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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LPPD: Machan’s path to sustainable success
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LPPD: Machan’s path to sustainable success

FEATURE – Taiwan-based Machan International Co. manufactures sheet metal products, tool storage and medical trolleys, and smart energy storage cabinets. Last year, they turned to lean to improve their product development process.

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The application of lean IT at Toyota Motor Europe
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The application of lean IT at Toyota Motor Europe

VIDEO INTERVIEW - We spoke with Toyota Motor Europe's CIO at the Lean IT Summit about hoshin and IT, the application of the agile methodology, and the power of coaching.

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The staff-driven transformation of a children's hospital
March 22, 2016
The staff-driven transformation of a children's hospital

FEATURE - What if it were your staff driving change rather than managers? A focus on improvement at the front line and on people development proved critical to the lean transformation of a Stanford hospital.

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Why are rewards tied to individual performance so dangerous?
July 28, 2015
Why are rewards tied to individual performance so dangerous?

WOMACK’S YOKOTEN - When managed poorly and tied to the wrong performance metrics, financial rewards can seriously damage your organization, Jim Womack warns in his latest column.

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