TY  - JOUR
AB  - Purpose The purpose of this paper is to discuss improvement of the business of health care delivery through the application of systematic problem solving. This was strengthened by recurrence prevention through standardization at every level transforming into culture.Design/methodology/approach The methodology utilized is set derived from the true fiber and fabric of Toyota, the Toyota Business Practice (TBP) or eight-step problem solving and its translation into health care thinking by aligning to the process of clinical diagnosis of patients. The methodology that gives energy and direction to TBP is Hoshin Kanri, a Japanese approach to strategic planning. When you combine focus and purpose through strategic direction alongside a culture of systematic problem solving you get results.Findings The application of the Toyota mindset resulted in a cultural shift which built on the strength of the current organizational culture. This approach had a broad impact on the program impacting leadership and management roles, improved employee engagement, complete visibility of organizational priorities, improved system performance, visibility and awareness of the vision and defined measures that drive the health care system. This has also resulted in cost diversions of approximately five million dollars CDN.Originality/value A grass roots application of real-time problem solving through strategic alignment.
VL  - 23
IS  - 4
SN  - 1463-7154
DO  - 10.1108/BPMJ-02-2017-0040
UR  - https://doi.org/10.1108/BPMJ-02-2017-0040
AU  - Simon James
AU  - Houle Mishaela
PY  - 2017
Y1  - 2017/01/01
TI  - Translating improvement methodology into healthcare culture
T2  - Business Process Management Journal
PB  - Emerald Publishing Limited
SP  - 769
EP  - 778
Y2  - 2024/05/10
ER  -