Acceptance and Adoption of Lean Redesigns Among Frontline Providers in Primary Care

Background/Aims: This study examines the implementation and scale-up of Lean methodology for enhancing value in a large ambulatory care delivery system. While evidence suggests that Lean techniques can lead to higher quality care at lower cost, its success or failure is inextricably tied to the views and activities of frontline care providers who are the daily implementers of new workflows. This study explores how frontline views and activities impacted systemwide efforts to redesign primary care.