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This is a Spanish version. AWARD WINNING CASE - 'Continuous Improvement: The Journey to Excellence' Award, 2017 European Foundation for Management Development (EFMD) Case Writing Competition. In 2007, the emergency department at Kaiser Permanente's South Sacramento Medical Center was experiencing extremely long patient wait times, and it became clear that a new and better way of doing business was needed. The chief of the emergency department was inspired to change things and became the leader of the lean program - a system of management methods and tools widely used for over 25 years in the manufacturing sector. Changes were made over a six-year period to significantly improve key performance measures of the department. The goal was to create capacity and continuous flow in a health-care setting without negative implications to the emergency department and patients.