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Productivity Press

Health Care

Lean-Led Hospital Design

Creating the efficient hospital of the future

Published: Monday, March 26, 2012 - 10:20

(Productivity Press: Boca Raton, FL) -- Instead of building new hospitals that import old systems and problems, the time has come to reexamine many of our ideas about what a hospital should be. Can a building foster continuous improvement? How can we design it to be flexible and useful well into the future? How can we do more with less?

Answering these questions and more, Lean-Led Hospital Design: Creating the Efficient Hospital of the Future by Naida Grunden and Charles Hagood (Productivity Press, 2012) explains how hospitals can be built to increase patient safety and reduce wait times while eliminating waste, lowering costs, and easing some of health care’s most persistent problems. It supplies a simplified timeline of architectural planning—from start to finish—to guide readers through the various stages of the lean design development philosophy, including lean architectural design and lean work design. It includes examples from several real health-care facility design and construction projects, as well as interviews with hospital leaders and architects.


• Provides a simplified timeline of architectural planning from start to finish
• Includes examples from several real-world health care facility design and construction projects
• Introduces non-lean practitioners to the benefits of lean thinking
• Demonstrates how lean architectural design supports lean work design
• Validates that it’s never too late to incorporate lean methodologies into a facility redesign


Introduction to Lean-Led Hospital Design
The Typical Timeline
Are We Too Late?
Are We Too Early?
Standardization Creates Flexibility
Learning from the Past to Create Bed Towers of the Future
St. Patrick Medical Center Emergency Room Transformation
Integrated Project Delivery and Lean—Can They Work Together?
Lean Goes Viral: An Architecture Firm Takes a Second Look

About Naida Grunden and Charles Hagood

Naida Grunden is a lean health-care consultant and has been a business and technical writer for more than 25 years. She speaks and teaches nationally and internationally on the application of Toyota-based lean techniques in health care. Her clients include Captain Sullenberger, Pittsburgh Regional Health Initiative, Healthcare Performance Partners, and Global Link. Grunden is the author of The Pittsburgh Way to Efficient Healthcare (Productivity Press, 2007). She was also responsible for launching the PRHI Executive Summary, a monthly newsletter published by the Pittsburgh Regional Health Initiative, when she was director of communications.

Charles Hagood is president and founder of Healthcare Performance Partners (HPP). He has overseen the introduction and implementation of lean health-care systems in numerous health care organizations, including some of the largest nonprofit hospitals, national systems, small critical-access hospitals, clinics, and large for-profit systems. HPP is one of the few organizations that have successfully translated lean manufacturing and the Toyota Production System (TPS) to the health care industry. Hagood also is a founding principal of The Access Group LLC (TAG), which is headquartered in the Nashville area along with HPP, and has worked with Fortune 100 companies throughout the world (GE, Tyco, Cessna, Nissan and many others) in their lean transformation and process improvement initiatives.


About The Author

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Productivity Press

Productivity Press is the premier source of authoritative information on organizational improvement. It has the largest catalog available anywhere of publications and learning tools about continuous improvement and lean methodologies. In 2007 Productivity Press became part of CRC Press, a division of the Taylor & Francis Group. This extended its reach globally and increased the line of quality publications now available to Productivity Press customers.