Includes bibliographical references and index.

The continuous performance improvement (CPI) journey : a long and winding road / Patrick Hagan -- Epilogue / Patrick Hagan -- Creating high-powered healthcare improvement engines / Joan Wellman -- Epilogue / Joan Wellman -- Leadership and culture change : what we need most we can't buy / Patrick Hagan and Cara Bailey -- Epilogue / Cara Bailey -- Strategy deployment and daily management : implementing a lean management system at Nemours / David J. Bailey and Kellie P. Olmstead -- Leadership and lean transformation at Seattle Cancer Care Alliance : if we knew than what we know now / Michael Boyer, Elizabeth Poole, and Norm Hubbard -- Transforming doctors into change agents / Jeffrey Avansino, Ken Gow, and Darren Migita -- Epilogue / Jeffrey Avansino, Ken Gow, and Darren Migita -- Clinician engagement : CPI applied in a not-so-touchy-feely environment / Bryan King, Ruth Benfield, and Debra Gumbardo -- Epilogue / Bryan King and Debra Gumbardo -- Asthma : continuous improvement (Kaizen) of clinical standard work / Jeff Fti and Robert C. Atkins -- Supply chain : ensuring clinical staff have what -- They need / Robert Bridges and Charles Hodge -- Intensive care unit : developing and implementing pull systems / Kristina H. Deeter and Jerry J. Zimmerman -- Epilogue / Jerry J. Zimmerman -- Patient rounding : delivering compassionate care through clinical standard work / Glen Tamura and Darren Migita -- Epilogue / Glen Tamura and Darren Migita -- Change that nourishes the organization : making the total parenteral nutrition (TPN) process safer / Polly Lenssen, Eric Harvey, and David I. Suskind -- Epilogue / Polly Lenssen and Eric Harvey -- Hand hygiene at Seattle Children's Hospital : a call to action / Thérèse Mirisola and Karin Rogers -- Balancing the line in outpatient pharmacy / Steven D. Wanaka and Barb Marquardt -- Epilogue / Barb Marquardt -- Rapid changeover in the operating room / Sean H. Flack and Lynn D. Martin -- Epilogue / Sean H. Flack and Lynn D. Martin -- Lean in the lab : no culture left behind / Joe C. Rutledge and Xuan Qin -- Registration to cash value stream : making the right call at the Everett Clinic / Janeen Lambert and Iwalani Paquette -- Integrated facility design at Seattle Children's Hospital / Michael Boyer, Lisa Brandenburg, and Joan Wellman -- Epilogue / Mark A. Reed, Aaron Dipzinski, and Lynn D. Martin.