Purpose – The purpose of this paper is to propose the adaptation of Michael Porter's Value Chain as part of a total value and performance-based framework to help identify and prioritize process improvement projects. Design/methodology/approach – This paper developed a framework and then...

Purpose – The purpose of this paper is to investigate the impact of layout configurations in a hospital on the implementation of lean management initiatives, to include different units of care. The research concentrated on the impact, the physical distance between dependent units could have on...