nursing units where nurses have not followed the improved process. The data were collected from Nemours's electronic health record, Epic's database, by Nemours's measurement specialist, where post-lean and pre-lean health records were compared. The study established that LOS significantly reduced after the implementation of Lean Six Sigma methodology. The study showed the readmission reduced in the post-lean period, supporting the hypothesis of the study. The 30-days readmissions were lower after the implementation of lean, supporting the hypothesis that lean reduced 30-days readmissions. Medical costs by private insurers were lower after the implementation of Lean Six Sigma but not those of Medicaid; the alternative hypothesis was rejected. The research did not establish the gender characteristics because the data obtained from the hospital were confidential and de-identified. The researcher established that Lean Six Sigma reduced the length of stay. After the implementation of Lean Six Sigma, the mean LOS of the nursing unit that had adopted the lean methodology decreased. The research established that LOS was directly associated with lower risks of readmission; after the reduction of LOS, the 30 days readmissions were significantly declined. The units that failed to implement the Lean Six Sigma did not record increased LOS, yet their LOS did not decrease either. The researcher established that implementation of Lean Six Sigma did not reduce the medical costs paid by the Medicaid, although the costs paid by the private insurers significantly decreased.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2018

Mode of access: World Wide Web

ISBN: 9780438197077Subjects--Topical Terms:

1148454
Health care management.
Index Terms--Genre/Form:

554714
Electronic books.

Lean Six Sigma's Impact on Reducing Length of Stay and Readmission in a Pediatric Hospital : = A Quantitative Study.
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