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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A few lean government lessons from South Africa
June 2, 2016
A few lean government lessons from South Africa

FEATURE – By looking at the state of lean management in the South African government sector, the author shares a number of important lessons that apply to public service organizations all around the world.

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Creating a model primary care unit
April 7, 2022
Creating a model primary care unit

CASE STUDY – This primary care unit in Brazil is hoping to become a model for other units in their system. Take note, this is how Lean Thinking can spread across healthcare systems.

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The depth of Lean Thinking
August 14, 2018
The depth of Lean Thinking

FEATURE – To really embrace lean thinking means to ensure the bureaucratic structures in our organizations enable our people to excel, rather than constrain their creativity.

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Are your metrics helping to improve your performance?
September 17, 2025
Are your metrics helping to improve your performance?

FEATURE - Managers often confuse doing work with managing work. Effective management requires focused metrics—service performance, customer demand, and system constraints—rather than overwhelming, lagging control data.

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