Developing a gemba board deployment and assessment system in a multidisciplinary hospital setting
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[EMBARGOED UNTIL 12/01/2025] The healthcare industry has struggled for decades to create and sustain a culture of high reliability, specifically within the continual process improvement realm. Implementing methods by which all staff in the healthcare system have an avenue to foster a culture of improvement is needed. One Lean tactic that aids in those efforts seen in other industries are the use of Gemba Boards. A literature review was conducted, and it was found that the use of Gemba Boards was primarily only in pockets of a healthcare organization, mostly nursing. A gap exists that this research aims to fill is establishing a framework that a hospital can undergo when no system of huddling for improvement exists that is standardized in every facet and department within the healthcare system. A framework was developed in two phases, to establish the initial deployment of Gemba Boards, followed by the progression to a sustained cyclical system and program for the Gemba Boards to be assessed for comprehension and return on investment for high reliability efforts. The framework established in this research was piloted in a study within a hospital system that had no formal huddling for improvement or Gemba Boards as a part of their culture. The integration of Boards into every department in the hospital was analyzed as a first attempt to examine how all facets of a healthcare system comprehend and execute the tool at the same time. The objective through statistical analysis is to advance the confidence in the industry that though uniquely different, with the use of the framework developed, deploying Gemba Boards and the philosophy behind them can produce results in any type of healthcare department and environment. Additionally, analysis will be conducted to gain insight into how the model functions when not just one area or pocket of the hospital is deploying this system of huddling, but the entire organization concurrently when pushed and supported by leadership.
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Ph. D.