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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The role of “System 3” thinking
November 16, 2020
The role of “System 3” thinking

FEATURE – This compelling article explores how our brain constantly looks for emotional resonance with the environment around us. Is this System-3 type thinking the key to enabling joint problem solving?

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Why you should consider your suppliers as partners
January 29, 2025
Why you should consider your suppliers as partners

FEATURE – Collaboration with suppliers, rather than a merely transactional relationship, has to power to transform a company’s operations, fostering innovation and building resilience.

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Down the right track
April 16, 2019
Down the right track

NOTES FROM THE GEMBA – The author goes back to a train maintenance center she visited two years ago and finds an organization striving to learn continuously.

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Five lean practitioners answer the same question #4
August 23, 2016
Five lean practitioners answer the same question #4

1 QUESTION, 5 ANSWERS – Without the active participation of people in improvement activities, lean is nothing but theory. Sadly, engaging folks is easier said than done. We asked five lean practitioners to share their approach to people engagement.

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