Lean is an integrated system that requires alignment at all levels of the organization. The head of the organization must champion the adoption of Lean and should use a combination of pull $($commitment and acceptance strategies$)$ and possibly push $($command and compliance strategies$)$ to initiate a Lean transformation. In this exercise create a plan to implement Lean where you work. If you are not working in a health system create a plan for a health system near where you live or work. Answer the following questions:

In what system or location will you implement Lean? Briefly describe the system or location and explain why you have chosen this site.

A$.$ Who have you identified as your champions and why did you chose them. Pick $3-4$ champions and explain your reasons for including them. Champions can include patients, physicians, nurses, administrators, other frontline workers, as well as students. $2$B$.$ Describe your brief recruitment speech or personal narrative. $($covered in lesson $7$ of Fixing Healthcare Delivery $1\mathrm{.}0)$

Do you think that the head administrator of the system or location you have chosen will be receptive? Be sure to answer in detail why or why not? Ask why more than once.

How will you start your campaign to begin your Lean transformation? Apply the lessons from Denver Health and Virginia Mason Medical Center. After recruiting your champions and creating a leadership team, what will be your first tactic or tactics?

How long do envision the campaign will take? Include your $2-3$ milestones $($I expect this accomplishment by this time$).$ What will be your measurable goals to assess your progress?