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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Turkish institute learning lean agriculture in Israel
February 11, 2015
Turkish institute learning lean agriculture in Israel

NEWS - Our institutes in Turkey and Israel have collaborated closely for years. A few weeks ago, the President of Lean Institute Turkey flew to Tel Aviv to learn about Israeli agriculture.

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Lean in Africa: what we’re learning on the ground
April 30, 2026
Lean in Africa: what we’re learning on the ground

FEATURE – Drawing on Lean Institute Africa’s experience, the author shows why practical Lean, rooted in standards, PDCA, and people development, is necessary in the continent’s complex environment.

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How to be multi-dimensional in your lean transformation
September 28, 2017
How to be multi-dimensional in your lean transformation

FEATURE – Because each lean transformation is unique, we can't expect an off-the-shelf solution to work. The author discusses multi-dimensional transformations and how we can be flexible but also structured.

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Being a learner-in-chief: a lean healthcare leader profiled
May 22, 2017
Being a learner-in-chief: a lean healthcare leader profiled

PROFILE – Another month, another inspiring profile of a lean practitioner. We were impressed by Dr Billi’s deep conviction in the idea that, first of all, leaders must be learners. You will be too.

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