Seattle Cancer Care Alliance 
Beginner level
Intermediate level
Value Stream 2 Systematic Daily Improvement

Lean evolution: a new clinical model of care

Tuesday, Oct. 20 Location Code
10:45am-11:45am Jr. Ballroom C/D, 3rd floor TP/08

Transformation of a cancer research and care organization

Journey from a functional organizational design to value stream thinking; hear about design and implementation of a new patient care model, powered by lean principles; lean management system and performance improvements; organization-wide employee engagement.


Hear what it takes to guide a transformation from a functional organizational design to value stream thinking. Learn how Seattle Cancer Care Alliance (SCCA) is creating a community of scientists and engaging employees at all levels in its quest to build an innovative clinical delivery model. Discover how it has met and overcome challenges such as complex care pathways and deep specialization. Get suggestions for starting with small experiments, implementing a model line, developing cross-department solutions, facilitating an integrated facility design project and launching an independent service line—yielding significant performance improvements. Explore SCCA’s transition from a departmental/functional system to value stream thinking, with lean principles guiding the design of a patient care delivery model. Hear about its lean management system and its role in guiding breakthroughs, holding the gains and continuously improving. Learn how SCCA is positioning itself for long-term financial sustainability through lean practices. Understand how scientific thinking is critical to continuous improvement efforts and capability-building. Gain insights about SCCA’s challenges and the behaviors essential to cultural and technical change.


Seattle Cancer Care Alliance (SCCA) is a cancer treatment center that unites doctors from Fred Hutch, UW Medicine and Seattle Children’s. Its goal is to turn cancer patients into cancer survivors. SCCA’s purpose is to provide state-of-the-art patient- and family-centered care, support the conduct of cancer clinical research/education, enhance access to improved cancer interventions and advance the standard of cancer care regionally and beyond. The organization has employed lean strategies since 2011.

Speakers: Norm Hubbard / Camille Rapacz

Norm Hubbard is the executive vice president of the Seattle Cancer Care Alliance (SCCA). He joined SCCA in 1998 as chief operating officer and worked on its start-up. He previously was associate vice president for center affairs at the M.D. Anderson Cancer Center in Houston and executive director at the University of Maryland Cancer Center in Baltimore. He has a B.S. degree in economics from George Mason University and an MBA from the Wharton School at the University of Pennsylvania.

Camille Rapacz is the director of continuous performance improvement for the Seattle Cancer Care Alliance (SCCA).