|Lean principles||Intervention's components|
Specific new job roles-flow manager, team nurse and nurse's aide, and team physician-with job descriptions.|
Improvement Principles (IP)
|Connect people that are dependent on one another.||Team-based organization and changes to work station location.|
|Create seamless, uninterrupted flow through the process.||
Centralized management of the patient flow by flow managers, and changes in their work station location.|
Team-based organization and changes to work station location.
Additional specialist staffing and work schedule changes.
|Empower staff to investigate problems with the process and to develop, test, and implement countermeasures using a "scientific method".||Stable structures for continual improvement (team approach to problem solving and coach supervision, and takt board) involving also management (monthly meetings with the management group).|