Developing Goodson’s model for rapid performance assessment of emergency department

Over the past years, raising costs of health care in most countries cause to attract more attention to different aspects in the field. One of the best improvement methodologies known in literature is based on lean principles. The main aim of this methodology is to create values in the system by eliminating losses and creating continuous efforts toward improvement. Therefore, by measuring the performance of hospitals based on lean principles, and by identification of critical factors that function as obstacles to the execution of this approach and also by rating them, health centers can be led toward application of the principles of lean thinking. This study has aimed to develop Goodson’s rapid performance assessment for health centers based on lean principles to measure their efficiency. Unlike other performance evaluation models, this model does not require abundant primary data and long time for survey. The proposed model helps managers to receive optimum feedback towards their performance in fastest possible time.  The performance of emergency department of a large hospital in Tehran is investigated by our model. After observation, scoring and analysis, the proposed results for the revision of supply chain systems and repair equipment Emergency Center are presented.