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Success factors for the adoption of green lean six sigma in healthcare facility: an ISM-MICMAC study

Rajeev Rathi (School of Mechanical Engineering, Lovely Professional University, Phagwara, India and Department of Production and Industrial Engineering, National Institute of Technology, Kurukshetra, India)
Mahender Singh Kaswan (School of Mechanical Engineering, Lovely Professional University, Phagwara, India)
Jiju Antony (Department of Industrial and Systems Engineering, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates)
Jennifer Cross (Industrial, Manufacturing and Systems Engineering, Texas Tech University, Lubbock, Texas, USA)
Jose Arturo Garza-Reyes (Centre for Supply Chain Improvement, The University of Derby, Derby, UK)
Sandra L. Furterer (Engineering Management, Systems and Technology, University of Dayton, Dayton, Ohio, USA)

International Journal of Lean Six Sigma

ISSN: 2040-4166

Article publication date: 8 November 2022

Issue publication date: 29 June 2023

537

Abstract

Purpose

Green lean six sigma (GLSS) is a sustainable development approach that leads to improved patient care with improved safety and quality of service to patients. This study aims to identify, study, model and analyze GLSS success factors for the Indian health-care facility.

Design/methodology/approach

Interpretive structural modeling (ISM) and Impact Matrix Cross-Reference Multiplication Applied to a Classification analyses have been used to understand the hierarchical structure among the GLSS success factors. This enabled the development of dependency relationships between success factors, in particular, which factors support the development of other factors.

Findings

Specifically, this study found that the success factors “commitment of management” and “financial availability” are the most critical to GLSS implementation success, as they support the development of all other success factors. Meanwhile “embedding sustainable measures at each stage of the service”; “the capability and effectiveness of real-time data collection”; and “feedback and corrective actions” most directly support the GLSS implementation in the health-care facility and serve as the final indicators of implementation progress.

Research limitations/implications

The major implication of this research work lies in suggesting a direction for practitioners to execute the GLSS approach through a systematic understanding of classification and structural relationships among different enablers. This study also facilitates health-care managers to explore different GL wastes in hospitals and challenges to sustainability pursuits in health-care that assist in an organization’s efforts toward sustainable development.

Originality/value

This research work is the first of its kind that deals with the identification and analysis of the prominent factors that foster the inclusive implementation of GLSS within the health-care facility.

Keywords

Citation

Rathi, R., Kaswan, M.S., Antony, J., Cross, J., Garza-Reyes, J.A. and Furterer, S.L. (2023), "Success factors for the adoption of green lean six sigma in healthcare facility: an ISM-MICMAC study", International Journal of Lean Six Sigma, Vol. 14 No. 4, pp. 864-897. https://doi.org/10.1108/IJLSS-02-2022-0042

Publisher

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Emerald Publishing Limited

Copyright © 2022, Emerald Publishing Limited

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