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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Can lean help with a brutal drop in sales?
November 30, 2020
Can lean help with a brutal drop in sales?

FEATURE – With lockdowns enforced in many countries as Covid-19 continues to ravage the world, the authors discuss how Lean Thinking can help when the order book dries up.

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The deep secret of lean transformation: the People Review
January 26, 2024
The deep secret of lean transformation: the People Review

FEATURE – To develop a lean culture means to develop each lean thinker and help them reach their full potential. Here’s how Aramis Group does it.

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Turning the flow around
March 26, 2026
Turning the flow around

NOTES FROM THE GEMBA – By renewing its focus on value and turning the gemba into a place for learning, Veolia Eau France is improving safety, efficiency, and customer satisfaction. (Part 1 of 2)

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The school undergoing a lean and digital transformation
June 29, 2018
The school undergoing a lean and digital transformation

CASE STUDY – An elementary school in Budapest is trying to bring innovation to the education by harnessing the power of lean thinking combined with a solid digital strategy.

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