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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Five lean practitioners answer the same question #5
September 28, 2016
Five lean practitioners answer the same question #5

ONE QUESTION, FIVE ANSWERS – With this month’s question we try to understand what lean idea or principle our interviewees would have liked to learn sooner or better in their journey. So, heads up… You might be in a similar situation.

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Isao Yoshino reflects on the role of management at Toyota
January 15, 2018
Isao Yoshino reflects on the role of management at Toyota

INTERVIEW – In this Q&A with Catherine Chabiron, Toyota veteran Isao Yoshino discusses NUMMI, management at the company, and how to change the mindsets of leaders.

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Down the right track
April 16, 2019
Down the right track

NOTES FROM THE GEMBA – The author goes back to a train maintenance center she visited two years ago and finds an organization striving to learn continuously.

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"A story of personal awakening"
September 4, 2014
"A story of personal awakening"

BOOK REVIEW - In the first of a series of Q&As on the recently published novel Lead With Respect by Freddy and Michael Ballé, Dan Jones explains why this book is a must-read.

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