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Parallels Between 

Lean Startups and 

 Lean Hospitals"
  @MarkGraban"
Healthcare $$ as % of GDP"
20!

15!

10!

 5!

 0!
      1960! 1970! 1980! 1990! 2000! 2010!
Traditional Hospital Design Process"
 Pre-
Design!
       Design
       Team!

                Consultants!

                               Builder!
Current State Observation"
   Patient Needs Assessment"
         Strategic Plan"




     Staff &"          Hospital "
Patient Feedback"     Prototypes"
   Outcomes"
Lean Integrated Project Delivery"



            Owner!


        Builder! Architect!
FASTER! 3.5 months (20%)"
SMALLER! 34k sq ft (20%)"
CHEAPER! $6.7M      (17%)"
IDEA!   TO DO!   DOING! DONE!
# of Recorded Kaizens!
5,000 !
4,000 !
3,000 !
2,000 !
1,000 !
   - !
          2007! 2008! 2009! 2010! 2011
No waiting!

No waste!

Zero harm!
 @MarkGraban!

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Parallels between Lean Startups and Lean Hospital Design