Table 3.
Financial outcomes and enterprise impact
| Citation | Country | PI scope | PI financial outcomes reported? | PI Financial methods described? | Type of PI financial outcomes | Enterprise impact from PI specified? |
|---|---|---|---|---|---|---|
| Gabow, P. A. (2014). The Lean Prescription: Powerful Medicine for Our Ailing Healthcare System (1st ed.): OR: Productivity Press | U.S | Whole hospital | √ | X | money not spent (‘savings’) revenue increases | √ |
| Chatfield SC, Volpicelli FM, Adler NM, et al. Bending the cost curve: time series analysis of a value transformation programme at an academic medical centre BMJ Qual Saf 2019;28:449–458 | U.S | Whole hospital | √ | X | mean monthly variable direct cost per case | √ |
| Barnas, K. (2011) ThedaCare’s Business Performance System: Sustaining Continuous Daily Improvement Through Hospital Management in a Lean Environment. The Joint Commission Journal on Quality and Patient Safety, 37( 9), 387–399 | U.S | Whole hospital | √ | X | increased revenue reduced staff costs costs per case | X |
| Lee, V. S., Kawamoto, K., Hess, R., Park, C., Young, J., Hunter, C., Pendleton, R. C. (2016). Implementation of a Value-Driven Outcomes Program to Identify High Variability in Clinical Costs and Outcomes and Association With Reduced Cost and Improved Quality. JAMA, 316(10), 1061–1072 | U.S | 3 Clinical projects | √ | √ | Reduced direct patient care costs | X |
| Nimeri, A. A., Bautista, J., & Philip, R. (2019). Reducing healthcare costs using ACS NSQIP-driven quality improvement projects: a success story from Sheikh Khalifa Medical City (SKMC). World journal of surgery, 43(2), 331–338 | U.A.E | Surgical Value Stream | √ | X | Money not spent (due to preventing adverse events) | X |
| Vincent Martinez Ibañez, Anna Ochoa de Echagüen, Antonio Campos & Soledad Romea (2021) Creating efficient professional healthcare organizations, International Journal of Healthcare Management, https://doi.org/10.1080/20479700.2020.1870347 | Spain | 5 value/process streams | √ | X | increased revenue cost savings | X |
| Khowaja AR, Willms AJ, Krause C, Carriere S, Ridout B, Kennedy C, et al. The Return on Investment of a Province-Wide Quality Improvement Initiative for Reducing In-Hospital Sepsis Rates and Mortality in British Columbia, Canada. Critical Care Medicine. 2022;50(4):e340-e50 | Canada | All in-hospital sepsis cases and sepsis mortality | √ | X | Money not spent (due to preventing adverse events) | X |