158 ◾ Lean Leadership for Healthcare
When the first class graduated, the residents initially returned to their
home area to make contributions to the program/department from which they
came. is created an incentive for managers to encourage staff to participate
in the program. When supervisor positions opened up, the interested candidates
applied and frequently were given the new position. e results were dramatic.
A typical resident, when compared to their peers, outperformed their counter-
parts in all measurable areas. e average increase in performance versus their
peers against the key measures was 12–35% higher in any measureable category.
ese key measures include quality and safety, lead time and access, cost perfor-
mance, the pat