Toyota figured out how to make cars to order by redesigning many aspects of their production process to minimize waste. This system was translated to the healthcare environment in the mid 2000's and is now the predominant methodology for systems improvement. 

Courses in this category explore the various tools and philosophies evolved from this initial development


5S is typically the starting point for a LEAN implementation. This class takes the student through the 5S process steps, and trains them in effective implementation. 

Quality improvement methods have been introduced to healthcare to support the delivery of care that is safe, timely, effective, efficient, equitable and cost effective. Of the many Quality Improvement tools and methods one of the most common is Plan-Do-Study_Act (PDSA) Cycle. PDSA is a four stage problem-solving model used for improving a process or carrying out change. 

The PDSA is used to conduct rapid tests of change on a small scale, learn from the results, and apply the learning to the next cycle. 


LEAN Healthcare 101 takes the student through the basic toolset and concepts making up a LEAN framework. 5S, Set Up Reduction, Value Stream Mapping, Standard Work, TAKT, Just in Time, Quality, Leveling and Visual Management. It serves as a solid introduction to the more advanced levels of specialization in the BR Transformation Methodology.




At the heart of any healthcare system is the patient care value stream, comprising all the activities (both value added and non value added) necessary to construct and deliver a service effectively. Students will learn how to construct a value stream map, and use it to plan out improvement projects in a defined manner

A3 is a problem solving methodology used to instill the scientific method of investigation into an organization while it solves problems. Evolved from the PDSA cycle, it is a more disciplined, structured thinking process which enables elegant, aligned solutions to be created by anyone. 

Students completing this course will be able to construct an A3, and use it to manage an improvement project


Set Up Reduction is arguably the methodology that started the whole LEAN / Toyota Production System movement. In the manufacturing environment, reducing setup times allows increased flexibility to produce a wider variety of products. In healthcare, reducing setup times allows faster turnaround of OR's, reduction of batch sizes and lead times in lab sample processing, and faster chart entries in the EMR of a busy physician practice. 

Students will learn the basic methodology, and applications in the healthcare environments