Lean Analysis of an Intra-operating Management Process-identifying Opportunities for Improvement in Health Information Systems

The application of information systems in clinical processes needs to be evaluated to maximize alignment between the new applied information systems and the process. This study focuses on the evaluation of a health information system (HIS) adoption to intra-operating management of the anesthesia process in heart operation. We conducted a case study and applied the Lean method to the intra-operating management process. We applied the Value Stream Map and the A3 method as the common tools of the Lean method to evaluate the anesthesia process. Using the value stream mapping and A3 problem solving tool assist us to map the process and remove the “non-value” added steps and actions in the process, enhance data integration and process integration. This paper and the related results can guide clinicians and practitioners in the application of the Lean method to HIS to reduce waste in the clinical workflows.