Proposal for a health information management model based on Lean thinking

Although assessing quality in the health field is a prominent challenge, there is unanimity among managers that it is necessary to select appropriate assessment systems and methods to assist the administration of services and provide decision-making with the least degree of uncertainty possible. Lean, also known as lean philosophy, is a management model that has been used in the area of Health. The management of data, knowledge, and health services must be carefully performed, so that quality care can be offered. at all levels of care. In this way, when implementing Lean strategies in Information Technology, it is necessary to evaluate all its processes within the institution to eliminate waste, structure functions within the applied methodology and measure improvement at all levels of the organization. Thus, the general objective of this article is that of a study that leads to a health information management model based on Lean thinking in the municipality of Ituverava. The highly heterogeneous, and sometimes ambiguous, nature of the medical language and its constant evolution, the high amount of data generated constantly by the automation of processes and the emergence of new technologies constitute the foundation for the inevitable computerization of health to promote the production and management of knowledge. Adopting Lean thinking in health may seem a challenge initially for managers and team members, but as the first results begin to appear, profound and concrete changes are visible for positive transformation for improvements in the quality of the service provided, until the culture can be learned completely in order to have the perfect care. (C) 2021 The Authors. Published by Elsevier B.V.