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
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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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Thinking lean is like playing music: meet the lean fiddler
April 24, 2017
Thinking lean is like playing music: meet the lean fiddler

PROFILE – Persevering, letting people inspire you and committing to continuous learning. These are the things you need to do to successfully embrace lean thinking and, it turns out, learn to play the violin.

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Michelin: developing problem-solving leaders
September 8, 2026
Michelin: developing problem-solving leaders

INTERVIEW – This conversation with a former Michelin senior leader explores how redefining managers as problem-solving coaches helped the company develop autonomous teams and sustain continuous improvement.

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Avoid deterioration of results with solid daily management
April 12, 2017
Avoid deterioration of results with solid daily management
work of management Lancaster interview

INTERVIEW – Does your company feel like a sand castle? Do you struggle to sustain lean results? At the recent Lean Transformation Summit, the CEO of Lantech told us how the firm is using daily management to prevent “deterioration”.

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How to ensure quality issues are detected and tackled fast
May 18, 2018
How to ensure quality issues are detected and tackled fast

THE TOOLS CORNER – This month, the author discusses how we can ensure quality problems are identified early, tackled swiftly and prevented from reoccurring.

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