Â鶹ӳ»­

People often want to know about the relationship between the Â鶹ӳ»­ approach to quality improvement and Lean, and how they can best utilize one or both approaches to improve their own care systems. This white paper aims to address these issues, and argues that because both methods are complementary ways of approaching improvement, it is not necessary to choose one over the other as a guide to action.

The white paper provides a brief overview of the issues and some key definitions, followed by more detailed descriptions of Lean and the Â鶹ӳ»­ approach to quality improvement (referred to as "Â鶹ӳ»­-QI" throughout the paper).

• For each approach, we discuss the key conceptual foundations, the principles that lead the way to improved system performance, the project roadmaps typically followed under each approach, and the tools that characterize them in practice. 
• We also point out the fundamental congruence between the two approaches, as well as key differences.
• We suggest ways that practitioners of both Lean and Â鶹ӳ»­-QI can use the principles and methods of the other to extend their capabilities.

How to Cite This Paper:
Scoville R, Little K. Comparing Lean and Quality Improvement. Â鶹ӳ»­ White Paper. Cambridge, MA: Â鶹ӳ»­; 2014. (Available at ihi.org)

​​​How Does Lean Compare to Â鶹ӳ»­'s Approach to QI?

In this video clip, white paper author Kevin Little addresses the question.​​

Do You Have to Choose Between Lean and the Â鶹ӳ»­ Approach to Quality Improvement?