![How can we support lean systems?](https://cdn.prod.website-files.com/63e10f20140d9cbf73f9b946/6784d75c4fecfc4ffcb0d624_how-can-we-support-lean-systems.jpg)
![](https://cdn.prod.website-files.com/63e10e9fed21c8eec4e91804/642d1e366a4956e637e35234_360_F_251955356_FAQH0U1y1TZw3ZcdPGybwUkH90a3VAhb.jpg)
FEATURE – To boost the “adoptability” of Lean and sustain it over time, it’s necessary to develop institutions that support our improvement efforts without making processes more bureaucratic.
![A Surgery Department on a journey for over a decade](https://cdn.prod.website-files.com/63e10f20140d9cbf73f9b946/64ba6890c0aaba51fb7400f7_A-Surgery-Department-on-a-journey-for-over-a-decade.jpg)
![](https://cdn.prod.website-files.com/63e10e9fed21c8eec4e91804/642d1e366a4956e637e35234_360_F_251955356_FAQH0U1y1TZw3ZcdPGybwUkH90a3VAhb.jpg)
FEATURE - This surgery department was among the first areas in this hospital (maybe in the whole of Spain) to adopt Lean Thinking. Here's what their lean journey is focusing on more than 10 years after they started.
![What influences our ability to sustain change?](https://cdn.prod.website-files.com/63e10f20140d9cbf73f9b946/64903e1303db594661cb6bd1_Sustaining-lean-change-for-a-decade-1.jpeg)
![](https://cdn.prod.website-files.com/63e10e9fed21c8eec4e91804/642d1e366a4956e637e35234_360_F_251955356_FAQH0U1y1TZw3ZcdPGybwUkH90a3VAhb.jpg)
WOMACK’S YOKOTEN – The author visits a company that has sustained lean for a decade. In trying to understand how they did it, he finds how fundamentally the management system has changed.
![Jim Womack on what influences our ability to sustain change](https://cdn.prod.website-files.com/63e10f20140d9cbf73f9b946/64903e046c03f7056487f1ba_Jim-Womack-on-lean-endurance.jpeg)
![](https://cdn.prod.website-files.com/63e10e9fed21c8eec4e91804/642d1e366a4956e637e35234_360_F_251955356_FAQH0U1y1TZw3ZcdPGybwUkH90a3VAhb.jpg)
WOMACK’S YOKOTEN – The author visits a company that has sustained lean for a decade. In trying to understand how they did it, he finds how fundamentally the management system has changed.