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 young firm fulfilling the potential of lean in digital
November 3, 2017
The young firm fulfilling the potential of lean in digital

INTERVIEW – Software development company Theodo is a unique example of a digital company that has fully embraced lean and understood its potential. We caught up with their young CEO and CTO.

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Tom and Mary Poppendieck on what makes a business successful
January 22, 2015
Tom and Mary Poppendieck on what makes a business successful

INTERVIEW – Tom and Mary Poppendieck sit down with Roberto Priolo and discuss what makes product organizations successful today and where lean software development is headed.

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Hoshin kanri in a picture
March 9, 2020
Hoshin kanri in a picture

FEATURE – Hoshin is a powerful management practice that aligns the work at different levels to a company’s strategic goals. The author offers a one-page visual summary.

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Resilience through Lean at Alliance MIM
August 13, 2025
Resilience through Lean at Alliance MIM

NOTES FROM THE GEMBA - Alliance MIM navigates market crises leveraging Lean Thinking, emphasizing flow, maintenance, deep process knowledge, and visible learning to stay competitive in a complex, high-precision manufacturing environment.

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