
Start by mapping the path work actually takes, not the path you imagine. Watch where people wait, retype, or ask for clarification, then remove one friction point. In one clinic, moving a signature step earlier cut patient intake time by minutes and improved morale immediately.

Shrink the Plan-Do-Check-Act cycle until it fits between meetings. Draft a lightweight plan, try a safe change, compare a few numbers, and decide the next step. Repetition matters more than size; consistency trains teams to learn faster than problems can grow.

Celebrate improvements that save seconds, prevent a defect, or spare a handoff. One team color‑coded shared folders to reduce misfiles; another added a checklist to avoid missing approvals. The effect was quiet but cumulative, freeing capacity for more ambitious, customer-facing work.
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