Frank Gilbreth and health care delivery method study driven learning

Towill, Denis Royston 2009. Frank Gilbreth and health care delivery method study driven learning. International Journal of Health Care Quality Assurance 22 (4) , pp. 417-440. 10.1108/09526860910964861

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Abstract

Purpose – The purpose of this article is to look at method study, as devised by the Gilbreths at the beginning of the twentieth century, which found early application in hospital quality assurance and surgical “best practice”. It has since become a core activity in all modern methods, as applied to healthcare delivery improvement programmes. Design/methodology/approach – The article traces the origin of what is now currently and variously called “business process re-engineering”, “business process improvement” and “lean healthcare” etc., by different management gurus back to the century-old pioneering work of Frank Gilbreth. The outcome is a consistent framework involving “width”, “length” and “depth” dimensions within which healthcare delivery systems can be analysed, designed and successfully implemented to achieve better and more consistent performance. Findings – Healthcare method (saving time plus saving motion) study is best practised as co-joint action learning activity “owned” by all “players” involved in the re-engineering process. However, although process mapping is a key step forward, in itself it is no guarantee of effective re-engineering. It is not even the beginning of the end of the change challenge, although it should be the end of the beginning. What is needed is innovative exploitation of method study within a healthcare organisational learning culture accelerated via the Gilbreth Knowledge Flywheel. Research limitations/implications – It is shown that effective healthcare delivery pipeline improvement is anchored into a team approach involving all “players” in the system especially physicians. A comprehensive process study, constructive dialogue, proper and highly professional re-engineering plus managed implementation are essential components. Experience suggests “learning” is thereby achieved via “natural groups” actively involved in healthcare processes. Originality/value – The article provides a proven method for exploiting Gilbreths' outputs and their many successors in enabling more productive evidence-based healthcare delivery as summarised in the “learn-do-learn-do” feedback loop in the Gilbreth Knowledge Flywheel.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Business (Including Economics)
Subjects:	H Social Sciences > HD Industries. Land use. Labor H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management H Social Sciences > HJ Public Finance R Medicine > RA Public aspects of medicine
Uncontrolled Keywords:	Evidence-based practice ; Health services ; Hospitals ; Quality assurance ; Service delivery systems ; Team working
Publisher:	Emerald
ISSN:	0952-6862
Last Modified:	19 Mar 2016 22:29
URI:	https://orca.cardiff.ac.uk/id/eprint/18420

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