Joining me for Episode #267 is Stephen M. Shortell PhD, MPH, MBA. He is Blue Cross of California Distinguished Professorship, HPM and is a Professor of Organizational Behavior at the University of California Berkeley School of Public Health. He is the director of the Center for Healthcare Organizational and Innovation Research (CHOIR). Today, we are talking about Lean healthcare and a new initiative that's part of CHOIR called CLEAR: the Center for Lean Engagement & Research in Healthcare. You can read a release about CLEAR, which highlights funding coming from the Lean Enterprise Institute, the ThedaCare Center for Healthcare Value, and Rona Consulting Group. In this episode, we talk about the Center, their planned research, and some reasons why there is variation in what organizations would describe as "Lean" - variation in methods and approach as well as variation in results.