Chapter 12 Discussion In chapter twelve we explore the vision of a Lean hospital. When is a hospital Lean? What would a Lean hospital look like? What would it be like to work at a Lean hospital? As you reflect on chapter twelve, think about and respond to the following questions: (1). How might people react to a goal of "zero" or "perfection"? (2). How are some patient-centered goals complicated by the payer system and financial incentives in our country