Melanie Cline
Melanie Cline
Assistant Director, Lean Services



Organizations participating in Cohort 1 with Lean Offices certified in 2019 are encouraged to register for the Certified Lean Offices Sustainment Program. Organizations participating in Cohort 2 need to register for Year 2.

Learn more about the impact of this program by viewing the following:

Webinar: Effective Implementation of Lean Methodologies in Rural Healthcare (PHA webinar presentation for the National Rural Health Association)

Webinar: Lean Healthcare Transformation Initiative: A Case Study on Two Critical Access Hospitals (PHA webinar presentation for the National Rural Health Association)


Sign up for PHA eNews to receive twice-monthly emails on news and training opportunities. Some conferences and webinars are listed here.

Lean Healthcare Transformation Initiative


Enrollment Status: Full/closed

About the Program

Indiana State SealThe Lean Healthcare Transformation Initiative (LHTI) got underway in 2015 when Purdue Healthcare Advisors (PHA) recruited 15 Indiana Critical Access Hospitals and Rural Hospitals and began to work with them to identify areas of “waste” or inefficiencies, and to eliminate anything that did not add value for patients. The intent of the grant work was to develop lean thinking within the organizations by applying PHA's Lean First methodology. Program Year 1 provided a foundation for improvement management and introduced improvement events; Program Year 2 utilized value stream analysis and strategic planning for a systematic approach to improvement; and Program Year 3 introduced the tools of Lean Leadership and Lean Daily Improvement (LDI).

Extending the Grant to a Fourth Year

Indiana State Office of Rural Health (INSORH) Program extended LHTI grant funding to a fourth year to help several of the Cohort 1 participants stand up their own Certified Lean Office. To be certified as a Lean Office at the basic level, the organization has demonstrated competency of team members to execute in Lean Daily Improvement, a method for making daily improvements while you work, and Rapid Improvement Events, a tool requiring a team to assemble for several days to solve more complex challenges. Certification at the advanced level denotes demonstrated competency at all levels of the Lean First methodology including the capability to deliver and execute the most complex tool a Value Stream Analysis which produces a 12-to-18-month plan to re-engineer a process from start to finish. 

Five organizations demonstrated competencies in facilitating and sustaining process improvement for increased efficiency and improved patient care, and were certified lean by PHA (see photos below). The awardees have the opportunity to receive additional Lean First training and certification in 2019-2020 based on funding availability.

Forming a Second Cohort

A second LHTI cohort of five organizations was formed in 2018 with the aim of making operational their own internal lean offices. Eligibility to participate in this cohort was opened up to behavioral health organizations. Cohort 2 is working on Program Year 2 in 2019-2020.

Harrison County Hospital

Harrison County Hospital in Corydon, Ind., awarded Lean Office-Advanced Level certification.

Cameron Memorial Community Hospital

Cameron Memorial Community Hospital in Angola, Ind., were awarded Lean Office-Advanced Level certification.

Franciscan Health Rensselaer

Franciscan Health Rensselaer in Rensselaer, Ind., awarded Lean Office-Advanced Level certification.

Putnam County Hospital

Putnam County Hospital in Greencastle, Ind., awarded Lean Office-Basic Level certification.

Rush Memorial Hospital

Rush Memorial Hospital in Rushville, Ind., awarded Lean Office-Basic Level certification.

Awards were announced at the initiative’s annual conference in August 2019.

Funding: LHTI is funded by the Indiana State Office of Rural Health (INSORH) Program through the Medicare Rural Hospital Flex Grant Program.


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