1. 1 HCA Information Technology & Services - Copyright © 2010 MORNING & AFTERNOON Mid-Manager Survey Questions Results Number of People Answering 1)How likely is it you’ll play a key role in communicating Lean to your staff? 2)At present levels of effort by LCoE to implement and communicate Lean, and depending on your history with Lean, how likely is it that you’ll embrace or continue to embrace this initiative? 3) How likely is it that you will view Lean as a worthy new approach to doing business as opposed to other initiatives launched in the past?

2. 2 HCA Information Technology & Services - Copyright © 2010 Question #1: What has been the biggest obstacle in the LEAN Improved Process initiative that you have been a part of? Question # 2: What are the biggest “Lessons Learned” in the LEAN initiative? TRENDS

3. 3 HCA Information Technology & Services - Copyright © 2010 # 3 Are there any areas of the Lean initiative that are unclear to you such as timelines, methods, roles & responsibilities ? TRENDS* (Note: No Comments Morning Managers) # 4 If you have worked with a GB on an initiative, what was your experience and what is your understanding of the roles each of you play in improving your department’s processes? TRENDS (Note: No Response Afternoon Mgrs.)

4. 4 HCA Information Technology & Services - Copyright © 2010 # 5 How has your staff received Lean and/or can you assess their overall knowledge and acceptance of Lean? TRENDS

5. 5 HCA Information Technology & Services - Copyright © 2010 Q&A Summary of Recurring Comments Resource Constraints Resource Availability Dedicated Resources Methods Need more training Scale of initiatives too big Would rather work on existing project instead of finding a new one Need more staff experienced in Lean on initiatives One size doesn’t fit all (unique circumstances…thus need for expert) Priorities Is it “get the product out first” or work on Lean? Keeping the traction going difficult with competing priorities Need a governance model solution to set priorities 38% of those invited attended Of 61 Managers invited, 25 Managers did not respond at all 5 Manager “No-Shows” Statistics of Note