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SeCtion one Four key approaches to change
Diagram B1: Lean Methodology
Developed initially within Japanese car manufacturing Lean methodology has been used within a variety of industries including health care. It begins by seeking to understand the value of a service or process, primarily from the perspective of people who access it, but also that of other stakeholders. Value adding activities are mapped out, along with those that are seen as wasteful through adding delay, duplication, and diversion from more beneficial activities. Lean is therefore particularly relevant for improving organisational processes, for example the referral, assessment and care planning pathways used by care management teams. As well as removing waste, the change centres around developing ‘pull’ rather than ‘push’ in the system.
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