Scripps Health 
Intermediate level
Value Stream 2 Systematic Daily Improvement

Creating a sustainable management system

Shifting from 'doing lean' to lean becoming your DNA
Tuesday, Oct. 25 Location Code
11:00am-12:00pm Dallas Ballroom B, 1st floor TP/08

Learn how the journey of taking horizontal management to the front lines has evolved and created a sustained success, creating a complete culture of engagement.


Customers of health care are requiring significant out-of-the-box thinking and true cultural change. It is also critical to keep the current business running with reduced defects and eliminating waste while providing excellent customer experiences. Learn about a successful health care organization’s financial and cultural turnaround and how it continues to be sustained. Discover how to take a system with multiple locations and purposes and align the organization with one lean management system. Hear how a system approach to daily management and a structured management system allows the organization to eliminate waste and improve daily operations while driving development and growth expected by the customer.


Founded in 1924 by philanthropist Ellen Browning Scripps, Scripps Health is a non-profit integrated health system based in San Diego, CA. Scripps treats a half-million patients annually through the dedication of 2,600 affiliated physicians and 13,750 employees among its five acute-care hospital campuses, hospice and home health care services, and an ambulatory care network of physician offices and 25 outpatient centers and clinics.

Presenter: Michelle Tressler / Cindy Steckel

Michelle Tressler is the assistant vice president of project management at Scripps Health. She has over 20 years of health care delivery system and health plan strategic development, operations and management consulting experience. She currently oversees system decision support, strategic project management and the internal Value by Design team. She has been overseeing the organization’s continuous improvement model and training for the past five years. Tressler has also been leading the Scripps lean management team to help create a cultural transformation in a very high performing, horizontal system organization.

Cindy Steckel is vice president and chief nursing and operations executive at Scripps Memorial Hospital La Jolla. She has held numerous leadership positions at Scripps Health, including administrative director of acute and surgical services and administrative director of critical care services. Steckel has a doctorate in nursing from the University of San Diego, a master’s degree in nursing administration from San Diego State University and a bachelor’s degree in nursing from Northern Illinois University. She served as executive fellow on the Hospital Board Academy Fellowship; held certification in critical care for 20 years (CCRN); and is currently Nurse Executive Advanced-Board Certified (NEA-BC). She has also published numerous articles on nursing.