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Quality Management in a Lean Health Care Environment by Daniel Collins, Melissa Mannon

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Chapter 1

Foundation: Quality at the Source Gemba

The imagery of a foundation is usually built from a strong sturdy material such as concrete, cinder blocks, or brick and mortar. These things are there to provide a solid, supported structure that is intended to be supportive for life. During the lifetime, the structure could have many environmental influences that could compromise, degrade, and erode the foundation. Poor drainage can erode a house’s foundation, a shift in the soil could cause the foundation to crack, or a storm could bring destructive damage. These environmental influences mean that the foundation has to be firmly built to withstand the challenges that could lie ahead, but there must also be diligent and responsible people who ...

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