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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Different behaviors for different stages of a lean journey
April 9, 2018
Different behaviors for different stages of a lean journey

RESEARCH – Why do we struggle to identify the managerial behaviors that underpin different stages of a lean transformation? The author’s research looks into how we can be more situational in our leadership approach.

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Where to look for hope in dark times
March 14, 2022
Where to look for hope in dark times

FEATURE – When the clouds gather, it’s tempting to throw in the towel and ask, “What is it all for?”. The author tells us why the kaizen spirit should be our beacon now more than ever.

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Michael Ballé on the gemba cardinal sins hindering kaizen
May 5, 2016
Michael Ballé on the gemba cardinal sins hindering kaizen

FEATURE – What are the immediate signs that tell us that our workplace is not conducive to kaizen? The author draws on his experience as a coach at the gemba to highlight them. Look out for them in your own company!

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When a top exec becomes the lean manager
September 11, 2018
When a top exec becomes the lean manager

OPINION – What happens when a senior executive jumps the fence and finds himself having to drive the very same change he was asking others to create?

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