Optimizing Healthcare Performance by Leveraging Lean Methodologies and Leadership Strategies

Authors

Teoh Mooi Shan

Azman Hashim International Business School (AHIBS), Universiti Teknologi (Malaysia)

Nomahaza Mahadi

Azman Hashim International Business School (AHIBS), Universiti Teknologi (Malaysia)

Siti Azreen Habeeb Rahuman

Azman Hashim International Business School (AHIBS), Universiti Teknologi (Malaysia)

Article Information

DOI: 10.47772/IJRISS.2025.91100575

Subject Category: Social science

Volume/Issue: 9/11 | Page No: 7431-7437

Publication Timeline

Submitted: 2025-12-04

Accepted: 2025-12-11

Published: 2025-12-25

Abstract

This paper examines how Lean; Six Sigma and their combined application contribute to better performance and service quality in healthcare organisations. Lean helps streamline processes and reduce unnecessary work, while Six Sigma strengthens accuracy and consistency, making both approaches useful for addressing the long-standing issues of delays, variation, and resource pressure in healthcare settings. When used together, they create a structured path for improving patient flow, safety and overall efficiency. The review also highlights the strong influence of leadership, noting that leaders who communicate clearly, encourage staff involvement and support continuous learning are better able to sustain improvement efforts. Although challenges such as cultural resistance and limited resources often slow adoption, the findings show that committed leadership and well-planned implementation can make Lean and Six Sigma effective tools for long term change. The paper concludes by pointing to emerging opportunities where continuous improvement can be linked with digital innovation and sustainability to meet the evolving demands of modern healthcare.

Keywords

Lean healthcare, six sigma, leadership, performance improvement, continuous improvement

Downloads

References

1. Aij, K. H., Visse, M., & Widdershoven, G. (2015). Lean leadership: an ethnographic study. Leadership in Health Services, 28(2), 119–134. https://doi.org/10.1108/lhs-03-2014-0015 [Google Scholar] [Crossref]

2. Alnadi, M., & McLaughlin, P. (2021). Critical success factors of Lean Six Sigma from leaders’ perspective. International Journal of Lean Six Sigma, 12(5), 1073–1088. [Google Scholar] [Crossref]

3. https://doi.org/10.1108/ijlss-06-2020-0079 [Google Scholar] [Crossref]

4. Antony, J., Sunder, M. V., Sreedharan, R., Chakraborty, A., & Gunasekaran, A. (2019). A systematic review of Lean in healthcare: a global prospective. International Journal of Quality & Reliability Management, 36(8), 1370–1391. https://doi.org/10.1108/ijqrm-12-2018-0346 [Google Scholar] [Crossref]

5. Azevedo, K., Gray, C., Gale, R., Urech, T. H., Ramirez, J. C., Wong, E. P., Lerner, B., Charns, M. P., & Vashi, A. (2020). Facilitators and barriers to the Lean Enterprise Transformation program at the Veterans Health Administration. Health Care Management Review, 46(4), 308–318. https://doi.org/10.1097/hmr.0000000000000270 [Google Scholar] [Crossref]

6. Bhat, S., Gijo, E., Antony, J., & Cross, J. (2022). Strategies for successful deployment and sustainment of Lean Six Sigma in healthcare sector in India: a multi-level perspective. The Tqm Journal, 35(2), 414–445. https://doi.org/10.1108/tqm-10-2021-0302 [Google Scholar] [Crossref]

7. Henrique, D. B., & Filho, M. G. (2018). A systematic literature review of empirical research in Lean and Six Sigma in healthcare. Total Quality Management & Business Excellence, 31(3–4), 429–449. https://doi.org/10.1080/14783363.2018.1429259 [Google Scholar] [Crossref]

8. Hung, D., Lee, J., & Rundall, T. G. (2022). Transformational performance improvement: Why is progress so slow? In Advances in health care management (pp. 23–46). [Google Scholar] [Crossref]

9. https://doi.org/10.1108/s1474-823120220000021002 [Google Scholar] [Crossref]

10. Ibrahim, I., Sultan, M., Yassine, O. G., Zaki, A., Elamir, H., & Guirguis, W. (2022). Using Lean Six Sigma to improve timeliness of clinical laboratory test results in a university hospital in Egypt. International Journal of Lean Six Sigma (Print), 13(5), 1159–1183. https://doi.org/10.1108/ijlss-08-2021-0138 [Google Scholar] [Crossref]

11. Noronha, A., Bhat, S., Gijo, E., Antony, J., Laureani, A., & Laux, C. (2021). Performance and service quality enhancement in a healthcare setting through lean six sigma strategy. International Journal of Quality & Reliability Management, 40(2), 365–390. https://doi.org/10.1108/ijqrm-07-2021-0226 [Google Scholar] [Crossref]

12. Ramori, K. A., Cudney, E. A., Elrod, C. C., & Antony, J. (2019). Lean business models in healthcare: a systematic review. Total Quality Management & Business Excellence, 32(5–6), 558–573. https://doi.org/10.1080/14783363.2019.1601995 [Google Scholar] [Crossref]

13. Rathi, R., Vakharia, A., & Shadab, M. (2022). Lean six sigma in the healthcare sector: A systematic literature review. Materials Today: Proceedings, 50, 773–781. [Google Scholar] [Crossref]

14. https://doi.org/10.1016/j.matpr.2021.05.534 [Google Scholar] [Crossref]

15. Reponen, E., Rundall, T. G., Shortell, S. M., Blodgett, J. C., Juarez, A., Jokela, Thomas, A., & Suresh, M. (2023). Readiness of lean sustainability in healthcare organizations. International Journal of Pharmaceutical and Healthcare Marketing. https://doi.org/10.1108/ijphm-07-2022-0064 [Google Scholar] [Crossref]

16. Van Rossum, L., Aij, K. H., Simons, F. E., Van Der Eng, N., & Have, W. T. (2016). Lean healthcare from a change management perspective. Journal of Health Organisation and Management, 30(3), 475–493. https://doi.org/10.1108/jhom-06-2014-0090 [Google Scholar] [Crossref]

17. Vanichchinchai, A. (2023). Relationships between leadership and culture, human resources and process improvement in lean healthcare. Business Process Management Journal, 29(2), 430–446. https://doi.org/10.1108/bpmj-07-2022-0328 [Google Scholar] [Crossref]

18. Xu, J. (2017). Leadership theory in clinical practice. Chinese Nursing Research, 4(4), 155–157. https://doi.org/10.1016/j.cnre.2017.10.001 [Google Scholar] [Crossref]

Metrics

Views & Downloads

Similar Articles