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One of the first steps in a Lean initiative is the development of several Value Stream Maps, flowcharts that document all of the processes required to deliver a product or service from start to finish. A hospital will have many different value streams that will need to be developed, including the work done in the OR. This readable book presents the Lean Roadmap for Value Stream Mapping in the OR, the steps needed to successfully complete a Value Stream Mapping project. Discussed are the steps to creating a Current State map, a Future State map, and a Master Plan to achieve the future state. Table of Contents Introduction to Value Stream Mapping Roadmap Chapter 1: Identify the Customer Chapter 2: Identify the Value Chapter 3: Identify the Processes Chapter 4: Draw the Process Relationships Chapter 5: Establish Process Times Chapter 6: Gather Process Ancillary Data Chapter 7: Identify Process Delays Chapter 8: Calculate Performance Metrics Chapter 9: Identify Sources of Waste Chapter 10: Brainstorm Solutions Chapter 11: Assign Solutions to Kaizen Events Chapter 12: Develop Kaizen Project Plan Chapter 13: Draw Future State VSM Chapter 14: Present Results Chapter 15: Epilogue