The clinic empowered caregiver with the ability to contribute new ideas, speak freely about processes, and demonstrate quick fixes for ways to change the culture of a hospital organization (Shortell et. al, 1995). The Cleveland Clinic used A3 reports, which involve the simple process of looking at a problem and then analyzing and resolving it with corrective action usually written on a simple sheet of paper (Bassuk & Washington, 2013).
The implementation of Kaizen suggestion process generated many ideas that were prioritized by the managers within the organization. The decision-support services found permanent solutions to long-term problems, resulting in improvement. Banner Health, one of the nation’s largest health systems; experienced a reduction in reimbursements and patient volume that resulted in a cost reduction approach. The Banner Health system also had to find ways to reduce costs to remain successful in the health care industry. Banner’s four tenets used were (a) vision before action, (b) walk the talk, (c) capitalize on the success and (d) shape the culture. The system redesigned its culture consequently creating an attitude of cost awareness throughout its health system (Dalhlen & Bailey, 2013). The system reshaped the culture and created a cost-conscious