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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What is hoshin kanri?
December 19, 2019
What is hoshin kanri?

ROUNDUP – In the last roundup on lean tools and concepts of the year, our editor collects and curates the best articles on strategy deployment (hoshin kanri).

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Managing digital product teams to outcomes instead of output
June 13, 2017
Managing digital product teams to outcomes instead of output

FEATURE – A traditional output-based mindset is not appropriate in the digital world. In this piece, the author explains why digital product teams should be managed to outcomes, instead.

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Centerlining: what it is and how it works
January 16, 2020
Centerlining: what it is and how it works

FEATURE – In this compelling read, the author explains how “centerlining” tools and settings can reduce variation in a process and avoid having to constantly seek adjustments à la McGyver.

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A gemba story to study lean thinking in construction
April 27, 2016
A gemba story to study lean thinking in construction

FEATURE – Drawing from his direct experience at the gemba, the author shares what he learned about applying lean thinking to his family’s construction company, and a few useful tips.

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