Overview of improvement identification method
| Step | Activity; tools | Description | Main purpose | No. Participants |
|---|---|---|---|---|
| 1 | Identify themes; Affinity diagram, Interrelationship diagram | Researchers, together with a group of practitioners, identified four themes. Broad problem areas were identified through a workshop to scope the issues of the sick leave insurance system | Probe the problem | 11 |
| 2 | Collect data; Brainstorming | Data were collected through a conference with practitioners who worked with the system daily. The data were in the form of 717 sticky notes | Generate data | 220 |
| 3 | Analyse data; JMP Pro® | The gathered data from the conference, which were in form of sticky notes, were transcribed, analyzed, and grouped into 10 groups using latent semantic analysis and topic analysis in the Text Mining platform in JMP Pro® to conceptualize structural meta-themes | Concentrate and distil data | 2 |
| 4 | Clarify improvement areas and root causes; Affinity diagram | Clarifying issues and root cause was done in a group consisting of practitioners that represented different hierarchical actors in the system plus the researchers. The groupings were discussed, elaborated, and titled with a why/what/how-label representing the deeper meaning of the cluster | Make sense and find root causes of problems and data | 8 + 2 |
| 5 | Clarify interrelationships; Interrelationship diagram | The practitioner team identified the cause-and-effect relationships between the clusters | Deepen understanding and interrelationships. Find potential cause-and-effect | 8 + 2 |
| 6 | Generate potential benefits; Brain-writing, Brainstorming | The practitioner team generated potential benefits tied to resolving each issue | Increase understanding of potential effects | 8 + 2 |
| 7 | Verify results; Survey | The results were validated and confirmed by gathering feedback from the smaller practitioner team in the previous step, but also to the participants of the conference through a survey, presenting the results from Steps 1–5 | Verification | 8 + 220 (48) |
| 8 | Grade benefits; Survey | In a second part of the survey, the participants were asked to grade the most important benefits, generated in step 6, followed by a motivation concerning why it was important | Support prioritization | 220 (48) |
| 9 | Create improvement suggestions; Survey | The last step aimed to identify what could be done to realize the benefits. This was done through an open question to conference participants in the survey | Find tacit ways for how to start to improve | 220 (48) |
| Step | Activity; tools | Description | Main purpose | No. Participants |
|---|---|---|---|---|
| 1 | Identify themes; Affinity diagram, Interrelationship diagram | Researchers, together with a group of practitioners, identified four themes. Broad problem areas were identified through a workshop to scope the issues of the sick leave insurance system | Probe the problem | 11 |
| 2 | Collect data; Brainstorming | Data were collected through a conference with practitioners who worked with the system daily. The data were in the form of 717 sticky notes | Generate data | 220 |
| 3 | Analyse data; JMP Pro® | The gathered data from the conference, which were in form of sticky notes, were transcribed, analyzed, and grouped into 10 groups using latent semantic analysis and topic analysis in the Text Mining platform in JMP Pro® to conceptualize structural meta-themes | Concentrate and distil data | 2 |
| 4 | Clarify improvement areas and root causes; Affinity diagram | Clarifying issues and root cause was done in a group consisting of practitioners that represented different hierarchical actors in the system plus the researchers. The groupings were discussed, elaborated, and titled with a why/what/how-label representing the deeper meaning of the cluster | Make sense and find root causes of problems and data | 8 + 2 |
| 5 | Clarify interrelationships; Interrelationship diagram | The practitioner team identified the cause-and-effect relationships between the clusters | Deepen understanding and interrelationships. Find potential cause-and-effect | 8 + 2 |
| 6 | Generate potential benefits; Brain-writing, Brainstorming | The practitioner team generated potential benefits tied to resolving each issue | Increase understanding of potential effects | 8 + 2 |
| 7 | Verify results; Survey | The results were validated and confirmed by gathering feedback from the smaller practitioner team in the previous step, but also to the participants of the conference through a survey, presenting the results from Steps 1–5 | Verification | 8 + 220 (48) |
| 8 | Grade benefits; Survey | In a second part of the survey, the participants were asked to grade the most important benefits, generated in step 6, followed by a motivation concerning why it was important | Support prioritization | 220 (48) |
| 9 | Create improvement suggestions; Survey | The last step aimed to identify what could be done to realize the benefits. This was done through an open question to conference participants in the survey | Find tacit ways for how to start to improve | 220 (48) |
Note(s): The number of participants that responded to the survey was 48 out of a total of 220
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