HauptbeschreibungThe healthcare system of today's westernised civilisation holds a paradox: on the one hand, hospitals equipped with state-of-the-art-technology and well-educated staff working under best hygienic conditions is regarded standard. On the other hand, our healthcare system is ailing and cutbacks in capital spending, wages and personnel appear on the agenda. Accordingly, a more sophisticated approach that helps hospitals to work efficiently and effectively is needed. Among quality management tools, Lean is one suitable methodology that can help healthcare organisations out of the dilemma.Originally, Lean is a management methodology that goes back to production processes with the main aim to increase output by reducing input. The lean philosophy has its origin in the Japanese manufacturing industry and is strongly bound to the Toyota Production System (TPS). In hospitals, Lean is ideally based on three main pillars: process optimisation, patient-oriented management as well as engaging and leading employees. The first chapter of the book deals with the main principles and tools of Lean to give readers an overview about the basic ideas of this management philosophy. The understanding for waste and wasteful activities will be enhanced and tools such as Kanban, Kaizen and Value Stream Mapping, that are helpful for identification and elimination of waste, will be introduced. Furthermore, new terms and concepts such as Lean Sigma, telemedicine and e-health are examined. For Lean to tap its full potential, human aspects must be considered likewise. One of the most important aspects in hospitals is the successful management of patients. The second chapter concentrates on factors that positively influence the bottom line in a hospital. Thus, patient satisfaction, strategic alliances in the healthcare environment and hospital marketing are of

main focus since all these aspects are considered value-adding steps that help to increase service quality and to streamline processes in hospitals.Additionally, effective lean management concentrates on successful leading and engaging employees. Lean management does not happen on its own: it needs visionary leadership and expert knowledge. Lean management calls for a reflected interaction with employees. Hence, the third chapter deals with employee satisfaction and motivation and how this contributes to a sound and proper basis for smooth implementation of lean processes. Implemented correctly, the Lean message is 100% positive because it can indeed create a win-win-win-situation: for the health care institution, the end users - above all patients - and medical staff. But a philosophical issue has to be incorporated into the DNA of the organisation to produce sustainable changes with resulting advantages. Biographische InformationenVerena Lindenau-Stockfisch wurde 1976 in Meißen geboren und wuchs in den heutigen neuen Bundesländern auf. Seit ihrem Abschluss zur Internationalen Managementassistentin im Frühjahr 2003 arbeitet Frau Lindenau-Stockfisch bei einem Exportunternehmen für Medizintechnik, welches auf die Komplettausstattung von Krankenhäusern, hauptsächlich im Mittleren Osten, spezialisiert ist. Um ihre fachlichen Qualifikationen im Bereich der Betriebswirtschaft weiter auszubauen, entschied sie sich für ein berufsbegleitendes Vollzeitstudium, welches sie 2009 erfolgreich abschloss. Ihre sprachlichen Kenntnisse optimierte sie bei verschiedenen Auslandsaufenthalten, u. a. in Großbritannien und Südafrika, und durch das hauptsächlich englischsprachige BA-Studium.Bereits während ihrer Arbeit als Projektleiterin sammelte die Autorin umfangreiche praktische Erfahrungen hinsichtlich der Strukturierung, Ausarbeitung und Budgetierung

internationaler Krankenhausprojekte. In Zusammenarbeit mit Medizinplanern, Architekten und Ingenieuren steuert sie das Projektteam bei der Ausarbeitung der Ausschreibungsunterlagen, um die optimale Strukturierung der Prozessabläufe im Krankenhaus von Anfang an zu gewährleisten. Während eines Aufenthalts beim Deutsch-Arabischen Wirtschaftsforum 2006 kam sie erstmals mit dem Begriff Lean Healthcare in Kontakt und verfolgt seither mit regem Interesse das Thema Lean Management in Krankenhäusern.In einem weiterführenden Masterstudium der Gesundheitsökonomie mit Schwerpunkt Patientenversorgung wird sich Frau Lindenau-Stockfisch weiter intensiv einer Teilthematik ihres Buches widmen. Verena Lindenau-Stockfisch was born in 1976 in Meißen (Saxony) and grew up in the today's known New Laender in Germany. Since her graduation as an International Management Assistant in 2003, she has been working in an export company, specialised on turn-key hospital projects mainly in the Middle East. In 2009, she graduated from her extra-occupational but full-time BA studies that were important to improve her professional skills in the fields of Business Administration. Various stays abroad, among others in Great Britain and South Africa, as well as the BA studies mainly held in English, contributed to her language skills and enabled her to work on an academic level. Already during her work as a Project Manager, she gained comprehensive experience with regard to structuring, elaboration and budgeting of international hospital projects. Above all, her position demands the ability of leading a project team and cooperation with engineers, medical planners and architects and to ensure optimal process structuring in a hospital from the very beginning. At a German-Arabic Health & Economy Congress in 2006, she became first acquainted with the definition Lean Healthcare. Since that

day, she has been fascinated and intensively studied the topic Lean Management in Hospitals.