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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Walking the gemba at a Toyota parts supplier in Japan
December 7, 2017
Walking the gemba at a Toyota parts supplier in Japan
Mifune supply chain management Toyota

NOTES FROM THE GEMBA – This month, the author shares her account of a recent gemba walk at a Tier 2 Toyota supplier, which has achieved impressive results by applying TPS.

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Five lean practitioners answer the same question #2
June 24, 2016
Five lean practitioners answer the same question #2

1 QUESTION, 5 ANSWERS – Because each of us has a different learning path, “a-ha moments” come to us in a variety of shapes. We asked five practitioners when their lean epiphanies happened.

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Lean around the clock
November 25, 2021
Lean around the clock

FEATURE – With one of the biggest lean events of the year just four days away, John Shook tells you why you should participate and what you can expect.

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Leading large-scale lean change
August 1, 2019
Leading large-scale lean change

INTERVIEW – Rose Keanly discusses the role of lean in a strategic business transformation in the financial services sector and the dos and don’ts of bringing lean to a large organization.

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