Quality as always been an important element in health care, and in the era of health reform there has been a renewed interest in the process of quality improvement and related techniques. There are numerous quality improvement techniques, processes, and methodologies being used in the health care industry today. An increasing number of providers are utilizing a process called Lean, a methodology associated primarily with Toyota and manufacturing industries. It is used to improve quality, reduce waste, and create more efficient and effective processes to improve overall patient outcomes.
Lean is a set of principles and methods that can be applied to any team of people working in an organized process. Lean methodology is being used to examine process flow, identify barriers, and reallocate resources to improve patient outcomes and the overall quality of care. This issue of the Urgent Matters E-Newsletter examines the use of Lean methodology as a quality improvement technique in the emergency department and features an interview with one of the leading experts in the field of health care quality, Dr. Dale Bratzler, DO, MPH, chief executive officer, Oklahoma Foundation for Medical Quality; president, American Health Quality Association.