Later, Kenagy was introduced to Steven Spear and H. Kent Bowen, who were working on understanding the underlying principles of the Toyota Production System (TPS).
In 2002, Virginia Mason spearheaded an effort to improve patient safety and quality of care by adopting the Toyota Production System (TPS) to health care.
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Virginia Mason Institute, providing education and training on the Virginia Mason Production System, a process for improving patient care modeled after the Toyota Production System;
Virginia Mason Production System, a Lean Healthcare production system based on the Toyota Production System pioneered by Virginia Mason Hospital & Medical Center of Seattle, WA
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She was one of the ten original members of the Productivity Inc. team assembled by Norman Bodek in the early 1980s to establish that company as the premier resource for books and intelligence from Japan that documented and explained what was then called The Japanese Manufacturing Miracle, and is now widely known as the Toyota Production System.
Based on the companies learning from Honda and study into the Toyota Production System, it is the name the company has given to its methodology.