title: To meet health care's triple aim, lean management must be applied across the value stream.
authors.affiliation: Group Health Cooperative, Seattle, WA 98109, USA. armstrong.s@ghc.org
authors.forename: Scott
authors.initials: S
authors.lastname: Armstrong
authors.forename: Erika
authors.initials: E
authors.lastname: Fox
authors.forename: Wellesley
authors.initials: W
authors.lastname: Chapman
mesh_terms: D002300:Cardiac Care Facilities / Q000592:standards*; D006801:Humans; D009203:Myocardial Infarction / Q000628:therapy*; D011787:Quality of Health Care / Q000592:standards*