A framework for sustainability evaluation and improvement of radiology service

Assessing and improving the performance of hospital services is a challenge for managers, knowing their role for population health. The implementation of a model that considers the environmental, social, economic and sustainability aspects have an important role for operational excellence of organizations. This study introduces an innovative method of integrating the use of the lean approach by incorporating the principles of sustainability. This proposed solution contains five main phases: starting with the preparation of the project, the assessment of the maturity of excellence and measurement of sustainability, then the analysis of sustainability, economic and environmental improvement and finally the sustainability control. The results of the analysis show that medical prescription error, working conditions and planning problems are the weaknesses of the studied service. Based on the literature, this study is the first assessing and proposing sustainability improvement for the radiology service. This framework allows to take decisions systematically, assess the excellence of their company, analysing the sustainability indicators and implement improvement measures based on the company's current situation.