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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You say garbage, I say opportunity
May 19, 2023
You say garbage, I say opportunity

WEB SERIES – Season 2 is here! In the first episode of this season, we visit a company in Chile that shows us how sustainability can be the cornerstone of an improvement project... and not just an afterthought.

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Understanding the context of your process
March 17, 2022
Understanding the context of your process

SERIES – The authors discuss the first of six elements in their process development model – Context – highlighting the importance of gaining clarity on the objectives of the process being created.

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What happens in our people's minds as lean takes root
May 1, 2014
What happens in our people's minds as lean takes root

COLUMN - What does lean do for people in your organization? This column explores how their way of thinking changes as a culture of continuous improvement and problem solving takes root.

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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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