Lean: Targeted Therapy for Care Delivery

Authors: Chadi Nabhan MD, MBA, Gregory Horner MA, CSSBB and Michael D. Howell MD, MPH
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Chadi Nabhan, MD, MBA, is Vice President and Chief Medical Officer at Cardinal Health Specialty Solutions where he works across all divisions of specialty solutions providing resources to pharmaceutical companies, providers, payers, patients, and policy makers. In addition, Dr. Nabhan is engaged in data analytics, strategic initiatives, marketing communications, regulatory, and logistical initiatives in a value-based environment and a rapidly changing landscape of healthcare delivery. In addition, Dr. Nabhan is interested in developing strategies to improve cancer care delivery in an era where reimbursement models are rapidly changing; he has a focus on the business and economic aspect of oncology care as they impact all stakeholders.

Dr. Nabhan is a Hematologist and medical oncologist with special interest in malignant hematology and GU malignancies. He has been the primary investigator on many clinical trials, and some of his research work has been presented at national and international meetings. Dr. Nabhan has more than 200 peer-reviewed articles, abstracts or book chapters and serves on editorial boards of multiple scientific journals, including JAMA Oncology. He is also a reviewer for major medical journals, including: JAMA, JAMA Oncology, Blood, Annals of Oncology, European Journal of Hematology, and British Journal of Hematology.

The ideas and viewpoints expressed in this editorial are those of the author and do not necessarily represent any policy, position, or program of NCCN.

Gregory Horner is Vice President of Operational Excellence at The University of Chicago Medicine leading transformational change and utilizing Lean principles to improve patient and staff experience by taking a holistic approach to healthcare logistics.

Mr. Horner is an ASQ certified Six Sigma Black Belt and a student of the Toyota Production System (TPS; Lean). He is second generation TPS having studied under a Sensei from Toyota including the proper use of 3P (Production Preparation Process) and standard work.

Mr. Horner is a certified systems engineer and earned a master's degree in Enterprise Improvement and Innovation from DePaul University in Chicago.

Dr. Howell is Chief Quality Officer at the University of Chicago Medicine, where he also directs the Center for Healthcare Delivery Science and Innovation. A practicing intensivist, he has also served on quality- and safety-related national advisory panels for the CDC, Medicare, Society of Critical Care Medicine, and others. He has published more than 100 research articles, editorials, and book chapters that have been cited more than 4,500 times and incorporated into national guidelines. These studies have also held an interest for the public and have been covered by the New York Times, Wall Street Journal, Forbes, CNN, and Consumer Reports.

  • 1.

    Schnipper LE, Davidson NE, Wollins DS. American Society of Clinical Oncology statement: a conceptual framework to assess the value of cancer treatment options. J Clin Oncol 2015;33:25632577.

    • Search Google Scholar
    • Export Citation
  • 2.

    Centers for Medicare & Medicaid Services. Health Care Innovation Awared. Available at: https://innovation.cms.gov/initiatives/Health-Care-Innovation-Awards/. Accessed January 24, 2017.

    • Search Google Scholar
    • Export Citation
  • 3.

    Hartzband P, Groopman J. Medical Taylorism. New Engl J Med 2016;374:106108.

  • 4.

    Toussaint JS, Berry LL. The promise of Lean in health care. Mayo Clinic Proc 2013;88:7482.

  • 5.

    Porter ME. What is value in health care? N Engl J Med 2010;363:24772481.

  • 6.

    Walton MM. Hierarchies: the Berlin Wall of patient safety. Qual Saf Health Care 2006;15:229230.

  • 7.

    Toussaint JS, Berry LL. Leadership lessons from lean. Trustee 2013;66:2124.

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