Lean healthcare project in a pharmaceutical supply center: the context of primary healthcare

• Published in: International journal of lean six sigma 2024-01, Vol.15 (1), p.153-176
• Main Authors: de Bittencourt, Lúcia Sortica, Paula, Istefani Carísio de, Pontes, André Teixeira, Gularte, Aline Cafruni
• Format: Article
• Language: English
• Subjects: Efficiency; Health care; Lean manufacturing; Managers; Optimization; Order picking; Patient safety; Pharmaceuticals; Primary care; Productivity; Supplies; Supply chains; Sustainability
• ISSN: 2040-4166; 2040-4166; 2040-4174
• DOI: 10.1108/IJLSS-04-2023-0063

Purpose This study aims to enhance storage and distribution operations at a pharmaceutical supply center (PSC) in primary health care (PH) using lean health care (LH) tools. Supply centers for health products, medications and supplies have unique characteristics compared to centers for other goods due to complex processes, specific services, diverse stakeholders and multiple interactions. The authors adapt LH tools to address these complexities and meet industry-specific needs. Design/methodology/approach The investigation unit is a PSC in a large southern Brazilian city, and the processes analyzed are the storage and distribution of medications. The authors performed action research from June 2019 to February 2020. Data collection and problem diagnosis involved the development of a value stream mapping. Findings The authors adapted the overall equipment effectiveness calculation, efficiency analysis, and loss classification for PSC operations. Eighteen core issues were found: waiting, movement, transport, stock, inadequate processing, defects and human potential losses. The authors proposed waste reduction tools and practices. Inadequate storage conditions may compromise medicine quality, efficacy and safety. This can result from lacking physical structures or noncompliance with procedures. Next, the authors recommend simulating scenarios for validation before implementation. Practical implications The study explored ways to enhance layout and medicine distribution at the PSC, focusing on reducing loss and cost impact. Originality/value Originality lies in LH application in a PSC of PH, often applied in secondary or tertiary health levels like hospitals. The novelty necessitated adaptations of tools for future PSC applications.