Evaluation of the Productivity of the Surgical Center of a University Hospital from the perspective of Lean Healthcare

Abstract

Objective: This study aims to present a proposal to evaluate the performance of the Surgical Center of a University Hospital based on the OEE. In this sense, we seek to assess the efficiency of the sector by identifying the limiting factors to the surgery processes. Methodology: It is an applied research, whose adopted procedures were the case study, the participant research and the action research. For data collection, documentary research, unstructured interviews and the elaboration of a Value Flow Map (MFV) were used. Main results: The evaluations showed performances below the ideal for the Availability indicator. It was found that the waiting percentage is very large in relation to the time of surgery, which ends up hiding the real capacity of the operating room. The results obtained in the Performance indicator highlight cancellations as factors that impact productivity. The efficiency index found for the sector was low in relation to the world class indicator. Contributions: The study of the use of indicators aimed to contribute to the theory, since the assumptions of the administration can be used in the most diverse areas, including hospitals. In practice, the study corroborates the operational part by qualifying the planning of the surgical center, allowing managers to optimize times, which impacts on important gains for society.