Melanie Cline
Melanie Cline
Assistant Director, Lean Services



 Year 4 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 4: Certification of Lean Offices

Click to register

Year 4 of the Lean Healthcare Transformation Initiative, which runs from September of 2018 to August of 2019 and is the final year for 14 hospitals participating in the multi-year grant, focuses on Certification of Lean Offices. Learn about the program's lean goals and strategies for the year, and register your participants. The deadline to register is November 14, 2018. 

Note: Additional INSORH funding allows PHA to recruit a new cohort of five (5) hospitals. If your hospital has not yet participated in the Lean Healthcare Transformation Initiative, you can apply here to be part of the cohort.


  1. Training of Lean Coaches — Purdue Healthcare Advisors (PHA) trains individuals at all levels of the lean model to ensure hospitals have essential skills needed to support team members as they navigate complex and adaptive-change challenges.

  2. Training of Lean Leaders — PHA trains Lean Leaders at the Executive, Value Stream, and Process Owner level to build skill in driving and sustaining a lean transformational change effort. Training includes development of adaptive leadership skills to enhance change-making for complex problems that require adaptive coaching and technical solutions. Lean Leaders develop and execute an Enterprise Lean Strategy customized to drive lean process improvement in their hospitals.

  3. Certification of Lean Offices — PHA offers Certification of Lean Offices at the close of Year 4 with evidence of essential elements to include:

    1. a Certified Lean Leader;
    2. an executed Enterprise Lean Strategy A3;
    3. an Enterprise Command Center; and
    4. trained Lean Coaches.

A sustainment plan is negotiated with funders to reserve a designated pool of funds to support Certified Lean Offices by offering preferential access to ongoing training in order to sustain a pipeline of certified Lean expertise.

Download the flyer


Lean Leader Training & Executive Certification — PHA delivers training in regional sessions to prepare and certify Lean Leaders. Candidates learn strategy, executive coaching, and the governance structure necessary to drive breakthrough performance and sustain an enterprise-lean transformation. PHA facilitates a process of engagement with each hospital to review current status and determine continue/stop to establish a certified lean office with an Executive Lean Leader Certification track.

Executive Coaching in the Gemba — PHA provides remote coaching once a month to coach executive leaders to prepare, deliver, and execute an Enterprise Strategy Event with on-site coaching to support the execution of the Executive Lean Strategy Event.  Additionally, PHA provides one day on-site to support deployment of coaching and lean improvement events across the enterprise.


  • September through October: Engagement to determine continue/stop with each hospital enrolled in Year 3.
  • November through January: Regional training for Lean Leaders.
  • February through April: Lean Strategy Events at each hospital with PHA coach on-site.
  • May through July: On-site visit to verify essential elements are in place to award Certification of Lean Office.

Additional Learning Opportunities for Year 4

Lean Practitioner Training (5-8 spots) if funding allows based on continue/stop assessments in September and October.

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