In this book, we invited 146 authors with expertise in health policy, systems design, management, research, or practice, from each of the countries included, to consider health reforms or systems improvements in their country or region. The resulting case studies, of 52 individual countries and five regional groupings, cover 152 countries or territories, or three-quarters of the world's nations. Each chapter author was asked to think 5-15 years into the future and make a prediction on how their health system could be strengthened as a result of the successful unfolding of their case study. The types of projects our authors have chosen to explicate into the future are wide-ranging. They vary from e-consultation services in Estonia, achieving universal health coverage in Argentina and Mexico, reforming long-term care in the Netherlands, reassessing care for the aging population and the frail elderly in Australia, streamlining the health system through Lean Thinking in Nigeria, using regulation to improve care in South Africa, developing a new accreditation model in Turkey, through to a critique of physician specialization in Russia and applying IT initiatives to improve care in China, Lebanon, Taiwan, Papua New Guinea, the United Arab Emirates, Venezuela and Wales. Chapter writers recognized that the improvement work they were doing was part of a moving target. There was general agreement that the effective use of limited resources and overcoming hurdles and constraints were crucial to enhancing health systems in order to deliver better care over the medium term. While some initiatives required considerable funding, many were relatively inexpensive. These case studies demonstrate ways in which fruitful application of partnerships and creativity can make considerable gains in strengthening healthcare delivery systems. Features The third book in a series on international health reform Involves 146 contributing authors, five regional editors, a series editor and a highly skilled support team to explore sustainable improvement in health systems in the future Encompasses a time horizon of the next 5-15 years Covers 152 countries or territories, with 52 individual countries and an analysis of five regional groupings comprising 100 countries

Efficient operations and powerful innovations are not limited to seasons of growth and high demand. Going Lean introduces the powerful yet unexpected mind-set that's reshaping the rules for business competitiveness: Lean Dynamics (TM). This approach, based on the now-famous Toyota Production System--empowers companies to thrive in virtually any environment--even when sudden shifts occur or they experience unpredictable conditions. Through a detailed exploration of this approach, readers will learn how to: become broadly effective in creating and sustaining value; set a critical foundation for achieving sustained excellence; identify sources of lag and create robust value streams that thrive in today's dynamic conditions; describe the underlying techniques to maintain steady and predictable flow; create a system based on "pull," or external demand that consistently introduces new innovation; strive for perfection; and deliver industry-leading returns. Led by a new breed of companies--Toyota, Walmart, and Southwest Airlines--this innovative mind-set changes the game for businesses everywhere. Going Lean teaches readers how their companies--big or small--can leverage this revolutionary thinking to measure and achieve real results.

In this insider guide, former Harley-Davidson executive Dantar Oosterwal offers an exclusive look at how Harley-Davidson was able to adapt in an ever-changing world to stay on top and stay in existence. From near-extinction in the early eighties, Harley-Davidson rose to worldwide recognition and is still today one of the great, iconic American motorcycle brands. In this insider guide, former Harley-Davidson executive Dantar Oosterwal offers an exclusive look at how Harley-Davidson was able to adapt in an ever-changing world to stay on top and stay in existence In The Lean Machine, you will learn about their secret weapon and go-to formula for outstanding success as well as: the day-to-day transformation at Harley-Davidson their adapted Knowledge-Based Product Development identifies universal change and improvement issues so that any company can incorporate this Rooted in Japanese productivity improvement techniques, the Knowledge-Based Product Development method helped Harley realize an unprecedented fourfold increase in throughput in half the time--powering annual growth of more than ten percent. The Lean Machine is part business journal, part analysis, and part step-by-step toolkit that will help companies in all industries achieve predictably excellent results.

An examination of comparing a day to day operations of every day into the transformation of making a difference using what you have to change struggle into gold.