This books unique focus on the role of healthcare leaders and the lessons learned were uncovered during the authors research of over 200 U.S. hospitals performance. It was written specifically for CEOs, the C-Suite, and senior leaders who desire to harness the power of Lean-Six Sigma as their major strategic weapon for progress, as well as those charged to coach them. It is intended for those organizations that operate active Lean-Six Sigma initiatives, but have yet to successfully attack high leverage processes like In Quality Staffing and recovering significant Cost of Quality from throughput improvements. It is also intended for senior leaders who have yet to tackle Lean-Six Sigma as their major organization-wide strategic weapon. However, it is also a must-read for managers at all levels, quality professionals, and Lean-Six Sigma Black Belts who desire to aid in assuring that their organizations improvement efforts attack strategically versus the all-to-common tactical, project-by-project approach that suboptimizes the power of Lean-Six Sigma. Further, the book , accompanying CD, and supporting website is full of electronic checklists, tools, templates, suggestions for additional reading, and many recommended 1-hour and 2-hour learning sessions for senior leaders and managers. The changes in this second edition include the following: Many more examples of In Quality Staffing , a healthcare translation of one of the seven categories of Lean waste found in the Toyota Production System and one of the most powerful concepts applicable to healthcare. This concept has been described as the language of nursing versus a more manufacturing-speak described in other leading Lean-Six Sigma books. Expanded dialogue of the role of Lean in healthcare. Additional embedded case examples.