A healthcare Lean Sweep? Delivering on the Lean promise of maximizing patient value while minimizing waste

December 4, 2013
12:00 noon – 1:00 pm ET


Lean needs no introduction. Simply, it means creating more value for customers through an unrelenting focus on eliminating waste (e.g., time waiting, excess supplies, additional movement, excessive transportation, etc). In healthcare, this translates into maximizing value for patients while minimizing any clinical and administrative processes that don’t add value from the patient’s perspective.  The promise of a “lean sweep,” a whole-of-system approach to increasing value for patients, is appealing in a world where healthcare remains the Pac-Man of public spending and care delivery processes require more than tinkering at the edges to meet patient needs.  Still, many are tentative about lean, citing a few cautionary messages – Lean is about processes, not patients and it can help make an existing process more efficient, but does little to abolish non-value-added processes or create new high-value processes.


Join CFHI and guest speakers Bonnie Brossart, ‎Chief Executive Officer at Saskatchewan Health Quality Council, Nigel Murray, President and CEO of Fraser Health Authority, and Tara Sampalli,   Assistant Director for Quality and Research in Primary Healthcare, Capital Health, N.S.,  for this session of On Call, where participants will learn and discuss:

  • What lean is, when it’s useful and when it’s not for continuous improvement

  • Examples of lean application and results in:

    • delivering a patient-focused approach to managing and delivering care; and

    • finding and eliminating waste in care processes

  • How to know when care processes are adding value or not from the patient perspective

CFHI - How do you Measure Patient Engagement and Capture its Impact?

Join the discussion!


Bonnie Brossart imageBonnie Brossart, ‎Chief Executive Officer at Saskatchewan Health Quality Council

Bonnie Brossart has had the privilege of working over 20 years in Saskatchewan’s health care system.  Trained as a health economist, she spent her first decade as a health services researcher and has been with the Health Quality Council since its launch in January 2003. Prior to becoming CEO in 2007, she served as Deputy CEO for over three years and co-led the Saskatchewan Chronic Disease Management Collaborative, one of the province's largest quality improvement initiatives ever undertaken.  Before joining HQC, she was a health services researcher with the Health Services Utilization and Research Commission (HSURC) of Saskatchewan, a large tertiary hospital in Calgary, and the Saskatchewan Ministry of Health.  Bonnie received her BA (Economics) from the University of Calgary and her MA (Economics) from McMaster University in Hamilton.

Dr. Nigel Murray imageDr. Nigel Murray, President and CEO, Fraser Health Authority, BC

Nigel Murray is responsible for the overall management and delivery of health programs and services in one of the largest health regions in Canada, overseeing acute care hospitals as well as community-based residential, home health, mental health and public health services. Fraser Health serves 1.5 million people from Burnaby to White Rock to Boston Bar, with an annual budget of $1.8 billion and employing 22,000 people.

Dr. Murray was previously the Interim CEO of the Southland District Health Board and the Lead CEO for New Zealand Health Sector Industrial and Employee Relations. Before that, he worked in senior health administration roles including Acting General Manager, National Women's Hospital; General Manager, Planning and Development, Auckland District Health Board; and General Manager, Health Services Delivery Plan. In 1995, he was named a Member of the Order of the British Empire for services to health in the New Zealand Defence Force.

He holds a Bachelor of Arts, Dartmouth College; Bachelor of Medicine and Surgery, University of Otago Medical School and Masters of Occupational Medicine, Harvard University School of Public Health.

Tara Sampalli imageTara Sampalli, Ph.D., Assistant Director for Quality and Research in Primary Healthcare, Capital Health, N.S.

Dr. Tara Sampalli holds the positions of Assistant Director for Quality and Research in Primary Healthcare, Capital Health and Assistant Professor of Medical Informatics at Dalhousie University. Holding a Ph.D. degree in Health Informatics, Dr. Sampalli effectively blends research with practice bringing the novel concept of “embedded research” into healthcare. Her research interests include chronic disease management and multimorbidities, integrated models of care, knowledge management and application of innovative IT solutions in healthcare.   



Jennifer Verma imageJennifer Verma, Senior Director, Collaboration for Innovation and Improvement, CFHI

As the senior director of the Collaboration for Innovation and Improvement program, Jennifer Verma is responsible for the start-up of large-scale health system improvement partnerships across regions, provinces and territories in Canada. Jennifer brings expertise in applied health services research and experience in sharing and spreading evidence-informed healthcare solutions. She has developed and led a variety of knowledge exchange products with the Canadian Foundation for Healthcare Improvement, most notably, Mythbusters and the Mythbusters Teaching Resource.

Previously, Jennifer worked in the Department of Quality and System Improvement at Eastern Health, the largest regional health authority in Newfoundland and Labrador. She also worked in communications and broadcast journalism as a producer and reporter. She holds a Master of Science in Medicine in Applied Health Services Research from Memorial University of Newfoundland. She is also a journalism graduate from the University of King’s College in Halifax, Nova Scotia.