The primary mission of health care professionals, executive leadership, and associates is delivering quality health care to patients. The past model was doctor/ patient, but numerous new wedges were driven between the two, adding complexity and cost. The ACA, passed in 2010, created a new health care model, and transformation is proving difficult and expensive. Compliance puts many health care organizations in a financial bind. One of the most powerful tools to address operational problems is process improvement programs. Productivity Prescriptions for Health Care provides a structured program methodology for defining and implementing contemporary programs specifically designed for the unique requirements of health care organizations. We call this H-Lean. H-Lean is a concept, not a program, developed to guide health care organizations in their search for process improvement solutions. The lessons learned, and well-defined methodology generates greater opportunities to establish and implement successful systems. To the practitioners of Lean, Health care is a special calling. Nothing parallels the heart-breaking experience of watching life fade while working frantically to preserve it. The thought that process improvement potentially makes life-saving tools less accessible, is repugnant and immoral. We have created a special symbol as a constant reminder, life trumps efficiency.