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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Telefonica: applying lean startup principles in a large firm
December 10, 2015
Telefonica: applying lean startup principles in a large firm

INTERVIEW – Planet Lean speaks with telecommunications company Telefónica about the organization's attempt to apply lean startup principles in its R&D department.

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The attitude of Lean
July 28, 2026
The attitude of Lean

THE LONG READ – The author argues that Lean succeeds not because of its tools, but because of the attitudes that give meaning to customer focus, quality, flow, and kaizen.

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How to turn HR into a catalyst for lean thinking
August 15, 2017
How to turn HR into a catalyst for lean thinking

FEATURE – In most organizations on a lean journey, the people management function is not very involved. So, how should HR change, if it is to effectively support a lean transformation?

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When a book on lean thinking shapes management behaviors
March 6, 2017
When a book on lean thinking shapes management behaviors

FEATURE – When they realized their lean efforts had overlooked the crucial aspect of management behavior, AkzoNobel senior leaders turned to a great lean book for help with leadership development.

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