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Invited Commentary
April 22, 2013

To Meet Health Care's Triple Aim, Lean Management Must Be Applied Across the Value Stream: Comment on “Management Practices and the Quality of Care in Cardiac Units”

Author Affiliations

Author Affiliations: Group Health Cooperative, Seattle, Washington.

JAMA Intern Med. 2013;173(8):692-694. doi:10.1001/jamainternmed.2013.4080

Many health care organizations seeking solutions to the broad and complex range of problems facing US health care are exploring management practices, such as the “Lean” system, that have improved performance in manufacturing and technology sectors.1 McConnell and colleagues2 report that adapting such practices to one type of health care setting—hospital interventional cardiac units—resulted in improved process-of-care measures and lowered 30-day mortality from acute myocardial infarctions.