Chapter 4

Are We Too Late?

Although we started late with Lean-led design, we still managed to do a lot of streamlining before we opened. Our only regret is that we didn’t incorporate it sooner.

—Tim Tobin (FACHE)CEO, Spotsylvania Regional Medical Center

Case study: Spotsylvania Regional Medical Center, Fredericksburg, Virginia

Introduction

The beautiful new Spotsylvania Regional Medical Center (SRMC), Virginia’s newest hospital, was almost complete (Figure 4.1). It would be that rare hospital built strictly to handle growth, rather than to replace ...

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