Ideal implementation of the program begins with the executive and senior administration participating in reVIEW^© orientation training.

This orientation will provide senior leadership with a deep understanding of the commitment and support required to achieve a successful and sustainable implementation of Lean Healthcare within their organization.

Following the decision to move forward with the full program implementation, reVIEW^© training is typically offered in 16-week (2 or 3 days/week) packages that are structured as follows:

• A first course of 8 weeks is run in which 2 or 3 groups of 16 participants have weekly assignments that apply what they’re learning to some area of their current work. It has been successful in the past to have at least 4 people (managers/educators/staff) from related departments join this course, to insure internal support and the development of a common language between departments.

• We visit the site 2 or 3 days each week — two hours each day are spent conducting the course and the remaining time is used for one-on-one coaching of participants. This allows the instructor to answer questions, clarify the level of understanding, and assist with assignments.

• A coaching class is provided in the final week to provide training in coaching techniques to selected participants identified as potential internal coaches.

• An instructor course is provided to prepare selected staff to co-teach (with a Lean Innovations facilitator) the subsequent courses in weeks 9 through 16.