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

Read more

DIY lean transformation at Barcelona's Hospital Clinic
September 24, 2015
DIY lean transformation at Barcelona's Hospital Clinic

FEATURE – You don’t always need a lot of external help to initiate a lean transformation: the experience of the Emergency Department of the Hospital Clínic of Barcelona shows it can be done with very little support from the outside.

Continue reading
8 key lessons from Toyota
May 10, 2022
8 key lessons from Toyota

ROUND-UP – Our editor looks back at the most insightful articles Planet Lean has published on the most talked-about company in the lean world. Here are eight key lessons from Toyota, straight from our archives.

Continue reading
Learning together: LGN visits Coloplast Hungary
October 14, 2025
Learning together: LGN visits Coloplast Hungary

FEATURE – During a visit last month, members of the Lean Global Network were able to witness Coloplast Hungary’s remarkable Lean progress—cutting lead-times, boosting flow, and strengthening a culture of continuous improvement.

Continue reading
Jim Womack on the importance of spreading the lean word
December 21, 2017
Jim Womack on the importance of spreading the lean word

WOMACK’S YOKOTEN – Ahead of the holidays, for his last column of the year, the author reminds us of the power of sharing. Go out and spread the lean word!

Continue reading

Read more

No items found.