140 ◾ Lean Leadership for Healthcare
to direct your critical few improvement resources on the most strategic areas.
Many organizations struggle because they have a lot of Lean improvement, but
not all of it is strategic, and, therefore, it does not add up to anything meaning-
ful in terms of results.
Finally, I’d like to offer a few other key points on adding value streams
within your organization:
◾ ere is a limit to the number of value streams in which your organiza-
tion can engage at any one time. is threshold is based upon several
criteria, including organizational headcount, infrastructure (improve-
ment resources), and your ability to sustain improvement. Only add an
additional value stream after you have sustained improvement in the ...