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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National cultures don't matter when lean is in the picture
October 30, 2014
National cultures don't matter when lean is in the picture

ARTICLE - Are some national cultures better suited to implement lean thinking? This article, based on research on 45 Volvo factories, reflects on the role of local cultures in the rollout of a corporate lean program.

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Survive big company disease with lean and customer value
November 25, 2014
Survive big company disease with lean and customer value
workaday leadership balle

ARTICLE - To operate successfully we need systems, but as we grow these often give us "big company disease." The solution is bringing leadership at work level to really guarantee customer satisfaction.

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If you learn, there is no failure
December 22, 2023
If you learn, there is no failure

FEATURE – In this article, you’ll understand how potential errors can become an endless source of personal and managerial growth.

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Kgotla, a foundation for lean thinking
January 3, 2019
Kgotla, a foundation for lean thinking

FEATURE – Is it possible to build our lean transformation efforts on pre-existing cultural aspects we find in our societies? According to the author, it is… and it works really well.

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