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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Why understanding standard work is critical to lean success
June 8, 2015
Why understanding standard work is critical to lean success

ARTICLE – Standardization is often ignored and misunderstood, but is as critical to a lean transformation as continuous improvement. This piece by our Polish team explains why standard work is not to be neglected.

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Josh Howell of LEI reports on his visit to Tel Aviv
January 28, 2015
Josh Howell of LEI reports on his visit to Tel Aviv

OPINION – Lean Global Network institutes regularly collaborate on education. Josh Howell of Lean Enterprise Institute recently visited our Israeli affiliate to deliver a couple of workshops.

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Leading with clarity: how Garudafood simplifies complexity with Lean
November 7, 2025
Leading with clarity: how Garudafood simplifies complexity with Lean

INTERVIEW — Ahead of next week’s Lean Global Connection, one of our speakers talks about how the comprehensive lean transformation of Indonesian food company Garudafood.

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The “mangineer” and people development
September 24, 2020
The “mangineer” and people development

FEATURE – Sometimes you just need to get creative: as part of its flexible manufacturing model, Esquel introduced a new role on its shop floor – the “mangineer”.

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