Examples of Lean A/P or A/R in Hospitals?

by Mark Graban on March 24, 2009 · 5 comments

Got this question from a reader:

After successful application of lean to clinical processes we are moving into the the finance/accounting transaction areas such as A/P and A/R and month end close and are finding a more difficult road to interpret lean applications. I noticed there was not much discussed in your lean book about the application in accounting transactions. Do you have any suggestions, books, examples of the application of lead principles to hospital accounting/finance transactions?

You’re right, transactional processes aren’t covered that deeply in my book because there are already a number of good books and references about “Lean Accounting” and “Lean Office” out there. I believe these concepts and examples would translate pretty directly, as opposed to bringing factory floor concepts into a healthcare setting.

I don’t know which book is best, specifically. “Office Kaizen Examples of Lean A/P or A/R in Hospitals? lean” was fine (read it a few years back) but I see lots of other books on the market.

The “lean accounting” movement is often more about changing accounting rules to be more compatible with lean operations, but if you research that community, you might find some leads on making AR and AP more efficient.

What recommendations to you have, blog readers? Anything specific to hospital accounting, or using Lean methods to make accounting processes better?

Subscribe via RSS | Lean Blog Main Page | Podcast | Twitter @MarkGraban

Mark Graban 2011 Smaller Examples of Lean A/P or A/R in Hospitals? leanAbout LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology, focused on improving quality and patient safety, improving access, reducing costs, and fully engaging healthcare professionals. He is also the Chief Improvement Officer for KaiNexus.


pixel Examples of Lean A/P or A/R in Hospitals? lean
Share, Print, or Be Social:
  • printfriendly Examples of Lean A/P or A/R in Hospitals? lean
  • twitter Examples of Lean A/P or A/R in Hospitals? lean
  • facebook Examples of Lean A/P or A/R in Hospitals? lean
  • googlebookmark Examples of Lean A/P or A/R in Hospitals? lean
  • linkedin Examples of Lean A/P or A/R in Hospitals? lean
  • digg Examples of Lean A/P or A/R in Hospitals? lean
  • stumbleupon Examples of Lean A/P or A/R in Hospitals? lean
  • delicious Examples of Lean A/P or A/R in Hospitals? lean
  • posterous Examples of Lean A/P or A/R in Hospitals? lean

{ 5 comments… read them below or add one }

1 Mike LaChapelle March 24, 2009 at 9:59 pm

At Guidon, we use Lean methods to manage the Revenue Cycle. Here’s a case study that deals with an insurance provider working with hospitals on this type of issue.

http://www.guidonps.com/assets/UHC_Case_Study-80.pdf

Like or Dislike: Thumb up 0 Thumb down 0

Reply

2 Dean Bliss March 25, 2009 at 9:52 am

Lean efforts in accounts receivable and accounts payable are pretty common – at Rockwell Collins, we made some great improvements in the collection cycle and in organizing the payables process. There are also several references to improvements in a/r in healthcare – I’ve seen info from ThedaCare and Lean Healthcare West that show significant improvements in cash flow due to Lean activities.

Like or Dislike: Thumb up 0 Thumb down 0

Reply

3 Jim McNiff March 25, 2009 at 11:33 am

The revenue cycle is at a tipping point. With the implementation of hipaa transactions, e-commerce and work engines, the new process has the potential of reducing operational costs by 50%. There will always be current processes that can be tweaked but to garner significant savings the mantra needs to be a “no touch” environment..

Like or Dislike: Thumb up 0 Thumb down 0

Reply

4 Janice Frampton March 29, 2009 at 10:16 pm

Lean Accounting is the application of lean principles to Finance and Accounting processes, including A/P and A/R.

Jean Cunningham Consulting is a leader in applying these lean principles, providing lean education and kaizen facilitation which results in significant improvements over a 2 – 3 day period.

Jean Cunningham’s first Shingo Award winning book, “Real Numbers” describes real-world experiences in applying lean to Finance and Accounting.

In addition, we are offering a new workshop on Lean and Cash Collections – currently scheduled in Chicago and Indianapolis in April with more locations to follow.

Please feel free to visit our web site at http://www.jeancunninghamconsulting.com for more information on Jean Cunningham Consulting’s service offerings.

Janice Frampton
Senior Lean Consultant
Phone – 978-692-9150
Mobile – 978-866-9812
janiceframpton@comcast.net

Like or Dislike: Thumb up 0 Thumb down 1

Reply

5 taha yousif October 23, 2010 at 8:13 am

Dera sir
if you please send me a scientific material on ” lean accounting” and practical examples ,because i am very interested in , and preparing for Phd

Like or Dislike: Thumb up 0 Thumb down 0

Reply

Leave a Comment

You can use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>

CommentLuv badge

Previous post:

Next post: