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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Lean logistics at Thales LAS
November 23, 2020
Lean logistics at Thales LAS

NOTES FROM THE GEMBA – Thanks to the effective application of Just-in-time and Jidoka, Thales LAS has managed to turn around its logistics department. Catherine Chabiron reports.

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Local experience for a global endeavor
June 28, 2022
Local experience for a global endeavor

FEATURE – A former ops manager now tasked for improvement across IKEA looks back at what she learned in one of the company’s stores and explains how she hopes to take lean to the whole group.

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The first steps of a Paris hospital towards lean healthcare
January 13, 2017
The first steps of a Paris hospital towards lean healthcare

NOTES FROM THE GEMBA – On this gemba walk in the cardiology department of a Parisian hospital, the author discovers how the team is changing its internal dynamics and processes to make lean their way of thinking.

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Lean IT at Nationwide: developing 9,000 people
May 23, 2016
Lean IT at Nationwide: developing 9,000 people

INTERVIEW – At the recent Lean Transformation Summit in Las Vegas, our editor sat down with Nationwide to hear more about the mutual company’s application of lean thinking to IT and how they are working towards getting 9,000 people onboard.

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