
The experience of a value stream manager in a lean hospital
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

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FEATURE – Because each lean transformation is unique, we can't expect an off-the-shelf solution to work. The author discusses multi-dimensional transformations and how we can be flexible but also structured.


COLUMN - In the second article of our series, the director of an elementary school in Budapest tells us how using PDCA can help to improve education and provide students with the right skills.


FEATURE – Hospitals are often part of larger healthcare systems, which makes it critical to learn how to bring lean to such diverse and complex environments. We hear from a large hospital group in Ireland.


SERIES – The authors discuss the third of six elements in their process development model – Converge – using experiments to test key aspects of different ideas, while objectively working towards a single design concept slated for refinement and implementation.