Told from the perspective of President of Thedacare, Kim Barnas, this book covers the history and tactics of the Thedacare Lean Health Systems Transformation during the early 2000’s. Now considered lore on second only to Toyota’s own cultural transformation as it developed and improved the Toyota Production System, this journey for Thedacare is a great introduction to lean basics, cultural transformation, and some simple tactical tools that are lynchpins in a culture change to a people (patient/customer/provider) centric healthcare model in which problem solving is the centerpiece of the business and continuous improvement mindsets and results are pervasive across the organization (horizontally and vertically). Having come from aerospace and manufacturing, I found this easy read a refreshing reminder of lean tactics and principles but also a very useful exploration of continuous improvement, culture transformation, and lean in a VERY different industrial sector. I recommend this book for any healthcare professional but also for anyone in continuous improvement, no matter the industry.