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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Monozukuri, Hitozukuri, Kotozukuri
January 8, 2019
Monozukuri, Hitozukuri, Kotozukuri

RESEARCH – The authors present a new perspective on value creation. In addition to monozukuri (making things) and hitozukuri (making people), they discuss the idea of kotozukuri, making things happen.

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Start your change project with a concept paper
July 3, 2018
Start your change project with a concept paper

FEATURE – This article offers an exhaustive explanation of how to prepare a Concept Paper and why this is a tool that will help us to succeed in the execution of large change projects.

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Flying high: Lean Thinking at avianca
February 1, 2024
Flying high: Lean Thinking at avianca

INTERVIEW – We speak with avianca’s VP of Maintenance and Engineering to learn about the efforts the airline is making to fulfil its promise to passengers.

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A3 problem solving to develop Ohio’s school leaders
September 16, 2016
A3 problem solving to develop Ohio’s school leaders

INTERVIEW – A program that aims to help disadvantaged school districts in Ohio used A3 thinking to teach principals how to scientifically solve problems together with their teachers. We met a principal and one of her teachers.

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