{"id":"https://openalex.org/W3209521374","doi":"https://doi.org/10.1109/isse51541.2021.9582529","title":"Change management and continuous improvement for Smarter Care: A Systems Viewpoint","display_name":"Change management and continuous improvement for Smarter Care: A Systems Viewpoint","publication_year":2021,"publication_date":"2021-09-13","ids":{"openalex":"https://openalex.org/W3209521374","doi":"https://doi.org/10.1109/isse51541.2021.9582529","mag":"3209521374"},"language":"en","primary_location":{"id":"doi:10.1109/isse51541.2021.9582529","is_oa":false,"landing_page_url":"https://doi.org/10.1109/isse51541.2021.9582529","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2021 IEEE International Symposium on Systems Engineering (ISSE)","raw_type":"proceedings-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5002101761","display_name":"Safa Elkefi","orcid":"https://orcid.org/0000-0002-4293-0404"},"institutions":[{"id":"https://openalex.org/I108468826","display_name":"Stevens Institute of Technology","ror":"https://ror.org/02z43xh36","country_code":"US","type":"education","lineage":["https://openalex.org/I108468826"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Safa Elkefi","raw_affiliation_strings":["School of Systems and Enterprises, Stevens Institute of Technology, Hoboken, USA"],"affiliations":[{"raw_affiliation_string":"School of Systems and Enterprises, Stevens Institute of Technology, Hoboken, USA","institution_ids":["https://openalex.org/I108468826"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035132179","display_name":"Onur Asan","orcid":"https://orcid.org/0000-0002-9239-3723"},"institutions":[{"id":"https://openalex.org/I108468826","display_name":"Stevens Institute of Technology","ror":"https://ror.org/02z43xh36","country_code":"US","type":"education","lineage":["https://openalex.org/I108468826"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Onur Asan","raw_affiliation_strings":["School of Systems and Enterprises, Stevens Institute of Technology, Hoboken, USA"],"affiliations":[{"raw_affiliation_string":"School of Systems and Enterprises, Stevens Institute of Technology, Hoboken, USA","institution_ids":["https://openalex.org/I108468826"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068410886","display_name":"Mo Mnasouri","orcid":null},"institutions":[{"id":"https://openalex.org/I108468826","display_name":"Stevens Institute of Technology","ror":"https://ror.org/02z43xh36","country_code":"US","type":"education","lineage":["https://openalex.org/I108468826"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mo Mnasouri","raw_affiliation_strings":["School of Systems and Enterprises, Stevens Institute of Technology, Hoboken, USA"],"affiliations":[{"raw_affiliation_string":"School of Systems and Enterprises, Stevens Institute of Technology, Hoboken, USA","institution_ids":["https://openalex.org/I108468826"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5002101761"],"corresponding_institution_ids":["https://openalex.org/I108468826"],"apc_list":null,"apc_paid":null,"fwci":0.4289,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.69406927,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":95},"biblio":{"volume":null,"issue":null,"first_page":"1","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10164","display_name":"Quality and Supply Management","score":0.9941999912261963,"subfield":{"id":"https://openalex.org/subfields/1404","display_name":"Management Information Systems"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10164","display_name":"Quality and Supply Management","score":0.9941999912261963,"subfield":{"id":"https://openalex.org/subfields/1404","display_name":"Management Information Systems"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13690","display_name":"Quality and Safety in Healthcare","score":0.9886000156402588,"subfield":{"id":"https://openalex.org/subfields/3607","display_name":"Medical Laboratory Technology"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.9790999889373779,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/interdependence","display_name":"Interdependence","score":0.8522825241088867},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.6311758756637573},{"id":"https://openalex.org/keywords/six-sigma","display_name":"Six Sigma","score":0.5868211388587952},{"id":"https://openalex.org/keywords/healthcare-system","display_name":"Healthcare system","score":0.5832158923149109},{"id":"https://openalex.org/keywords/process-management","display_name":"Process management","score":0.5330167412757874},{"id":"https://openalex.org/keywords/quality-management","display_name":"Quality management","score":0.532542884349823},{"id":"https://openalex.org/keywords/key","display_name":"Key (lock)","score":0.5199402570724487},{"id":"https://openalex.org/keywords/performance-indicator","display_name":"Performance indicator","score":0.5102241039276123},{"id":"https://openalex.org/keywords/quality","display_name":"Quality (philosophy)","score":0.46665406227111816},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.4502585828304291},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.4142061173915863},{"id":"https://openalex.org/keywords/systems-thinking","display_name":"Systems thinking","score":0.4125056564807892},{"id":"https://openalex.org/keywords/risk-analysis","display_name":"Risk analysis (engineering)","score":0.38767901062965393},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.365113765001297},{"id":"https://openalex.org/keywords/lean-manufacturing","display_name":"Lean manufacturing","score":0.3427188992500305},{"id":"https://openalex.org/keywords/management-system","display_name":"Management system","score":0.3197421431541443},{"id":"https://openalex.org/keywords/operations-management","display_name":"Operations management","score":0.25849103927612305},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.170779287815094},{"id":"https://openalex.org/keywords/computer-security","display_name":"Computer security","score":0.14744511246681213},{"id":"https://openalex.org/keywords/marketing","display_name":"Marketing","score":0.12078818678855896}],"concepts":[{"id":"https://openalex.org/C185874996","wikidata":"https://www.wikidata.org/wiki/Q269699","display_name":"Interdependence","level":2,"score":0.8522825241088867},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6311758756637573},{"id":"https://openalex.org/C23119410","wikidata":"https://www.wikidata.org/wiki/Q236908","display_name":"Six Sigma","level":3,"score":0.5868211388587952},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.5832158923149109},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.5330167412757874},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.532542884349823},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.5199402570724487},{"id":"https://openalex.org/C135510737","wikidata":"https://www.wikidata.org/wiki/Q860554","display_name":"Performance indicator","level":2,"score":0.5102241039276123},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.46665406227111816},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4502585828304291},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.4142061173915863},{"id":"https://openalex.org/C27177047","wikidata":"https://www.wikidata.org/wiki/Q269699","display_name":"Systems thinking","level":2,"score":0.4125056564807892},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.38767901062965393},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.365113765001297},{"id":"https://openalex.org/C137335462","wikidata":"https://www.wikidata.org/wiki/Q380772","display_name":"Lean manufacturing","level":2,"score":0.3427188992500305},{"id":"https://openalex.org/C198783460","wikidata":"https://www.wikidata.org/wiki/Q629173","display_name":"Management system","level":2,"score":0.3197421431541443},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.25849103927612305},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.170779287815094},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.14744511246681213},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.12078818678855896},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1109/isse51541.2021.9582529","is_oa":false,"landing_page_url":"https://doi.org/10.1109/isse51541.2021.9582529","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2021 IEEE International Symposium on Systems Engineering (ISSE)","raw_type":"proceedings-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.4099999964237213,"display_name":"Good health and well-being"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":37,"referenced_works":["https://openalex.org/W1530679661","https://openalex.org/W1539078660","https://openalex.org/W1837306275","https://openalex.org/W1848926400","https://openalex.org/W2000678953","https://openalex.org/W2042137593","https://openalex.org/W2077142811","https://openalex.org/W2083289583","https://openalex.org/W2093008232","https://openalex.org/W2106032162","https://openalex.org/W2106925735","https://openalex.org/W2107399972","https://openalex.org/W2128957746","https://openalex.org/W2161611987","https://openalex.org/W2171605283","https://openalex.org/W2312284437","https://openalex.org/W2315742082","https://openalex.org/W2343171148","https://openalex.org/W2473308583","https://openalex.org/W2602684234","https://openalex.org/W2607515139","https://openalex.org/W2770508293","https://openalex.org/W2775761745","https://openalex.org/W2795497352","https://openalex.org/W2803388798","https://openalex.org/W2807029137","https://openalex.org/W2886449936","https://openalex.org/W2925217509","https://openalex.org/W2972936751","https://openalex.org/W2989195820","https://openalex.org/W3016131716","https://openalex.org/W3033459493","https://openalex.org/W3084667850","https://openalex.org/W3091994850","https://openalex.org/W3110023484","https://openalex.org/W4322700687","https://openalex.org/W6632191343"],"related_works":["https://openalex.org/W1968741569","https://openalex.org/W2023690677","https://openalex.org/W3191667998","https://openalex.org/W2151342140","https://openalex.org/W2155220414","https://openalex.org/W1589152994","https://openalex.org/W3213043965","https://openalex.org/W2072642285","https://openalex.org/W2492742776","https://openalex.org/W2306171293"],"abstract_inverted_index":{"Patients":[0],"suffer":[1],"disparities,":[2],"higher":[3],"mortality,":[4],"and":[5,36,58,60,80,90,118],"unmet":[6],"medical":[7],"need":[8,32],"due":[9],"to":[10,24,33,103,124],"communication":[11],"issues":[12],"with":[13],"doctors":[14],"in":[15,27,40,75,120,122],"cancer":[16,41],"care.":[17,42],"Medical":[18],"errors":[19],"are":[20,56,86],"also":[21],"driving":[22],"patients":[23],"lose":[25],"trust":[26],"their":[28],"healthcare":[29,71,121],"providers.":[30],"We":[31,95],"better":[34,114],"analyze":[35],"improve":[37],"patient":[38],"experience":[39],"This":[43],"paper":[44],"emphasizes":[45],"on":[46,67],"the":[47,61,64,97,125],"fact":[48],"that":[49],"all":[50,93],"components":[51],"of":[52,63],"a":[53],"complex":[54,79],"system":[55,65,72,108],"interrelated":[57],"interdependent":[59],"behavior":[62],"depends":[66],"these":[68],"interdependencies.":[69],"A":[70],"as":[73],"decorticated":[74],"this":[76],"article":[77],"is":[78],"new":[81],"initiatives":[82],"like":[83],"technology":[84],"adoption":[85],"not":[87],"easily":[88],"embedded":[89],"accepted":[91],"by":[92],"stakeholders.":[94],"use":[96],"Lean":[98],"Six":[99],"Sigma":[100],"approach":[101],"(L6S)":[102],"show":[104],"how":[105],"continuous":[106],"improvement":[107],"thinking":[109],"methods":[110],"can":[111],"help":[112],"achieve":[113],"quality,":[115],"value":[116],"chain":[117],"performance":[119],"addition":[123],"organizations\u2019":[126],"KPIs":[127],"(Key":[128],"Performance":[129],"Indicators)":[130],"used.":[131]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":1}],"updated_date":"2025-11-06T03:46:38.306776","created_date":"2025-10-10T00:00:00"}
