St. Mary’s of Michigan
Erie St. Clair Local Health Integration Network
Mendelson Orthopedics & Kornblum Spine
Leamington District Memorial Hospital
Nova Scotia Association of Health Organizations
St. John Providence Health
Rose Hill
Genesys Regional Medical Center

St .Mary's of Michigan Along with providing Lean Management Training for Executive Leadership we focused on decreasing patient length of stay by improving the inpatient CT Scan process. A value stream analysis was conducted which provided leadership with a transformational project roadmap, key metrics and an accountability process.

The Erie St. Clair Local Health Integration Network is one of 14 LHINs that have been established and launched in Ontario. LHINs are community-based, non-profit organizations funded by the Ministry of Health and Long-Term Care to plan, fund and coordinate services delivered by Hospitals, Long-Term Care Homes, etc. We provided Lean Six Sigma for Healthcare education to the Erie St. Clair LHIN Leadership team.

Mendelson Kornblum Orthopedic & Spine Surgeons Mendelson Orthopedics & Kornblum Spine is a growing orthopedic practice comprised of orthopedic surgeons, physical and occupational therapists as well as physician assistants. Patient throughput and efficiency were targeted during this engagement to improve the patient experience. A redesign of patient flow dramatically reduced the patient office experience by 35% to 50% depending on the model of care; work teams 5S’d each office to organize supplies and standardize each exam room; additionally, a “triage” call center was implemented to reduce scheduling errors and time between appointments.

Leamington District Memorial Hospital’s partnership with Lean Fox Solutions began during the summer of 2008. We introduced Lean thinking to front line staff and management via numerous workshops, then conducted assessments of key service lines, e.g., Emergency, Med Surg, Diagnostic Imaging, etc. to create our project pipeline which lead to numerous kaizen events to eliminate waste and introduce standard work. This included redesigning the triage process to dramatically reduce LWOBS, and 5S’ing Surgery, Pharmacy and Emergency Services to reduce waste and improve value added services.

NSAHO is a member-driven association of organizations committed to the health and well-being of Nova Scotians. They support their members by delivering quality services, coordinating beneficial activities, providing innovative solutions and representing their collective views. NSAHO’s vision is for members to have the capacity, resources and support to achieve their goals and work together to create the best health system in Canada. As a featured speaker Mr. Sperl introduced NSAHO’s members to the benefits of Lean Six Sigma during a regional conference.


Rose Hill Center is a private, non-profit, psychiatric rehabilitation facility for those diagnosed with schizophrenia, schizoaffective disorder, clinical depression, bi-polar disorder or other major mental illness. To minimize the impact of the irregular patient admission process, we focused on standardizing the process and leveling the work load across the value stream. A value stream analysis was conducted which provided leadership with a project roadmap with over 30 projects, key metrics and an accountability process.


St. John Providence Health SystemSt. John Providence Health is a large health care provider in southeast Michigan. Along with launching the Lean Six Sigma initiative at SJH several years ago, Mr. Sperl is now facilitating Lean for Healthcare educational workshops for SJPH Leaders.


Genesys Genesys Regional Medical Center is a 410-bed hospital with a level II emergency trauma center. Beginning in the Emergency Department, Lean Fox Solutions is improving the patient experience from ED door to disposition to discharge or inpatient bed.