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Lean Daily Management as a Tool to Improve Safety

​​​​​​​​​​​​​​​​​​​Lean Daily Management (LDM) is a method of improvement that uses daily measures and problem solving to focus on achieving strategic objectives. In 2013, the Greater Baltimore Medical Center (GBMC) began using LDM to promote improvement throughout their system.

GBMC implemented this improvement method to reduce patient injuries, ​improve care experience, promote efficiency, and increase joy. Lean Daily Management​ aligns strategic objectives to daily work using the Model for Improvement and various Lean principles. It connects leaders and poi​nt-of-care staff by promoting interactive communication to support a safe and reliable culture.  

In this Institute for Healthcare Improvement (IHI) Virtual Learning Hour, beginning​ February 20, 2020, from 11:30 AM – 12:00 PM ET, panelists will share their journey of using Lean Daily Management, and how others can follow this practice to create an organization of problem solvers. ​


By the end of this​ Virtual Learning Hour you’ll be able to:
  • Identify core concepts of Lean Daily Management
  • Explore the leadership skills necessary to make Lean Daily Management successful 
  • Identify the barriers​ of implementation
This IHI Virtual Learning Hour has been approved for 1 Continuing Education Credit for quality, physicians,​ and CPPS​​​​​ recertification.


JC VLH 2.jpgJohn B. Chessare, MD, MPH, President and CEO of Greater Baltimore Medical Center (GBMC) HealthCare, in Baltimore, Maryland, has been actively involved in designing and managing systems of care in academic medical centers and in community hospitals. Dr. Chessare is a graduate of Boston College, the University of Rome School of Medicine, and the University of Michigan School of Public Health. He completed his Pediatrics residency at the University of Massachusetts Medical Center and his fellowship in Academic General Pediatrics at Boston Children’s Hospital. Dr. Chessare is recognized nationally for his work in utilizing operations management to improve patient flow and drive out waste in the acute care hospital, and for designing safer and more reliable medication delivery systems. His present work is in transforming his organization to be better able to deliver higher value by creating better health, better care, and lower cost with more joy for those providing the care. 

Candiello1.jpgCarolyn L. Candiello, MA, CPHRM, is the Vice President, Quality and Patient Safety for Greater Baltimore Medical Center (GBMC) HealthCare, an independent community health care system in Baltimore, Maryland. The system includes Greater Baltimore Medical Center, a 239-bed acute-care hospital, Gilchrist, an inpatient, home-based hospice and advanced illness care company, and GBMC Health Partners, a large physician group of both primary and specialty care practices. GBMC has been on an improvement journey for the past 10 years and recently received recognition from the National Malcolm Baldrige Award program for Leadership Best Practice. They also achieved the Inaugural Patient Safety and Innovation Award from the American Society of Healthcare Risk Management for their work with Lean Daily Management. A seasoned executive, Ms. Candiello, served in health care for her entire career, and exclusively in leading quality, patient safety, and performance excellence for the past two decades.  


Madge Kaplan Madge Kaplan, IHI’s Director of Communications, is responsible for developing new and innovative means for IHI to communicate the stories, leading examples of change, and policy implications emerging from the world of quality improvement ― both in the US and internationally. Prior to joining IHI in July 2004, Ms. Kaplan spent 20 years as a broadcast journalist for public radio ― most recently working as a health correspondent for National Public Radio. Ms. Kaplan was the creator and Senior Editor of Marketplace Radio's Health Desk at WGBH in Boston, and was a 1989/99 Kaiser Media Fellow in Health. She has produced numerous documentaries, and her reporting has been recognized by American Women in Radio and Television, Pew Charitable Trusts, American Academy of Nursing, and Massachusetts Broa​dcasters Association.