Five-Hospital Cohort

Healthcare professionalsDue to the success of the first three years of the Lean Healthcare Transformation Initiative, the Indiana State Office of Rural Health (INSORH) asked Purdue Healthcare Advisors to start a new cohort for five Indiana Critical Access Hospitals, Rural Hospitals or Rural Health Clinics. The following organizations will participate:

  • Logansport Memorial Hospital
  • Dekalb Health
  • Perry County Memorial Hospital
  • Meridian Health Services
  • Southwestern Behavioral Health

The two-year, Five-Hospital Cohort began in November of 2018. 


What’s the benefit to you?

  • You’ll build sustainable process improvement and change-making capabilities in your organization.
  • You’ll advance key initiatives to improve care delivery and health outcomes within your community.
  • Your team will develop adaptive leadership skills to drive an enterprise-lean transformational effort.
  • You will advance the health of your rural community by networking with key community partners in a small care, neighborhood framework.
  • The outcomes of your work will support the transition to value-based models of health care payments.

What you’ll get from PHA ― PHA will provide experts to guide a lean transformation with the goal of transitioning the leadership of this effort to your team. We will train and guide participating organizations within your community to align efforts to establish a small care neighborhood network model to advance your effectiveness to solve rural community health needs. We’ll provide training and certification in Lean Daily Improvement (LDI) for small-step change that runs continuously at the point of service, and Rapid Improvement Events (RIEs) for more complex change efforts. We’ll provide on-site and remote coaching with just-in-time support as well as access to PHA Direct, an online learning management system for training and certification support. You’ll also be invited to participate in our statewide collaborative annual meeting.

What you’ll bring to the initiative ― You’ll bring the commitment of executive leadership to a long-range effort to build lean process improvement and innovate care delivery across the members of your rural health community (small care neighborhood); active and timely delivery of key training and deliverables of the grant; metrics to demonstrate and measure impact of grant investment on care delivery; and provide protected time to participate in training and delivery of the improvement effort.

Download the flyer


Curriculum Year 1

  • Introduction to Lean Process Improvement and Develop an Appreciative Question to Drive Lean Strategy
  • Lean Strategy Event to Drive Lean Deployment through Strategic Doing – 7 seats
  • Lean Daily Improvement Training for Leaders – 8 seats each site delivered at three regional sites
  • Onsite coaching day in the spring with remote coaching support by PHA lean experts

Curriculum Year 2 (pending funding for Year 2)

  • Lean Leader Training and Lean Office Certification opportunity
  • Lean Practitioner Training & Certification on Rapid Improvement Events – regional sites
  • Onsite coaching

Important Dates for Year 1

  • Oct. 1: Announcement and Call for Applications
    Oct. 10 & 17: Informational Webex on Opportunity
    Nov. 2: Submission deadline
    Nov. 16 : Award announcements
    Nov. 26-Dec. 14 : On-Site Lean Overview and Prep for Strategy Event with Key Leaders
    Jan. 14-31: Lean Strategy Event
    March, April & May: LDI Training for Leaders in three cohorts
    August: Annual Collaborative Meeting


Melanie Cline
Melanie Cline
Senior Advisor-Lean Healthcare


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*Funding for this project was made possible by Flex funding, HRSA Grant # H54RH00042, from the Department of Health and Human Services Health Resources and Services Administration (HRSA) to the Indiana State Office of Rural Health.

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