I am encouraged to see healthcare leaders looking beyond the ways they have always done things in the past to implement innovative solutions to curb the industry's skyrocketing costs, poor quality, nursing shortages and employee dissatisfaction; all symptoms of deeper problems inherent in the system itself. Today's forward looking healthcare providers have realized the financial and moral imperatives for improving quality and safety and eliminating waste as strategies for responding to their pressing challenges. Lean Healthcare (adapted from the Toyota Production System) is not just for manufacturing or another short-term fix; it's a way to transform an entire organization into a safe and high-quality, high-performing healthcare delivery system. If implemented properly, it can be the "how to" for managing change and creating continuous improvement.