* What does Cleveland Clinic need to do well to be successful?
* How does the Surgical Processing Department (SPD) support the overall strategy of the Cleveland Clinic?
* What capabilities are targets for improvement in the SPD lean program?
* What types of waste were present in SPD?
* What sources of variability were present and how did these affect performance?
* How did the actions taken by the lean implementation team apply the concepts of the Rules-in-Use framework?