
50 Leveraging Lean in Ancillary Hospital Services
N ∙ next steps
N stands for next steps (Figure 3.5). Once we know we have a compelling need to change and know
and understand the vision, we need to determine the next steps (not just the rst) to get to the vision.
These steps come from assessing where we currently are relative to the vision. If the “Lean road-
map” of how we are going to achieve the vision is communicated and people gain an understanding
of it, this will help diminish the resistance to change.
S ∙ sustain
The nal letter, S, stands for sustain, which we have added to the original equation (Figure 3.6). Once
we have implemented our ...