We believe that Lean should be easy to learn and simple to implement across any organization. The goal of Lean is to recognize the tremendous experience stored in front line workers and to give them the problem solving skills to remove any barriers preventing them from delivering exceptional care. The reVIEW© Program was created by healthcare professionals to turn staff into continuous improvement champions.
Lean Education & Implementation
The reVIEW© Program follows learning by doing philosophy. Participants apply what they are learning week-by-week to a process they choose to improve. At the completion of the reVIEW© Program, participants will have applied Lean thinking within their own organization resulting in measurable improvement and savings created as they learn.
Through the reVIEW© Program hospital learn to:
- Create a more defect-free product or service
- Reduce/eliminate waste and increase efficiency (cost and time)
- Increase patient and employee satisfaction
- Increase patient safety
- Enhance leadership and communication skills
Sample reVIEW© Program Timeline* 

*As with all Lean thinking, the model above is flexible. A custom implementation can easily be made with adjustments for other healthcare environments, volume, and resources.
In addition to preparing staff to become problem solvers and process thinkers, the reVIEW© Program trains internal staff as Lean instructors. This internal capacity provides the ability to continue to spread Lean in your organization indefinitely without being dependent on external consultants.
The reVIEW© Program is the easiest path to creating a self-sufficient Lean hospital.
Origins of the reVIEW© Program
This work was created as a result of three years of research funded by the National Science Foundation with co-investigator, Durward Sobek. During the research we used the Toyota Production System, and internationally acclaimed manufacturing model, and applied it’s defining principles to healthcare. Our goal was to look differently at the work of delivering defect-free healthcare at a cost that insures business viability and affordability of implementation.
The results of the research have been both promising and challenging. Within the first month we determined that the principles produce rapid and safe improvements that can occur anywhere in the healthcare plant and that aggregate over time to produce remarkable operational economies and quality.
We determined that we could reduce waste by understanding the way the work currently happens and engaging the staff in seeing problematic activities of work and addressing them with methodical and dependable problem solving tools.
The concepts are both intuitive (thus, easy to learn and teach) and rock solid in constructing reliable, consistent ways to work that inspired confidence of the staff and satisfaction of the customers. It has been our unrelenting effort to make this so simple and intuitive that healthcare will find it easy to incorporate into their daily work.
Cindy Jimmerson
Founder & President
Lean Healthcare West
Program Testimonial
As a physician trying to fix process problems in healthcare, I was blown away by the simplicity and effectiveness of the tools taught by Cindy Jimmerson in the reVIEW© Course. The A3 is both a visual document and a way of thinking. It captures so much of the real essence of effective process change and brings the Toyota Production System to life in the healthcare environment. Front line nurses and physicians can finally "see" a project with an end point that they understand and helped build. It is also very powerful to help them understand that we are never done: the target condition becomes the new current condition and we keep on improving the process.
James Nesbitt, MD, MMM
Providence Health Service
Anchorage, Alaska