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

The kinds of results that some of these Critical Access Hospital 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.

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


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Process Improvement for Healthcare

Lean FirstOur experience teaches us that sustainable improvement is critical for better patient care and improved efficiencies, and that healthcare organizations that link strategy, deployment and continuous improvement have the most success with lean methodologies for process improvement. We focus first on building lean capacity within organizations by assessing processes; coaching and training staff; and facilitating learner-selected improvement projects to foster lean skills. We use a Lean First approach that incorporates four levels of competency to connect with each level of the organization. 

  • Lean or Lean Six Sigma: What are hospitals choosing for process improvement?
  • Why Lean Sigma Alone Won't Get Us Where We Need To Go
  • Why Purdue is Putting Lean First
  • Building Continuous Improvement Systems that Last

When you engage PHA's services, we'll start with a strategy discussion to determine how we can best create value followed by a deployment plan (usually a combination of training, improvement events, and project management), and a sustainment plan to ensure improvements hold and continue to be refined. 


Certifying Lean Offices and Other Lean Work

We work with clinics and hospitals, entire health systems, and participate in regional and national programs such as Partnership for Patients. 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.

Lately we've been working with Indiana Critical Access Hospitals, Rural Hospitals, Rural Health Clinics and Behavioral Health Organizations on the multi-year, CMS/state-funded Lean Healthcare Transformation Initiative. Several organizations progressed to the point where we were able to certify them as lean offices. We also spent several years working with members of the CMS-funded Great Lakes Practice Transformation Network and the Quality Payment Program for the Midwest to build capacity for improvement in provider practices and clinics. We've helped them identify improvement opportunities; conduct improvement events; earn certification as LDI Facilitators and Lean Practitioners; and  apply lean methodologies to improve their metrics without major workflow disruption.


Training & Certifying Lean Professionals

Four Interlocking Improvement LoopsWe train in a variety of formats: onsite, remote delivery and through PHA Direct, an online platform for instruction, coaching and community building. Through this platform, all learners have access to Connect, our online community of practice devoted to excellence in healthcare. We train healthcare professionals to hold the following certifications:

  • The 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. No prerequisite course required/training available online through PHA Direct.
  • The Lean Practitioner plans, delivers and facilitates-to-closure Rapid Improvement Events (RIEs). Participants facilitate one-to-five day improvement events and ensure that LDI becomes a habit at the point of service. No prerequisite course required.
  • The Advanced Lean Practitioner facilitates Value Stream Management (VSM) and complex RIEs, and take on broader responsibilities to ensure that successful solutions spread across the organization. LP course is a prerequisite.
  • The Lean Leader plans and facilitates 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 course is a prerequisite.

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