![Reflecting on our 15-year journey](https://cdn.prod.website-files.com/63e10f20140d9cbf73f9b946/64905cfbf49727b71f17e48e_IOV-and-its-15-year-lean-journey.png)
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FEATURE – PL readers will likely be familiar with IOV, the cancer clinic in Brazil that’s become a reference for lean healthcare for countless organizations. Here, Dr Fred looks back at IOV’s 15-year journey.
![Lean learning happens across sectors too](https://cdn.prod.website-files.com/63e10f20140d9cbf73f9b946/6490548682d96885ab279688_Cross-pollination-lean-healthcare-manufacturing.png)
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FEATURE – The power of cross-pollination: learning from a manufacturing company has helped a cancer treatment center in Brazil to thrive in its lean transformation.
![The experience of a value stream manager in a lean hospital](https://cdn.prod.website-files.com/63e10f20140d9cbf73f9b946/64903d9ee0b6bd35b1f565e8_A-value-stream-manager-shares-her-experience.jpeg)
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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.
![A CEO shows us the Obeya room in his hospital](https://cdn.prod.website-files.com/63e10f20140d9cbf73f9b946/64918723e1752e4549da0ada_Dr-Fred-shows-us-the-Green-Room-at-IOV.jpeg)
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VIDEO - The CEO of a cancer center in Brazil gives us a tour of the their obeya room, taking us through their strategy deployment and explaining how it supports their mission of reducing the burden of cancer.
![Lean leadership means advocating problem solving at gemba](https://cdn.prod.website-files.com/63e10f20140d9cbf73f9b946/6489c7184e79b4751fa0e101_Lean-management-cancer-treatment-center-CEO-Carlos-Pinto-uses-standard-work-every-day-and-helps-people-solve-problems-at-the-front-line.jpeg)
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PROFILE – It isn’t every day that you come across a hospital CEO coaching people on A3s and following his own standard work. So when you do, it’s important to share their story. This month we profile the CEO of a Brazilian cancer treatment center.
![When lean management matters most: improving cancer care](https://cdn.prod.website-files.com/63e10f20140d9cbf73f9b946/64902c69163c4990b02ea938_Improving-breast-cancer-care-using-a-dedicated-care-path-in-a-hospital-in-Brazil.jpeg)
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FEATURE ARTICLE – By adopting lean thinking and establishing a dedicated care pathway, a Brazilian hospital has been able to drastically reduce the time breast cancer patients have to wait to undergo surgery or start treatment.
![How to spread lean principles without hindering results](https://cdn.prod.website-files.com/63e10f20140d9cbf73f9b946/6490512982a3600069ad4c37_hospitalcorridor.jpeg)
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CASE STUDY - What does having a new “true north” mean? Following the merger with a large group, cancer center IOV is looking to seamlessly spread its lean management system to new operations and facilities.