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Information and Knowledge Management using ArcGIS ModelBuilder

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Soudabeh Khodambashi <strong>and</strong> Maryati Mohd Yusof<br />

the risk of sub-optimization can be minimized. By only designing the overall process, the entire<br />

problems will not be solved. However, prioritizing them based on constraint to solve them is an<br />

important aspect to consider. Clinicians are the ones who are very familiar with the details of their<br />

work, hence, they can help to identify better. On the other h<strong>and</strong>, st<strong>and</strong>ardizing the work as a<br />

foundation of Lean should also be considered. In order to have clinician’s agreement to accept<br />

st<strong>and</strong>ardized work, it is important to get them involved in the process. Cultural changes are also<br />

needed to achieve the stated result. Furthermore, having a formal training helps us to reach much<br />

better result. Leadership commitment <strong>and</strong> involvement of internal stakeholders also is another factor<br />

in achieving the goal (Graban, 2008). To conclude, it is worth mentioning that implementing quality<br />

management tools in healthcare which is adopted from a different industry requires an adaption from<br />

its original form <strong>and</strong> context. The underst<strong>and</strong>ing of actors, roles <strong>and</strong> responsibilities, clinical workflow,<br />

processes, <strong>and</strong> critical success factors in Lean implementation in healthcare are crucial to achieve<br />

success. Furthermore, considering Lean method before implementation could be helpful for a project<br />

manager to have a speedy development since st<strong>and</strong>ardized work has been done <strong>and</strong> wasteful<br />

activities has been deleted from the clinical process. Moreover, Lean concepts could be helpful in<br />

mapping the value stream of development processes in software development. This paper is<br />

potentially useful for researchers who desire to conduct study on Lean method in HIS <strong>and</strong> evaluate IT<br />

applications in healthcare settings.<br />

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