"OPERATIONMANAGEMENT 1. Introduction Gemba is a Japanese word. It means that "the real place". This term is used in business or inorganizations. It is considered in the place of where the production takes place. It is used to improve theperformance of the process. It is used in place, where improve the performance in workshop or in themanufacturing area. The Gemba Kaizen is also a term that refers the continuous improvement of theprocess at production place is sthat related to the organization. This project is used for creating andproducing goods or services by organization. Here, fit is focused on improving the goods and services inthe hospital management. It mainly considers the tools to improve the services in the hospital("What aresome examples of operations management in healthcare?" 2015).2. Hospital Management Operation management in the hospitals are used to reduce the cost and improve the performanceof the services by the doctors and the nurses. The Gemba project is useful to manage the equipment in afine order by doctors and nurses. It is more helpful to find out the equipment in a quick manner. It reducethe time to search the equipment. Itis fully used any equipment or medicine, this arrangement helps toidentify emptied medicine and purchases the new thing. The tool six sigma is used to clear the issues inthe arrangement of the equipment.2.1 Six sigma ToolsThe problem in the hospital management is providing the good services to the patients. Thehospital management mainly focused on the patient satisfaction. But, most of the hospital did not providethis facility. So, this six sigma tools are used by the hospital to improve the quality of services to thepatients. To improve the quality of services of the hospitals, the six sigma tool mainly considers themedical operations and the administrative operations. For these operations, the six sigma tool providessome of the functions that are mentioned below:? Inpatient Functions (Bed related)? Out patients related functions? Administrative Functions? Treatment and Diagnostics Functions? Research Functions ? Supply ChainThe above functions mainly focus on the utilization, cost optimization, process capability and cycletime. The outcomes of six sigma is stated as below:1 ? It is used to increase the satisfaction and to care the patients.? It gives safer and efficient emergency services.? It reduces the complaints of the patients.? It helps to save and reduce the cost of the organization.? It reduces the waiting time of the patient.? It reduces the medical defects and errors ("SIX SIGMA IN HOSPITAL AND HEALTH CAREMANAGEMENT", 2016).2.2 PDCA The PDCA (Plan-Do-Check-Act) cycle is an approach that mainly used for solving the problemin a particular management. There are four phases to solve the problem. They are, plan, implement, checkand act. The planning phase gives the identification of the problem. Do phase provides developing andtesting process to solve the problem. Check phase tests, whether the solutionsare effective or not. Finally,the act phase gives implementation("PDCA (Plan, Do, Check, Act) “One Facility's Optimization ofPatient Experience in Community Hospital East Cath Lab | Cath Lab Digest", 2016).2 In hospital management, the PDCA cycle used in many places. The above flow chart states thatwhat are the plans and their actions that are taken for cardiac cath lab process. First, collect the patientinformation and then send the patient to the observation system. Then a nurse checks the patient and notesthe pulse rate, weight, blood pressure and urine result of a patient. The nurse discusses the report of thepatient with the doctor about the patient’s medical reports. Further, the doctor communicates with theclient and gives the appointment to meet him. In-between this process, the distance and the time alsocalculated as below:3 The above process also extends the PDCA cycle. The distance and time management also planned byusing PDCA cycle. The above process mention the cardiac Cath Lab distance calculation from variousplaces of the hospital. This time measurement process is used to provide the time saving for doctors andpatients. By this process, patient will be happy with the management of the hospital. The distance andtime is calculated by walking and also through elevator. The above details provide the distance and timefor three places. One is from emergency room and one is from registration room. Another one is fromwaiting area. Most of the people go to the cath lab from these places only. This time managementimprove the management performance of the hospital.3. ReferencesEliminating 7 Types of Waste with 5S Methodology. (2016). Newcastlesys.com. Retrieved 15 October2016, from http://www.newcastlesys.com/blog/bid/336185/Eliminating-7-Types-of-Waste-with-5S- MethodologyIntroduction to the Concept of Gemba Kaizen | BPM, Lean Six Sigma & Continuous ProcessImprovement | Process Excellence Network. (2016). Processexcellencenetwork.com. Retrieved 15October 2016, from http://www.processexcellencenetwork.com/lean-six-sigma-business- transformation/articles/gemba-kaizenPDCA (Plan, Do, Check, Act) “ One Facility's Optimization of Patient Experience in CommunityHospital East Cath Lab | Cath Lab Digest. (2016). Cathlabdigest.com. Retrieved 15 October 2016,from http://www.cathlabdigest.com/articles/PDCA-Plan-Do-Check-Act-%E2%80%9C-One- Facilitys-Optimization-Patient-Experience-Community-Hospital-E4 Plan-Do-Check-Act (PDCA): Implementing New Ideas in a Controlled Way. (2016). Mindtools.com.Retrieved 15 October 2016, from https://www.mindtools.com/pages/article/newPPM_89.htmSIX SIGMA IN HOSPITAL AND HEALTH CARE MANAGEMENT. (2016). www.sctimst.ac.in. Retrieved15 October 2016, fromhttps://www.sctimst.ac.in/Conferences/resources/FOCUS_2010/Mr.%20Ramees%20- %20SIX%20SIGMA%20IN%20HOSPITAL.pdfWhat are some examples of operations management in healthcare?. (2015). Investopedia. Retrieved 15October 2016, from http://www.investopedia.com/ask/answers/051515/what-are-some-examples- operations-management-healthcare.asp5 "