Lean solutions for hospitals, clinics and other healthcare providers

We are experts at combining assessment, coaching, training and delivery to meet your immediate operational needs and long-term goals

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Mark Clare
Mark Clare
Associate Director, Process Improvement

The kinds of results that some of these Critical Access Hospital (CAH) teams were able to produce [with PHA guidance] tell us that Lean healthcare methodologies can be applied successfully throughout the healthcare industry.

— Don Kelso, Executive Director, Indiana Rural Health Association

My experience with Lean Healthcare training through PHA has helped me to be the "voice of reason" during times of high stress as a hospital administrator. We use Lean techniques in a variety of ways. They have been increasingly useful in our quest to obtain full Meaningful Use of our IT system. We have also utilized Lean in the implementation of our new daVinci Robotic system to efficiently turn over the rooms. The Lean process breaks down a complicated job and shows us where we need to focus to get the most value not only for the facility, but also for our patients.

— Theresa Herman, M.D., CMO, CQO, Dupont Hospital



Lean First


An engagement with Purdue Healthcare Advisors (PHA) always starts off with a strategy discussion to determine how we can best create value by fostering lean skills within your organization. We'll follow this with a deployment plan (usually a combination of training, improvement event(s), and project management) to build your lean capability, and we will conclude with a solid plan to ensure improvements are sustained and continue to be refined. See our Three Building Blocks of Lean.

Organizations that link strategy, deployment and continuous improvement have the most success with lean.

We work with individual clinics and hospitals, entire health systems, and even participate in regional and national programs such as Partnership for Patients. We work in the areas of primary care, specialty medicine, behavioral health, long term care, and healthcare-related organizations. We have more than a decade of experience using lean to improve patient flow; reduce hospital acquired conditions; enhance patient satisfaction; and make other improvements that drive quality and revenue up and cost down. See some of our case studies.

PHA Direct logoPHA provides a combination of assessment, coaching, training, and delivery to meet your immediate operational needs and long-term goals. In April of 2018, we launched PHA Direct, an online platform for instruction, coaching and community building that adds the convenience, flexibility and seamless collaboration options of online training to our Lean First program. Initial offerings on PHA Direct have apply a blended instructional approach (online and in-person). For example, our Advanced Lean Practitioner certification course features a flipped classroom in which students study online (webinars) to gain basic conceptual knowledge and then experience a four-day improvement event first hand. A fully online offering from the Lean First Series called Lean Immersion is anticipated to launch in mid-2018.

ConnectAll participants in the Lean First program gain access to Connect, our online community of practice devoted to excellence in healthcare. 

kCards logoLean First also pairs participants with kCards, a micro-learning approach to soft-skills development and lasting behavior change. 


Lean Daily Improvement (LDI) Facilitator

Runs a continuous improvement project at the point of service.

Participants learn how to choose a key performance metric; collect and display data visually; run team huddles to get to root causes; assign corrective actions; and keep the process moving. Learn more

Lean Practitioner

Plans, delivers and facilitates-to-closure Rapid Improvement Events.

Participants facilitate one-to-five day improvement events and ensure that LDI becomes a habit at the point of service. A Lean Practitioner bridge course is an option for those who have earned a Lean Yellow or Green Belt. Learn more 

Advanced Lean Practitioner

Facilitates Value Stream Management (VSM) and complex RIEs to ensure that successful solutions spread across the organization. 

Participants take on broader responsibilities to ensure that successful solutions spread across the organization. LP Certification is a prerequisite.  Learn more

Lean Leader

Offers advanced lean skills and experience to plan and facilitate organization-wide adoption of lean thinking, management systems and culture.

Lean Leaders play a fundamental role in using lean to move key operational, clinical and financial metrics and build a continuous improvement culture. ALP Certification is a prerequisite.  Learn more


Lean Healthcare Transformation Initiative

Funded by the Indiana State Office of Rural Health (INSORH) through the Medicare Rural Hospital Flex Grant Program, Purdue Healthcare Advisors lean experts are working with 15 Critical Access Hospitals and Rural Hospitals in Indiana on a three-year, no-cost Lean Healthcare Transformation initiative. The quality-improvement training, coaching and project facilitation under this 2015-2018 grant is focused on leadership development in a lean organization; utilizing value streams for a systematic approach to improvement; and improving care delivery while systematically reducing cost. See Indiana hospital increases revenue by applying lean principles.

Learn more>


Funded by the Centers for Medicare and Medicaid Services' Great Lakes Practice Transformation Network (GLPTN), Purdue Healthcare Advisors lean experts are working with six Indiana-based GLPTN members to build capacity for ongoing practice improvement. The grant-subsidized package of lean services, worth more than $12K, consists of identifying improvement opportunities; conducting Rapid Improvement Events (RIEs); and training employers to become LDI Facilitators and Lean Practitioners.

Learn more>


Funded by the Centers for Medicare and Medicaid Services' Great Lakes Practice Transformation Network (GLPTN), Purdue Healthcare Advisors lean experts worked with a dozen Indiana-based GLPTN members on GLPTN+LDI, a lean methodology-based initiative aimed at improving metrics for Q4 without major workflow disruption. Lean Daily Improvement (LDI) resonated with PTN members and its successes spurred a second round!  See GLPTN works with clients to improve MIPS scores. and Small Mishawaka practice uses Lean Daily Improvement (LDI) to improve MIPS metric.

Learn more>


Please Contact Mark Clare if your organization is interested in providing input on, or participating in, our upcoming Six Sigma Data Science and/or Lean Leader pilot programs.

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