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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Spaghetti charts and physical distancing
April 20, 2020
Spaghetti charts and physical distancing

FEATURE – A simple lean tool can help us create safer flows in our businesses, a critical challenge as we plan our return to work with new physical distancing measures in place.

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A chat with Nomura-san
July 22, 2021
A chat with Nomura-san

INTERVIEW – Following his 10 years at Toyota Industries Corporation (TICO) teaching his Dantotsu method for radical quality improvement, Sadao Nomura spoke to Japanese magazine Kojo Kanri (Factory Management).

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Managing a chain of 100 cafes in Barcelona with lean
January 23, 2018
Managing a chain of 100 cafes in Barcelona with lean

THE LEAN BAKERY - For the past decade, lean has fuelled the growth of a chain of cafes/bakeries in Barcelona. With 100 now open, the Retail Manager explains how lean helps them manage a booming business.

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The post-Toyota future of the lean community in Australia
May 16, 2018
The post-Toyota future of the lean community in Australia

INTERVIEW – With the closure of Toyota’s operations in Altona, the land Down Under is left without its lean poster child. Alister Lee tells us who the community there should look to next.

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