This book is about the development, delivery, roll-out and sustainment of the electronic health records using Lean management principles. The book will cover lean thinking in the requirements planning, designing, testing go-live, and sustainability phases of an EHR new installation, or optimization. "For some reason we thought the Electronic Medical Records would solve all of our healthcare problems. So we misapplied computer solutions to solve problems of bad processes and rigid cultures. Lean management can help by engaging people in improving processes, identifying their real information needs, and making EMR truly value added." -Jeffrey K. Liker, PHD Author, The Toyota Way "Organizations that do not consider the workflows and processes for their EHR will never optimize or achieve highly reliable outcomes. HRO organizations align and invest in their informatics and Lean teams. These teams collaborate together can achieve the triple aim and effective use of the EHR, and happiness of users and patients alike. This book is an important demonstration of these methodologies." -Michael J. Kramer, M.D. - SVP and Chief Quality Officer "Kurt, Ron and Susan have a message: the Electronic Health Record (EHR) can help or hinder the healthcare delivery system. By following the proven methodology detailed within The Lean Electronic Health Record the EHR can be the enabler of better and coordinated care. A must read for doctors and administrators truly interested in putting the patient in the heart of healthcare." - Helen Zak "The Lean EHR is a clear, concise description of the use of Lean principles in a real-world setting. Written in a relaxed, personalized writing style, the authors successfully guide the reader through a detailed Lean process for a very complex project. It is an excellent resource for those teaching Lean principles in academia, as well as healthcare teams planning to implement a new EHR." -Gail Bullard, DHEd, MSHA, RN, LBBH, Lean Healthcare Program Coordinator, Ferris State University