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As organizations strive to do more with less, many are turning to Lean methodology, which is based on the same techniques that propelled the legendary turnaround of Japans industrial sector after World War II. Few leaders, however, understand that the real secret behind Lean is a comprehensive approach to management that differs significantly from what is taught in business school. Lean initiatives, consequently, are rarely led by senior management, and seldom lead to significant change. The Lean CEO reveals the true power of Lean through in-depth interviews with CEOs who have gone beyond tool adoption and established Lean as a corporate-wide management system. The all-star cast of twenty-eight leaders represents a wide variety of organizations, including global manufacturers Ingersoll-Rand and Barry-Wehmiller, healthcare icons Thedacare and Virginia Mason, the states of Connecticut and Washington, historical icons such as Wiremold, and many more.