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Parallels Between 

Lean Startups and 

 Lean Hospitals"
  @MarkGraban"
Parallels between Lean Startups and Lean Hospital Design
Healthcare $$ as % of GDP"
20!

15!

10!

 5!

 0!
      1960! 1970! 1980! 1990! 2000! 2010!
Parallels between Lean Startups and Lean Hospital Design
Parallels between Lean Startups and Lean Hospital Design
Traditional Hospital Design Process"
 Pre-
Design!
       Design
       Team!

                Consultants!

                               Builder!
Parallels between Lean Startups and Lean Hospital Design
Parallels between Lean Startups and Lean Hospital Design
Parallels between Lean Startups and Lean Hospital Design
Parallels between Lean Startups and Lean Hospital Design
Current State Observation"
   Patient Needs Assessment"
         Strategic Plan"




     Staff &"          Hospital "
Patient Feedback"     Prototypes"
   Outcomes"
Parallels between Lean Startups and Lean Hospital Design
Parallels between Lean Startups and Lean Hospital Design
Lean Integrated Project Delivery"



            Owner!


        Builder! Architect!
FASTER! 3.5 months (20%)"
SMALLER! 34k sq ft (20%)"
CHEAPER! $6.7M      (17%)"
Parallels between Lean Startups and Lean Hospital Design
Parallels between Lean Startups and Lean Hospital Design
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