Implementation Science

By Lukasz Mazur, PhD  Are you responsible for creating value for your healthcare organization? Or are you a researcher interested in ‘Lean’ or ‘High Reliability Organizations (HROs)’? If the answer is yes, you might find this on-line resource useful – please check out the following website:

Along with my research colleagues we developed this website to share insights regarding the implementation science of methodologies aimed at creating value and high reliability. Value from the patient’s viewpoint is the provision of service that provides maximum therapeutic benefit with the least amount of cost, harm and effort. It has been simply described as the ratio of ‘Benefit’ to ‘Bother’. Value is tightly linked to reliability and quality. Highly reliable systems are designed to deliver the service efficiently, effectively, predictably and at the lowest cost. The opposite of value is waste.

As you might know, most healthcare organizations in the US face significant organizational pressures. One of the key strategies recommended by leading healthcare improvement organizations is to establish a stronger quality improvement support structure to assist healthcare systems and professionals with knowledge and tools to improve quality.

The Institute for Healthcare Improvement and the Joint Commission along with a number of researchers studying the application of Lean and HROs to the healthcare industry believes that these principles can be and are already being successfully applied to the delivery of healthcare. However, there has been very limited rigorous research to provide necessary evidence about the effectiveness of Lean and HROs implementation processes and not just to the nature of the specific intervention.

Therefore, this web-site is about the path to getting there – researching and understanding the transition period during which employees ideally become increasingly skillful, consistent, and committed in their use of a Lean and/or High Reliability thinking and practices as an innovation for quality improvement and patient safety.

Specifically, you will be able to read about our past and current research efforts; get access to selected journal and conference proceedings publications; enjoy our blogs; view some tools and methods aimed at measuring individuals learning and behaviors during implementation efforts; etc.

Our long term objective is to develop and propose recommendations on how to effectively implement value creation and high reliability thinking and practices in order to improve health care delivery quality and reduce cost. We believe that our research efforts will yield results providing providers, patients, payers, policymakers, and the public with statistical and contextual details to recommend diffusion of lean into healthcare organizations across the nation for quality improvement.