2026
Lean Management of Crisis Response and Post-Pandemic Outcomes in US Primary Care Practices
Dorothy Hung, PhD, MA, MPH; Stephen Shortell, PhD, MBA, MPH; Elicica Morris, MPH; Catalina Y. Quach; Elina Reponen MD, PhD; Thomas Rotter PhD; Agustin Perez-Araos, PhD; and Karen E. Schifferdecker PhD, MPH.
2025
Advancing Equity: Lean Leader Practices and a Path Forward
Dorothy Hung, PhD, MA, MPH; Lillian C. Levy, MS; Thomas G. Rundall, PhD; Elina Reponen, MD, PhD; William Huen, MD; Stephen Shortell, PhD, MBA, MPH.
Improving the US Healthcare System: The Case for Practical Wisdom
Vanessa B. Hurley, PhD; Amanda L. Brewster, PhD, MS; Matthew J. DePuccio, PhD, MS; Dorothy Y. Hung, PhD, MA, MPH; A. James O’Malley, PhD, MS; Karen E. Schifferdecker, PhD, MPH.
2024
Associations Between Lean IT Management and Financial Performance in US Hospitals
Justin Lee, BA; Dorothy Hung, PhD, MA, MPH; Elina Reponen, MD, PhD; Thomas G. Rundall, PhD; Aaron A Tierney, BA; Pierre-Luc Fournier, PhD, MS; Stephen M. Shortell, PhD, MBA, MPH.
The Maturity of Lean Management in a Large Academic Medical Center in Finland: A Qualitative Study
Irmeli Hirvelä, PaulusTorkki, PhD; Mervi Javanainen, MD; Elina Reponen, MD, PhD.
Primary Care Practice Characteristics Associated with Medical Assistant Staffing Ratios
Hector P. Rodriguez, PhD, MPH; Alena D. Berube, MS; Dorothy Y. Hung, PhD, MA, MPH; Stephen M. Shortell, PhD, MBA, MPH; Elliott S. Fisher, MD.
Lean Leadership to Advance Strategic Goals - Legacy Health
Lean Action Research Learning Collaborative (LARLC)
Lean Leadership to Advance Strategic Goals - Zuckerberg SF General Hospital and Trauma Center
Lean Action Research Learning Collaborative (LARLC)
Lean Leadership to Advance Strategic Goals - John Muir Health
Lean Action Research Learning Collaborative (LARLC)
Lean Leadership to Advance Strategic Goals - Indiana University Health
Lean Action Research Learning Collaborative (LARLC)
Lean Leadership to Advance Strategic Goals - UCSF
Lean Action Research Learning Collaborative (LARLC)
2023
Erik Haapatalo, Elina Reponen, MD, PhD; Paulus Torkki, PhD.
Lean Performance Indicators and Facilitators of Outcomes in U.S. Public Hospitals
Tyler Roey, Dorothy Y. Hung, PhD, MA, MPH; Thomas G. Rundall, PhD, Pierre-Luc Fournier, PhD, Athena Zhong, and Stephen M. Shortell, PhD.
The Better Care Plan: A Blueprint for Improving America’s Healthcare System
Stephen M. Shortell, PhD, MBA, MPH; John T. Toussaint, MD; George C. Halvorson; Jon M. Kingsdale, SPH; Richard M. Scheffler, PhD; Allyson Y. Schwartz, MS; Peter A. Wadsworth, MBA; Gail Wilensky, PhD.
Pierre-Luc Fournier, PhD, MS; Lionel Bahl, DBA, MBA, BAA; Desiree H. van Dun, PhD; Kevin J. Johnson, MS, PhD; Jean Cadieux, PhD.
2022
Transformational Performance Improvement: Why is Progress Slow?
Dorothy Y. Hung, PhD, MA, MPH; Justin Lee, BA; Thomas G. Rundall, PhD.
Managing Through a Pandemic: A Daily Management System for COVID-19 Response and Recovery
Dorothy Y. Hung, PhD, MA, MPH; Thomas G. Rundall, PhD; Justin Lee, BA; Negeen Khandel; Stephen M. Shortell, PhD.
Lean Practices for Resource Use, Timeliness, and Coordination of Care in Breast Cancer Navigation
Dorothy Y. Hung, PhD, MA, MPH: Paul Kim, MS; Martina Li, MPH; Qiwen Huang, MS; Cynthia Cantril, MPH, RN, OCN®, CBCN®; Natalia Colocci, MD, PhD; Ellis C. Dillon, PhD.
Elina Reponen, MD, PhD; Thomas G. Rundall, PhD; Stephen M. Shortell, PhD, MBA, MPH; Janet C. Blodgett; Ritva Jokela; Markku Mäkijärvi; Paulus Torkki.
Ellis C. Dillon, PhD; Paul Kim, MS; Martina Li, MPH; Qiwen Huang, MS; Natalia Colocci, MD, PhD; Cynthia Cantril, RN, MPH, OCN, CBCN; Dorothy Y. Hung, PhD, MA, MPH.
Pierre‐Luc Fournier, PhD; Line Moisan; Denis Lagacé.
Marta Marsilio, PhD; Martina Pisarra, MS; Karl Rubio, MS; Stephen Shortell, PhD, MBA, MPH.
2021
Adoption of Lean Management and Hospital Performance: Results from a National Survey
Thomas G. Rundall, PhD; Stephen M. Shortell, PhD, MBA, MPH; Janet C. Blodgett, MSc; Rachel Mosher Henke, PhD; David Foster, PhD.
Aaron A. Tierney, BA; Stephen M. Shortell, PhD, MPH, MBA; Thomas G. Rundall, PhD; Janet C. Blodgett, MSc; Elina Reponen, MD, PhD.
Assessing the Relationship of the Human Resource, Finance, and Information Technology Functions on Reported Performance in Hospitals Using the Lean Management System
Stephen M. Shortell, PhD, MBA, MPH; Thomas G. Rundall, PhD; Janet C. Blodgett, MS.
Road to Better Work-Life Balance? Lean Redesigns and Daily Work Time among Primary Care Physicians
Dorothy Y. Hung, PhD, MA, MPH; Gabriela Mujal, MHA; Anqi Jin, PhD; Su‐Ying Liang, PhD.
Elina Reponen, MD, PhD; Ritva Jokela; Janet C. Blodgett, MS; Thomas G. Rundall, PhD; Stephen M. Shortell, PhD, MBA, MPH; Mikko Nuutinen PhD; Noora Skants, MD; Markku Mäkijärvi MD; Paulus Torkki PhD.
Elina Reponen, MD, PhD; Thomas G. Rundall, PhD; Stephen M. Shortell, PhD, MBA, MPH; Janet C. Blodgett, MSc; Ritva Jokela, PhD; Markku Mäkijärvi, MD; Paulus Torkki, PhD.
Implementing Lean QI in PC: Impact on Efficiency in Performing Common Clinical Tasks
Dorothy Y. Hung, PhD, MA, MPH; Quan A. Truong, MPH; Su-Ying Liang, PhD.
Pierre-Luc Fournier, PhD; Denis Chênevert MSc; Marie-Hélène Jobin, PhD, MBA.
Lean Implementation in Healthcare: Offsetting Physicians’ Resistance to Change
Pierre-Luc Fournier, PhD; Marie-Hélène Jobin, PhD, MBA; Liette Lapointe, PhD, MSc; Lionel Bahl, MBA.
John S. Toussaint, MD; John R. Griffith, MBA, FACHE; Stephen M. Shortell, PhD, MBA, MPH.
Lean Management and Hospital Performance: Adoption vs. Implementation
2020
Lean Management and Breakthrough Performance Improvement in Health Care
Christie Ahn, MPH; Thomas G. Rundall, PhD; Stephen M. Shortell, PhD, MPH, MBA; Janet C. Blodgett, MSc; Elina Reponen, MD, PhD.
Patient Experiences After Implementing Lean Primary Care Redesigns
Dorothy Y. Hung, PhD, MA, MPH; Gabriela Mujal, MPH; Anqi Jin, PhD;
Su-Ying Liang, PhD.
“Better Care Plan”: A Public Option Choice
George C. Halvorson; Stephen M. Shortell, PhD, MBA, MPH; Laurence Kotlikoff, PhD; Elizabeth Mitchell, PhD; Richard M. Scheffler, PhD; John Toussaint, MD; Peter A. Wadsworth, MBA; Gail R. Wilensky, PhD.
Olga Afanasiev, MD, PhD; Dorothy Y. Hung, PhD, MA, MPH; Sherry Yan PhD; Bryan K. Cho, MD, PhD; Susan Huang, MD.
2019
Lean Management and U.S. Public Hospital Performance: Results from a National Survey
Justine Po; Thomas G. Rundall, PhD; Stephen Shortell, PhD, MBA, MPH; Janet C. Blodgett, MS.
Contextual Conditions and Performance Improvement in Primary Care
Dorothy Y. Hung, PhD, MA, MPH; Michael I. Harrison, PhD; Su-Ying Liang, PhD; Quan A. Truong, MPH.
Sustainment of Lean Redesigns for Primary Care Teams
Dorothy Y. Hung, PhD, MA, MPH; Caroline P. Gray, PhD; Quan A. Truong, MPH; Michael I. Harrison, PhD.
2018
Stephen M. Shortell, PhD, MPH, MBA; Janet C. Blodgett, MS; Thomas G. Rundall, PhD; Peter Kralovec, PhD.
Experiences of Primary Care Physicians and Staff Following Lean Workflow Redesign
Dorothy Y. Hung, PhD, MA, MPH; Michael I. Harrison, PhD; Quan A. Truong, MPH; Xue Du.
Nurses’ Perspectives on Lean Redesigns to Patient Flow and Inpatient Discharge Process Efficiency
Francesca M. Nicosia, PhD; Linda G. Park, NP, PhD; Caroline P. Gray PhD; Maayan J. Yakir, MD; Dorothy Y. Hung, PhD, MA, MPH.
Physician Engagement with Metrics in Lean Primary Care Transformation
Caroline P Gray PhD, MA; Maayan Yakir MD; Dorothy Hung PhD, MPH, MA.
Development and Use of a Comprehensive Contextual Framework for Evaluation of Process Redesign
Mahima Ashok, PhD, MS; Dorothy Hung, PhD, MA, MPH; Lucia Rojas-Smith, DrPH; Michael Halpern, MD, PhD, MPH; Michael Harrison, PhD.
2017
Scaling Lean in Primary Care: Impacts on System Performance
Dorothy Y. Hung, PhD, MA, MPH; Michael I. Harrison, PhD; Meghan C. Martinez, MPH; and Harold S. Luft, PhD.
Acceptance of lean redesigns in primary care: A contextual analysis
Dorothy Y. Hung, PhD, MA, MPH; Michael I. Harrison, PhD; Caroline Gray, PhD; Meghan Martinez, MPH; Julie Schmittdiel, PhD.
Ready for Change? The Role of Physician and Staff Engagement, Burnout, and
Workplace Attributes
Dorothy Hung, PhD, MA, MPH; Po-Han Chen, ScM.
2016
Medical Assistants as Flow Managers in Primary Care: Challenges and Recommendations
Caroline P Gray, PhD, MA; Michael I Harrison, PhD; Dorothy Hung, PhD, MA, MPH.
Becoming Lean: What Will It Take to Sustain Lean Redesigns?
Dorothy Hung, PhD, MA, MPH; Carrie Gray, PhD, MBA; Michael Conroy, MD; Terrigal Burn, MD.