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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Testing the effectiveness of distance learning in Russia
September 20, 2017
Testing the effectiveness of distance learning in Russia

FEATURE – When done well, distance learning can be as effective as direct participation in a summit. The author reflect on a recent experiment and wonders whether distance makes the heart grow… leaner.

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Think in terms of value networks, not supply chains
April 12, 2021
Think in terms of value networks, not supply chains

FEATURE – This article explores the concept of “value network”, emphasizing the importance of looking at lead-times and value creation in a more holistic way.

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Detecting improvement opportunities
February 19, 2019
Detecting improvement opportunities

NOTES FROM THE GEMBA – A culture in which problems are tackled as soon as they appear and the production and product development teams work closely together is helping this French healthcare technology company to thrive.

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Michael Ballé introduces his new book Lead with Lean
February 27, 2017
Michael Ballé introduces his new book Lead with Lean
Michael Balle on Lead with Lean

VIDEO - The author of Lean with Lean explains why he published a collection of papers rather than a business novel - his signature writing style - or a manual. Experience lean through the eyes of one of its greatest students... one a-ha moment at a time.

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