Assessing the readiness to implement lean in healthcare institutions – A case study

Gopalakrishnan Narayanamurthy, Anand Gurumurthy, Nachiappan Subramanian, Roger Moser

Research output: Contribution to journalArticlepeer-review

70 Citations (Scopus)


We develop a lean readiness framework and an assessment methodology to quantify the readiness of healthcare institutions for implementing lean. We use stakeholder theory and work with a lean implementation team responsible for process improvement in a healthcare group to develop the framework. The framework uses fuzzy based input derived from the stakeholders of the healthcare institution to generate an overall ranking through ideal solution technique. The assessment method derives input from the readiness scores shared by various stakeholders. The ranking suggests future improvement areas to prepare the healthcare institution for a lean implementation project. We provide an alternative perspective of assessing the lean readiness of healthcare institutions before beginning a lean implementation project for both researchers and practitioners. Our research is the first to develop a lean readiness framework for healthcare institutions and demonstrate it using an assessment technique.
Original languageEnglish
Pages (from-to)123-142
Number of pages20
JournalInternational Journal of Production Economics
Publication statusPublished - 1 Mar 2018
Externally publishedYes


  • Assessment
  • Fuzzy logic
  • Healthcare institution
  • Lean operations
  • Readiness
  • Service


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