Timeline 2020From Toyota to the Bedside Nurses Can Lead the Lean Way in Health Care ReformJohnson, Joyce E. PhD, RN, NEA-BC, FAAN; Smith, Amy L. MSN, RN, NEA-BC; Mastro, Kari A. MSN, RN, NEA-BC Author Information Robert Wood Johnson University Hospital (Dr Johnson, Mss Smith and Mastro), and Rutgers University School of Nursing (Dr Johnson), New Brunswick, New Jersey. Correspondence: Joyce E. Johnson, PhD, RN, NEA-BC, FAAN, 11201 Angus Way, Woodsboro, MD 21798 ([email protected]). The author declares no conflict of interest. Nursing Administration Quarterly: July/September 2012 - Volume 36 - Issue 3 - p 234-242 doi: 10.1097/NAQ.0b013e318258c3d5 Buy Metrics Abstract The advent of health care reform means new pressures on American hospitals, which will be forced to do more with less. In the next decade, increased use of “Lean” principles and practices in hospitals can create real value by reducing waste and improving productivity, costs, quality, and the timely delivery of patient care services. In 2010, the Institute of Medicine recommended that nurses lead collaborative quality improvement efforts and assume a major role in redesigning health care in the United States. In this article, we provide an overview of the use of Lean techniques in health care and 2 case studies of successful, nurse-directed Lean initiatives at the Robert Wood Johnson University Hospital. The article concludes with some lessons we have learned and implications for nursing education in the future that must include the concepts, tools, and skills required for adapting Lean to the patient care environment. © 2012 Lippincott Williams & Wilkins, Inc.