S9: Building quality and efficiency: Scaling QI and lean transformation in healthcare


Thursday 14 August 2025 | 15:35-16:05 


Format: Presentation


Stream: Change


Part 1: Revolutionizing Hospital Operations: Unlocking Capacity and Elevating Patient Care through Lean Redesign of Inpatient Flow


Discover a groundbreaking approach to transforming hospital operations by shifting from traditional push systems to dynamic pull systems that enable seamless, continuous patient flow from the Emergency Department to admission and discharge. This transformative concept tackles the root causes of bottlenecks, revealing how batching decisions and tasks in clinical settings creates “idle time” for patients and constrains hospital capacity.Learn how patients who remain hospitalized beyond medical readiness contribute to delays and perpetuate outdated push systems, extending length of stay (LOS) and reducing bed availability. By applying A3 Lean and Six Sigma principles, this approach integrates stakeholder engagement, operational redesign, and data-driven strategies to revolutionize hospital flow.This presentation showcases how Lean methods streamline discharges, reduce LOS, and deliver measurable financial gains—all while enhancing the patient experience. Join us to explore a sustainable transformation that redefines hospital efficiency and sets a new standard for patient-centered care.


Danna Qunibi University of Texas Southwestern Medical Center; USA


Part 2: Mastering Quality for Healthcare 2.0 : Developing Robust Quality Improvement Capabilities across a Healthcare Cluster


Join this illuminating session to explore the transformative journey of the National University Health System (NUHS) in Singapore as they systematically built Quality Improvement (QI) capacity and capability across their healthcare institutions. From 2019 to 2024, NUHS embarked on an ambitious initiative to cultivate a culture of excellence throughout its hospitals and primary care services by leveraging the Institute for Healthcare Improvement (IHI) Model for Improvement and lean principles.National University Hospital and Ng Teng Fong General Hospital led this initiative, training 25% of the cluster’s staff to proficiently apply the framework and leading to over 800 successful improvement projects from 2019 to 2024. This session will share key strategies, challenges, and successes, providing practical insights for leaders, clinicians, and healthcare professionals looking to scale QI efforts within their organizations. Discover how fostering widespread QI proficiency can drive sustainable change and enhance care outcomes.


Kelvin Lew National University Health System; Singapore