Mark Graban, an expert on the use of Lean process improvement in hospitals, has opened up his own process as he prepares revisions of the "Visions of a Lean Hospital" ideal state chapter in his book, Lean Hospitals: Improving Quality, Patient Safety, and Employee Satisfaction.
He notes on his blog:
I’ve shared the first chapter of the book for those who signed up on my book’s site.  Now as I’m making revisions, I’d like to get your input and ideas  around the final chapter – “A Vision for  a Lean Hospital.” I think the  chapter has some good ideas, but given my audience here, I’m not going  to pretend I have all the answers for hospitals. So I’d like to hear  what you think in the comments for this post, or email me. What’s missing? What’s confusing? What’s wrong?
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