EFFECTS OF SELECTED LEAN MANAGEMENT PRACTICES ON FINANCIAL PERFORMANCE OF PRIVATE HOSPITALS IN MOMBASA COUNTY, KENYA

Authors

  • Abdalla Fahad Mohamed Post Graduate Student
  • Mr. Job Mwanyota Lecturer
Abstract views: 1028
PDF downloads: 603

Keywords:

Lean Management Practices, Private Hospitals and Financial Performance

Abstract

Purpose: Lean management concept is geared towards waste elimination, eliminating time wasting, money or effort. This is achieved thorough identifying every step the process of a business and cutting out the steps that fail to bring about value. The lean thinking has its origin in engineering although it has been applied to other sectors such as healthcare. The main objective of the study was to examine the effect of lean management practices on financial performance.

Methodology: The study adapted a descriptive design with the use of cross-sectional data. The target population was 40 private hospitals in Mombasa County and since the population was small, a census survey was carried out on all the private hospitals in Mombasa County. A questionnaire was used to collect primary data. Out of the 40 research instruments distributed, 37 questionnaires were received and analysed representing 92.5% response rate which was considered adequate. Data analysis was done with the use of SPSS which produced both descriptive and inferential statistics.

Results: The findings revealed that all the lean management practices had a significant relationship with financial performance (p<0.05). When individual lean practices were considered, Performance Measurement Systems had a strong positive correlation with financial performance while Total Productive Maintenance had a weak positive correlation with financial performance. Moreover, lean management practices have been employed to a moderate extent and lean management practices affects financial performance to a large degree.

Unique Contribution to Theory, Practice and Policy: The study recommended that the private hospitals should concentrate on all aspects of lean management and not one or two since all practices worked in tandem to bring about superior performance.

Downloads

Download data is not yet available.

Author Biographies

Abdalla Fahad Mohamed, Post Graduate Student

University of Nairobi

Mr. Job Mwanyota, Lecturer

University of Nairobi

References

Alan, B. (2010). “What is Theory of Constraints (TOC)?” http://www.goldrattresearchlabs.com/documents/What%20is%20Theory%20of% 20Constraints%20by%20Dr%20Alan%20Barnard.pdf

Bahensky, J.A., Roe, J., & Bolton, R. (2005). “Lean Sigma-will It Work for Healthcare?” Journal Healthcare Information Management, 19(1), 39-44.

Ben, N., J., Naim, M. M., & Berry, D. (1999). 'Legality: Integrating the lean and agile manufacturing paradigms in the total supply chain - Strategies for enriching', International Journal of Production Economics, 62(1-2), 107-118.

Bigelow, B., & Arndt, M. (1995). The implementation of total quality management in hospitals: How good is the fit? Health Care Management Review, 20, 47-14.

Burgess, N., Radnor, Z., & Davies, R. (2009). Taxonomy of Lean in healthcare: a framework for evaluating activity and impact. In 16th International Annual EurOMA Conference, JunGöteborg, Sweden, 14-17

Byrne, G., Lubowe, D., Blitz, A. (2007). "Using a Lean six sigma approach to drive innovation", Strategy & Leadership, 35(2), 5-10.

CIMA (2007). Theory of constraints and throughput accounting. Topic Gateway Series No.26.Availableathttp://www.cimaglobal.com/Documents/ImportedDocuments/2 6_Theory_of_Constraints_and_Throughput_Accounting.pdf. Accessed on 09.09.2016

Corbett, S. (2007). Beyond manufacturing: The evolution of lean production. The McKinsey Quarterly. 3, 95-105.

Cox, A., & Chicksand, D. (2005). 'The Limits of Lean Management Thinking', European Management Journal, vol. 23, no. 6, pp. 648-662.

Dahlgaard, J.J., Pettersen, J., & Dahlgaard-Park, S.M. (2011). “Quality and lean health care: a system for assessing and improving the health of organizations,” Total Quality Management, 22(6), 673-689

Doss, R., & Orr, C., (2007). “Lean Leadership in Healthcare,” White Paper

Emiliani, B. (2011). "Lean management failure at HMRC", Management Services, 55(4), 13-15.

Folinas, D., and T. Faruna, T., (2011). “Implementing Lean Thinking Paradigm Practices in Medical Set Up,” Business Management Dynamics, 1(2), 61-78

Gabcanova, I. (2012). Human resources key performance indicators. Journal of competitiveness, 4(1).

Gati-Wechsler, A. M., & Torres, A. S. (2008). 'The influence of lean concepts on the product innovation process of a Brazilian shoe manufacturer', PICMET '08 - 2008 Portland International Conference on Management of Engineering &amp; Technology, 1137-1144.

Goldratt, E. M. (1990). What is this thing called Theory of Constraints and how should it be implemented, Great Barrington, North River Press Publishing Corporation.

Hagg, H., Suskovich, D., Workman, J., Scachitti, S., & Hudson, B. (2007). Adaption of Lean Methodologies for Healthcare Applications.RCHE Publications, 24

Kaizen Institute (2016). About 5S. Available at https://www.kaizen.com/knowledge- center/what-is-5s.html. Accessed on 20.09.2016

Ketokivi, M.A. & Schreoder, R.G. (2003). Manufacturing practices, strategic fit and performance: A resource-based view, International journal of operations and production management.
Kimilu, J. (2005). Materials Management Practices in the Building Industry: The Case of Large Construction Firms in Kenya, Unpublished MBA project, University of Nairobi.

Kioko, U. M., (2013). Health sector efficiency in Kenya: implications for fiscal space. Nairobi, Kenya:UniversityofNairobi.http://documents.worldbank.org/curated/en/2 013/10/20330673/health-sector-efficiency-kenya-implications-fiscal-space

Leslie, M., Hagood, C., Royer, A., Reece, C.P., & Maloney, S. (2006). Using Lean methods to Improve OR Turnover Times,” Aron Journal, 84(5), 849-855

Madhok, A. (2002). Reassessing the fundamentals and beyond: Ronald Coase, the transaction cost and resource-based theories of the firm and the institutional structure of production. Strategic Management Journal, 23(6), 535-550

Manrodt, K., & Vitasek, K., (2008). Lean Practices in the Supply Chain, Jones Lang LaSalle.

Martins, R., Serra, F., Leite, A., Ferreira, M. P., & Li, D. (2010). Transactions Cost Theory influence in strategy research: A review through a bibliometric study in leading journals. Center of Research in International Business & Strategy, workingpaperNo.61/2010.http://globadvantage.ipleiria.pt/files/2010/03/working_ paper61_globadvantage.pdf

Monden, Y. (1983). The Toyota Production System, Productivity Press. Lewis, M. A. (2000), 'Lean production and sustainable competitive advantage', International Journal of Operations &amp; Production Management, 20(8), 959-978.

Montgomery, D. C., Peck, E. A. & Vining, G. G. (2001). Introduction to Linear Regression Analysis.3rd Edition, New York, New York: John Wiley & Sons.

Moore, R., & Scheinkopf, L. (1998). Theory of constraints and lean manufacturing: friends or foes. Chesapeake Consulting Inc.

Motwani, J. (2003). A business process change framework for examining lean manufacturing: a case study. Industrial Management & Data Systems, 103(5), 339-346.
Ondiek G.O., Kisombe S.M. &Magutu P.O. (2013). Lean Operations Tools and Techniques used in the Sugar Sector in Kenya.African Journal of Business and Management, 3, ISSN 2079-410X, ISBN 978-9966-1570-3-4

Otsima, M. (2015). Implementing lean synchronization in a medium sized manufacturing organization.Researchgate.Availableathttps://www.researchgate.net/publication/2 79756213_IMPLEMENTING_LEAN_SYNCHRONIZATION_IN_A_MEDIUM SIZED_MANUFACTURING_ORGANIZATION. Accessed on 09.09.2016

Papadopoulas, T. (2011). “Continuous Improvement and Dynamic Actor Associations,” Leadership in Healthcare Service, 24(3), 207-227

Poksinska, B. (2010). “The Current State of Lean Implementation in Health care: Literature Review, ”Manage Health Care, 19(4), 319-329

Rexhepi, L., &Shrestha, p., (2011) “Lean Service Implementation in Hospital: A Case study conducted in University Clinical Centre of Kosovo, Rheumatology department”, Master Thesis, Umea School of Business, Umea University, Sweden

Rono, F.C. (2013). Lean manufacturing practices in a continuous process industry: A case study of Bamburi Cement Limited, Unpublished MBA project, University of Nairobi.

Shah R, W.P. (2007). Defining and developing measures of lean production. Journal of Operations Management, 25, 4785-805

Susilawati, A, Tan J, Bell D and Sarwar M. (2013). Development a framework of performance measurement and improvement system for a lean manufacturing activity, 3rdInternational Conference on Trends in Mechanical and Industrial Engineering, 282 – 286

Van den Heuvel, J., Does, R.J., de Koning, H. (2006), "Lean six sigma in a hospital", International Journal of Six Sigma and Competitive Advantage, 2(4), 377-88.

Waring, J. J. & Bishop, S. (2010) Lean Healthcare: Rhetoric, Ritual and Resistance.Social Science & Medicine.71, 1332-1340.

Waters, D. (2002). Operations Management 2nd Edition, Prentice Hall, England.

Womack, J., Jones, D., &Roos, D., (1990). The machine that changed the world: based on the Massachusetts Institute of Technology 5-million-dollar 5-year study of the future of the automobile, New York: Rawson Associates

Womack, J.P., & Jones, D.T. (1996). Lean Thinking: Banish Waste and Create Wealth in Your Organization, Rawson Associates, New York, NY

Womack,J.P., & Jones , D.J., (2009). From lean production to the lean enterprise, Havard Business Review, 93-103.

Downloads

Published

2018-09-28

How to Cite

Mohamed, A. F., & Mwanyota, M. J. (2018). EFFECTS OF SELECTED LEAN MANAGEMENT PRACTICES ON FINANCIAL PERFORMANCE OF PRIVATE HOSPITALS IN MOMBASA COUNTY, KENYA. International Journal of Supply Chain Management, 3(2), 1 – 21. Retrieved from https://www.iprjb.org/journals/index.php/IJSCM/article/view/717