Year 3 Flyer (printable pdf)


*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.

Year 3: Operational Excellence

Click to register


Year 3 of the Lean Healthcare Transformation Initiative, which runs from September of 2017 to August of 2018, focuses on Operational Excellence. Learn about the program's lean goals and strategies for the year, and register your participants. The deadline to register is October 1, 2017.



  1. Improve Value Stream Management (VSM) — Increase Value Stream Management from 58% to 90% of participating hospitals by training and coaching to guide skill development at the enterprise and the value stream level building the infrastructure and competency necessary to drive and sustain operational improvement.
  2. Change Management Competency — Assure that participating hospitals build competency to initiate and sustain change management efforts at the enterprise level.
  3. Assure a Full Complement of Lean Expertise — Assure that participating hospitals have a full complement of developing lean expertise to execute an enterprise lean plan, and to drive and sustain value stream improvement.



Participating hospitals are divided into three regional teams consisting of key executive leaders; advanced lean candidates; key senior or frontline leaders; and emerging leaders. 

Fayette Regional Health System
Greene County General Hospital
Harrison County Hospital
Rush Memorial Hospital
St. Vincent Salem Hospital

Decatur County Memorial Hospital
St. Vincent Jennings Hospital
Putnam County Hospital
St. Vincent Randolph Hospital
St. Vincent Mercy Hospital

Woodlawn Hospital
Franciscan Health Rensselaer
Pulaski Memorial Hospital
Cameron Memorial Community Hospital



Lean Leadership Training — Each regional team will meet to learn about what it takes to be a lean leader, and to undergo a Strategic Doing workshop aimed at guiding stakeholders to innovative, grassroots solutions that will build a culture in which lean can thrive and grow. This workshop will be followed by Lean Daily Improvement (LDI) training to teach leaders to implement small-scale change through the execution of rapid-cycle learning loops that facilitate group learning and use data to evaluate and measure progress.

Lean Leader and Strategic Doing Workshop for Team 1
Oct. 17, 2017, from 9 .a.m-5 p.m. (EST)
Harrison County Hospital in Corydon, IN

Gemba CoachingPHA will provide remote coaching once a month, and onsite gemba coaching for two full days over the next year. Coaching at the gemba drives and sustains lean improvement work at all levels of the organization, and will include observation of work in progress at the frontline with LDI huddles and Value Stream Improvement Team (VSIT) meeting as well as work with team members and key leaders engaged in Strategic Doing efforts. It’s intended to optimize experiential learning for all those engaged in continuous process improvement, providing reinforcement and redirection-in-action with individuals and groups. Meet your coaches

Additional Learning Opportunities

Rapid Improvement Events (RIEs) — RIEs will be facilitated by a PHA lean expert at two separate hospital sites, and will include onsite coaching and a debriefing of Lean Practitioner (LP) Candidates.

Franciscan Health Rensselaer RIE
Sept. 25-27, 2017, from 9 .a.m-3 p.m. (EST)

Rush County Memorial Hospital RIE
Nov. 6-9, 2017, from 9 .a.m-3 p.m. (EST)

Advanced Lean Practitioner (ALP) Four-Day Training Event — Scheduled for January 22-25, 2018, the flipped-classroom event is open to ten (10) individuals from participating hospitals, with priority to organizations without ALP Candidates.

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