Planet Lean: The Official online magazine of the Lean Global Network
The experience of a value stream manager in a lean hospital

The experience of a value stream manager in a lean hospital

Leonidia Maria Altoé
December 15, 2017

INTERVIEW - What happens in an organization after a move from silos to value streams? In this video, a Value Stream Manager from a Brazilian cancer treatment center shares her experience.


Interviewee: Leonidia Maria Altoé, Value Stream Manager, Instituto de Oncologia do Vale - Brazil


Too many organizations still have a vertical structure based on silos and functions. Lean thinking calls for a dramatic change in the way the work takes place, based on value streams. At IOV, a cancer treatment center located in São José dos Campos, that's exactly what we did.

In the below interview, I explain what the change meant to me and my colleagues, how it made our jobs easier and how it dramatically improved outcomes for patients.


THE INTERVIEWEE

Leonidia Maria Altoe photograph
Leonidia Maria Altoé is a Value Stream Manager at IOV, in Brazil

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Kaizen or kaikaku, wonders Jim Womack in his latest column
March 29, 2016
Kaizen or kaikaku, wonders Jim Womack in his latest column

WOMACK'S YOKOTEN - Kaizen or kaikaku? This is the problem. When it comes to the pace of change, should we carry on with small, incremental improvements or aim at more revolutionary changes instead?

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Practice makes perfect
November 28, 2019
Practice makes perfect

FEATURE – Much like lean management, attaining perfection in music requires constant practice. The author looks back at his musical past and at a recent Lean Global Network samba gig.

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The lean journey of Antwerp University Hospital
May 3, 2016
The lean journey of Antwerp University Hospital

CASE STUDY – How an improvement program of the British national healthcare system inspired a Belgian hospital to launch an organization-wide lean transformation with the active support of the HR and nursing departments.

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When the boss joins people on the production line
August 1, 2017
When the boss joins people on the production line

FEATURE – At Nijhuis Mitech, management is so involved that the owner can often be seen at the gemba running experiments with people. The transformation that ensued is helping the firm become more efficient and stay competitive.

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