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Article
Publication date: 1 July 1998

Stephen J. Mittler

Southampton University Hospitals Trust has developed a performance management strategy which is improving service quality, overcoming interdepartmental blockages and delivering…

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Abstract

Southampton University Hospitals Trust has developed a performance management strategy which is improving service quality, overcoming interdepartmental blockages and delivering significant savings with greater departmental ownership and commitment. The strategy also offers a solution to the age‐old problem of if and when to market test by doing this only when it is apparent the in‐house team cannot deliver the required level of performance. This is achieved by agreeing the initiating key targets to reach or improve on high levels of performance using a variety of techniques including benchmarking, value management and external technical advice.

Details

International Journal of Health Care Quality Assurance, vol. 11 no. 4
Type: Research Article
ISSN: 0952-6862

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Abstract

Details

International Journal of Quality and Service Sciences, vol. 15 no. 1
Type: Research Article
ISSN: 1756-669X

Article
Publication date: 1 April 1990

Paul Goodstadt and Richard Marti

The theme of this article is a reflection on the strategic importance of Quality Service, by staff from NatWest who are a major force in world banking. Amongst the main findings…

Abstract

The theme of this article is a reflection on the strategic importance of Quality Service, by staff from NatWest who are a major force in world banking. Amongst the main findings are that a Quality Service Programme which fosters continuous incremental improvement is an essential feature in NatWest′s vision and mission to remain the Number 1 Bank in the market‐place and that to maintain the interest of staff there is a need for new initiatives to be continuously injected into the programme. It is also pointed out that in the future the financial services market will become more competitive, and only those institutions which are totally committed to improving service and operational efficiency will survive.

Details

International Journal of Quality & Reliability Management, vol. 7 no. 4
Type: Research Article
ISSN: 0265-671X

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Article
Publication date: 1 June 2003

Hesham Magd and Adrienne Curry

Given the emphasis in today's environment on customer focus, stakeholders’ interests, public‐sector organisational performance and other methods of assessment are employed to…

8243

Abstract

Given the emphasis in today's environment on customer focus, stakeholders’ interests, public‐sector organisational performance and other methods of assessment are employed to address issues in the new public management and prevailing managerialism in measurement of public‐sector organisations around the world. Therefore, many public‐sector organisations have been encouraged to implement benchmarking as one way of satisfying the government's requirement that public organisations provide best‐value services. In order to achieve best‐value services in public‐sector organisations, benchmarking is considered to be a vital management tool and benchmarking has been used widely in private‐sector organisations. This paper focuses on providing a critical view of benchmarking to provide best‐value services to taxpayers and local businesses. The paper emphasises that, in order for benchmarking to be successful in public‐sector organisations, it is important to have a full commitment to continuous improvement, an ability to learn from others, and a commitment to implement improvement.

Details

Benchmarking: An International Journal, vol. 10 no. 3
Type: Research Article
ISSN: 1463-5771

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Article
Publication date: 1 March 1992

Richard Lancioni and John L. Gattorna

Superior customer service is necessary to maintain a competitiveedge in international logistics. In order to develop a comprehensivecustomer service programme, a company must…

Abstract

Superior customer service is necessary to maintain a competitive edge in international logistics. In order to develop a comprehensive customer service programme, a company must establish service levels for its customers, beginning with order cycle time and including all aspects of the customer service cycle. Discusses the importance of service standards and the areas in customer service where they should be developed. Describes standard variances and stresses the need to develop incentives for meeting service standard goals.

Details

International Journal of Physical Distribution & Logistics Management, vol. 22 no. 3
Type: Research Article
ISSN: 0960-0035

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Article
Publication date: 1 March 1992

Henry Casley

Outlines the policies of Southern Electric in implementing a quality service through a customer‐oriented culture, describing a strategy designed to develop internal and external…

Abstract

Outlines the policies of Southern Electric in implementing a quality service through a customer‐oriented culture, describing a strategy designed to develop internal and external quality measurements for continuous improvement. Discusses market opportunities, regulation, the City, Southern Electric staff and customers in respect of the company′s quality strategy and identifies five key steps as important for success in this quality strategy. Stresses the importance of setting the scene, building a disciplines framework, developing staff ownership of the culture, initiating customer‐oriented procedures and recording process/measuring success. Suggests that the customer‐oriented culture is a fundamental feature of achieving continuous improvement in service quality in an environment of changing market conditions.

Details

Managing Service Quality: An International Journal, vol. 2 no. 3
Type: Research Article
ISSN: 0960-4529

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Article
Publication date: 1 November 1998

Karin Newman, Alan Cowling and Susan Leigh

Features a case study of a major bank which aimed to achieve corporate transformation and a dramatic improvement in service quality. The links between service quality, customer…

4424

Abstract

Features a case study of a major bank which aimed to achieve corporate transformation and a dramatic improvement in service quality. The links between service quality, customer satisfaction and corporate profitability in UK banking are outlined in order to set in context the many quality improvement initiatives undertaken by UK retail banks in recent years. Business process re‐engineering has proved to be the most popular of service quality initiatives but most have been limited to single processes rather than corporate transformation as portrayed in the case study. The five‐year corporate transformation programme focuses on employee communications, the redesign of work, recruitment and reward processes and the introduction of consumer research‐based national quality standards. The bank was rewarded for its efforts, coming top for three consecutive years in the Which? service quality surveys and, according to its own data, which contributed to a rise in customer satisfaction and customer retention at a time of declining employee satisfaction. Future developments in service quality segmentation and a working definition of service quality are proposed.

Details

International Journal of Bank Marketing, vol. 16 no. 6
Type: Research Article
ISSN: 0265-2323

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Article
Publication date: 1 January 2006

Bo Edvardsson and Bo Enquist

The purpose of this paper is to explore the role of change pressure exerted by the “market” on governmental services in quality improvement processes. Two research questions are…

2534

Abstract

Purpose

The purpose of this paper is to explore the role of change pressure exerted by the “market” on governmental services in quality improvement processes. Two research questions are investigated. How can the role of external pressure exerted by customers and users, for quality improvement, be described and understood in governmental services? How can we understand the internal response (to external pressure exerted by customers and users, for change and quality improvement) as a strategic and cultural process?

Design/methodology/approach

This study focuses on two main levels: the operational level, where we analyse how the service offerings (or concepts) are designed to meet the needs (and changing needs) of the customers/citizens, the design of the service process, and the formation of the service system in terms of resources, organisational structure and culture; and the strategic level, where we analyse the interdependence between service strategy and service culture. Three cases originating from governmental services in Sweden form the empirical basis for the study.

Findings

First, the service concept must be in line with, and match, the target group to be served. If there is a gap the organisation will have an inherent quality problem. The second lesson is that the service process must be understood and accepted by both the employees and the users/customers. The results show that a lack of flexibility is a common reason behind quality problems. Involving customers more is one way of designing more flexibility. The third lesson is that the service system is also a question of the norms and values forming the basis for a service culture that supports the service process.

Research limitations/implications

The article is based on just three cases from one country. More case studies are needed, and in different cultural contexts.

Practical implications

The pressure for change exerted in governmental organisations is not very different when compared to commercial service companies. Customers are most often the same people, with the same – or similar – needs, expectations and requirements. Quality is assessed in more or less the same way. The differences seem to surface when we take into consideration how external changes exert pressure for change within the organisation, and in the design and delivery of governmental services.

Originality/value

This article contributes to a theoretical point of departure for describing and analysing service quality improvement in a dynamic perspective, where both the key aspects of service strategy and service culture are taken into consideration. The empirical study shows that the framework is useful and produces fruitful empirical findings.

Details

The TQM Magazine, vol. 18 no. 1
Type: Research Article
ISSN: 0954-478X

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Article
Publication date: 1 April 2005

Ian Martin and Yen Cheung

The purpose of the paper is to demonstrate that significant improvements through business process re‐engineering can still be achieved after the implementation of enterprise…

5414

Abstract

Purpose

The purpose of the paper is to demonstrate that significant improvements through business process re‐engineering can still be achieved after the implementation of enterprise resource planning systems. While the business process re‐engineering benefits of enterprise resource planning systems have been widely published, the opportunities for process improvement after the installation of integrated systems have not been extensively explored.

Design/methodology/approach

This paper results from a case study of the highly successful intervention in the purchasing and accounts payable functions of Mobil Oil Australia Limited undertaken well after the implementation one of the widely used off‐the‐shelf enterprise resource planning systems, SAP (Systems, Applications and Products in Data Processing).

Findings

Significant benefits were achieved in the purchasing and accounts payable functions of Mobil Oil Australia Limited, via a focus on best practice and radical process improvement. Invoices and invoice processing were largely eliminated. Cheque usage was reduced by 87 per cent and the staff paying accounts cut by almost 75 per cent.

Originality/value

The case study demonstrates clearly to companies and practitioners that business process re‐engineering can achieve “dramatic improvements in cost, quality, service and speed” even after an enterprise resource planning solution has been implemented via a focus on best practice benchmarking and using best practice to provide a target for the change team. Companies can leverage existing, often substantial, investments in installed systems to further improve their processes and increase the return on those investments.

Details

Business Process Management Journal, vol. 11 no. 2
Type: Research Article
ISSN: 1463-7154

Keywords

Article
Publication date: 16 October 2018

Haleh Mousavi Isfahani, Sogand Tourani and Hesam Seyedin

In the recent few years, the Lean management has made significant improvements in providing quality service to patients in many health-care centers. Thus, this study aims to…

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Abstract

Purpose

In the recent few years, the Lean management has made significant improvements in providing quality service to patients in many health-care centers. Thus, this study aims to systematically review features and results of conducted studies using a lean management approach in hospitals.

Design/methodology/approach

In this systematic review, eight databases, including PubMed, Web of Knowledge, Google Scholar, Scopus, Iranmedex, SID, Magiran and Medlib, were searched using keywords including “Lean principles,” “Lean Six Sigma,” “Lean Process SID,” “Lean thinking,” “Lean Methodology,” “Toyota Production System lean processing,” “lean techniques” and “hospital,” as well as their Persian equivalents. Required data were extracted using an extraction table and were analyzed using content analysis method.

Findings

Out of 967 identified articles, 48 articles were included in the study. Most of the studies have been conducted in developed countries such as America, Britain, The Netherlands and Canada. The highest number of studies has been conducted in the overall hospital and emergency departments. Lean Six Sigma and Lean methodology were the most frequent terms used for lean management. The five-phase Six Sigma methodology was one of the most important methods used for the implementation of the Lean management. Performing the process at the first time (timing) and length of stay had the highest frequencies among indicators assessed in the studies. All indicators assessed in the studies have improved after the implementation of Lean management. Among 150 assessed indicators, 69 were meaningfully improved (p < 0.05) and 12 indicators did not have a meaningful improvement (p > 0.05) and 69 indicators did not show any meaningful changes.

Practical implications

A number of implications are drawn out to aid academics, practitioners and policymakers in improving knowledge and skills. The elimination of production wastes is the most important principle of Lean thinking and paying attention to the clients and increasing the value. This will significantly improve quality of services to the patients and reduce costs and losses through preventing wastes. Suitable metrics in Lean management need to be established. A move to placing greater emphasis on understanding the contexts in which theory is implemented is another application.

Research/limitation

The limitation of this study is selection of studies in English and Persian language, excluding gray literatures and unpublished studies and relying on a relatively limited number of databases for the identification of potentially eligible studies. In addition, because of the enormous heterogeneity in the methods and results of the studies, performing a meta-analysis in this study was not possible.

Originality/value

The results of this study show that there were many dispersions and heterogeneities in the way of implementation and content of Lean management in hospitals.

Details

International Journal of Lean Six Sigma, vol. 10 no. 1
Type: Research Article
ISSN: 2040-4166

Keywords

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