1. Explore the implementation of lean thinking as a standalone system at XYZ Academic Hospital with emphasis on the end-to-end process. How would you implement a lean thinking process to improve value and care at XYZ Academic Hospital? You should also consider in your approach performance measures that are key to lean thinking.

2. Explore the implementation of TOC as a standalone system at XYZ Academic Hospital with emphasis on the end-to-end process. How would you implement a TOC process to improve value and care at XYZ Academic Hospital? You should also consider in your approach performance measures that are key to TOC.

3. From (1) and (2) in your view are the any synergies between the two approaches and if so, is integration of the two plausible?

4. Lastly since hospitals are a matter of life and death; develop a risk rating table where you will identify the risk, the severity and likelihood of the risk coming into reality and calculate the rating. This should cover risks in the end-to-end process.