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 power of suggestions
January 13, 2022
The power of suggestions

FEATURE – At Toyota, led by senior executives, suggestion schemes have contributed to decades of improvement. This article explores why they are so effective and encourages you to try one out for yourself.

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Living and breathing the original lean mission
November 29, 2018
Living and breathing the original lean mission

GETTING TO KNOW US – It’s easy to over-complicate lean thinking. This month’s Lean Global Network interviewee tells us why we should always start with the work and the people doing it.

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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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A Norwegian lean epic
July 18, 2019
A Norwegian lean epic

CASE STUDY – Thousands of kaizens, a relentless focus on learning and the determination to continuously improve have made of this Norwegian company something of a lean fairytale.

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