title: [Improvement in the efficiency of a rehabilitation service using Lean Healthcare methodology].
abstract: BACKGROUND
  The aim of this study was to evaluate the reduction in costs and the increase in time devoted to the patient, by applying Lean Healthcare methodology.
  
  
  METHODS
  A multidisciplinary team was formed, setting up three potential areas for improvement by performing a diagnostic process, including the storage and standardization of materials, and professional tasks in the therapeutic areas, by implementing three Lean tools: kanban, 5S and 2P.
  
  
  RESULTS
  Stored material costs decreased by 43%, the cost of consumables per patient treated by 19%, and time dedicated to patient treatment increased by 7%.
  
  
  CONCLUSIONS
  The processes were standardized and "muda" (wastefulness) was eliminated, thus reducing costs and increasing the value to the patient. All this demonstrates that it is possible to apply tools of industrial origin to the health sector, with the aim of improving the quality of care and achieve maximum efficiency.
authors.affiliation: Servicio de Medicina Física y Rehabilitación, Consorci Sanitari Integral, Barcelona, España. Electronic address: sonia.pineda@sanitatintegral.org.
authors.forename: S
authors.initials: S
authors.lastname: Pineda Dávila
authors.affiliation: Servicio de Medicina Física y Rehabilitación, Consorci Sanitari Integral, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Tinoco González
mesh_terms: D017046:Cost Savings; D004526:Efficiency; D006769:Hospitals, General / Q000458:organization & administration / Q000592:standards; D033183:Interdisciplinary Communication; D008962:Models, Theoretical; D017064:Process Assessment, Health Care; D058996:Quality Improvement; D012047:Rehabilitation Centers / Q000458:organization & administration* / Q000592:standards; D017749:Total Quality Management
keywords: Eficiencia de la organización; Lean Healthcare; Organizational efficiency; Proceso de evaluación; Process assessment