The following professionals are confirmed to present at the Lean Healthcare Summit 2017:

John Toussaint, MD, is one of the foremost figures in the adoption of lean principles in healthcare. Under his leadership since 2008, Catalysis (formerly the ThedaCare Center for Healthcare Value), headquartered in Appleton, Wisconsin, has launched peer-to-peer learning networks, developed in-depth workshops, and advanced the idea of healthcare value through care delivery redesign, transparency of healthcare performance measurement, and payment reform.

Dr. Toussaint’s healthcare improvement work using the Toyota Production System principles has been well documented in healthcare industry publications and he has been recognised for his work in transforming healthcare by the Association of Manufacturing Excellence (AME), which inducted him into its 2012 Hall of Fame, and the Jon M. Huntsman School of Business at Utah State University, which hosts the annual Shingo Prize for Operational Excellence. In 2011, he was appointed a lifetime member of the Shingo Academy. In 2005, Wisconsin Governor Jim Doyle honored Dr. Toussaint with a Certificate of Commendation for Innovation from the State of Wisconsin.

As a much sought after speaker, Dr. Toussaint has addressed audiences at The Association for Manufacturing Excellence, The Agency for Healthcare Research and Quality, The Center for Medicare and Medicaid Services, The Shingo Institute, The Lean Enterprise Institute, The Institute for Healthcare Improvement, The American College of Healthcare Executives, and many international conferences. He also regularly speaks on the topic of healthcare value to state and national legislators, Medicare leaders, and government staff.

To read more about Dr Toussaint’s presentation, ‘Transforming healthcare delivery using lean principles‘, please see the abstract here.


Stefan Metzker is a Medical Doctor and currently holds the position of CEO at the hospital of Maennedorf, Zürich in Switzerland after he served 5 years as Executive Director of a hospital group. He is also a Non-Executive Director at PrionTexMicronclean (Pty) Ltd Group of companies and Ram Mountaineering (Pty) Ltd, South Africa. During his career, he has held various roles in South Africa as Executive and Non- Executive Director both at PrionTexMicronclean and Capestorm which he also co-founded. In keeping with his medical qualification he has also consulted to the Swiss Air Ambulance and the Lung Unit & ICU at the University Hospital of Stellenbosch.  Prior to this is he worked as a Registrar in Internal Medicine, Surgery and Anesthetics in Switzerland.

In addition to his medical qualification, Dr. Metzker has specialized both in Internal and Emergency Medicine. He holds a Diploma in Business Management as well as an Executive MBA from the GSB UCT, Cape Town.

He is a founding member of the Lean Institute Africa. As a driver of Lean healthcare in Switzerland he is also supporting the change in Europe with a group of hospital CEOs from all over Europe and with assistance of Catalysis.

To read more about Dr Metzker’s presentation ‘Lean in light of the postmodern challenges of Healthcare‘, please see the abstract here.


Dr Gwendoline Malegwale Ramokgopa was born in Atteridgeville, City of Tshwane (then Pretoria). She qualified as a Medical Doctor (MBCHB) in 1989 and attained her Masters in Public Health (MPH) in 2007. Other studies undertaken at postgraduate level include Public Health (Wits), health economic and Financing (UCT) and Strategic Management and Marketing (Graduate School of Management and Technology).

As an anti-Apartheid activist she occupied various leadership positions including in the student movements, women`s organisations, professional health associations and in the African National Congress.

She was the inaugural CEO of the South African Medical and Dental Practitioners assisting it to establish its investment company on whose board she sat as an executive director. She served as a non-executive board member of NETCARE Private Health Company as well as the Deputy Chairperson of the Black Economic Empowerment Commission representing the medical sector. She also served respectively on the University Councils of the Medical University of Southern Africa (Medunsa) and the Pretoria University.

Dr. Ramokgopa worked as a Medical Officer at Dr. George Mukhari (then GaRankuwa) Hospital until 1992 when she joined the Independent Development Trust (IDT) as National Health Programme Manager. In 1995 she was invited by the MEC for Health to participate on the Strategic Management Team and later a Medical Advisor where she assisted in the establishment of an integrated unified and de-racialised Gauteng Department of Health.

From 1998 she became a member of the Gauteng Legislature serving as the Chairperson of the Portfolio Committee for health as well as being a member of the Portfolio Committee of Finance and Local Government respectively.

Dr Ramokgopa served as Member of the Executive Committee (MEC) for Health in Gauteng Government from 1999 to 2006. During this period she also chaired the Social Development Committee, served as member of the Political Labour Committee, co-ordinated the Government Multi-sectoral AIDS programme and was Head of the Gender Mainstreaming and Women`s Development Programme within the Gauteng Government.

In the periods 1995-1998 she became the first black woman to chair the executive committee of the then City Council of Pretoria. She was later appointed to serve as the Executive Mayor of Tshwane from 2006 to 2010.

In her various roles and responsibilities Dr Ramokgopa has demonstrated her passion and commitment on issues of policy, leadership and strategic planning; corporate governance, ethics, accountability and participatory democracy; economic development, youth empowerment and gender equality; as well as excellence, quality assurance, innovation and research.

[source: http://www.health.gpg.gov.za/pages/mec-qedani-mahlangu-profile.aspx]

Dr Ramokgopa will be giving the opening address at the Lean Healthcare Summit.


The Hollard Continuous Improvement team, including (from left to right), Francois de Jager, Malcolm Davidson and Gerda Lewis, has the purpose to not exist within 3 years.  This can only be achieved if the team can transform Hollard into a lean organisation.  In the team’s transformation journey over the past 20 months they have facilitated:

  • Financial performance improvement of R28m to date in the group claims Recoveries and Liabilities area
  • Increased sales in a pilot field sales team by 335% in a period of 2 months
  • Decreased the financial month end reporting process of a pilot division from 45 days (6 staff) to 4 days (4 staff) in a period of only 6 weeks with no automation
  • Decreased standard complaints by 38% and escalated complaints by 60% within 6 months in one of the major business units
  • Reduced inbound queries by 30% in a major business unit through improved problem solving
  • Reduced the error rate of the HR team in their people movement process from 77% to 3%
  • Reduced aged debtors over 60 days in a specific business unit from R426m to R227m resulting in a provision release of R30m
  • Improved policy renewal performance in a specific business unit by R4,3m in 4 months.

The team has achieved some good momentum to date, have made a lot of mistakes, learnt a lot of lessons that may be worthy to share, and is pushing full steam ahead to achieve a total Hollard transformation within the next 3 years.

To read more about Hollard’s Presentation ‘Lean at Hollard: The Journey thus far‘, please see their abstract here.



Gauteng Department of Health

Gladys Bogoshi MSc (Physiotherapy), MPH (Hospital Mgmt) is currently the Chief Executive Officer the Charlotte Maxeke Johannesburg Academic Hospital one of the ten central hospitals and the main teaching hospital of the University of the Witwatersrand. Prior to that she held a number of leadership and management positions in various hospitals in the Gauteng Province.

She was trained as Physiotherapist (MSc in Physiotherapy) and later on completed a master degree in hospital management from the University of the Witwatersrand. In addition, she had attended a number of management and leadership courses besides an ethics course offered by the Ethics Institute of South Africa.


Grey Joseph Dube is the Chief Executive Officer of Leratong Hospital, a position he has held since 2005. As an Accounting Officer responsible for giving direction, coordinating management and administration for an 855 bedded Regional hospital with over 1700 staff members, Mr. Dube is a firm believer in leadership through team work and encouraging staff to find solutions to their day to day challenges. It is this belief that under his leadership, the hospital has earned numerous awards and accolades both from National and Provincial government Departments. The latest of these accolades was the Centre for Public Service Innovation Award for the Obstetrics & Gynaecology “one stop” project in 2015.


Elon Mathipa studied a Diploma in Purchasing management and supply chain at Tshwane University of technology from 2004 to 2006. Thereafter, he worked at Nedbank, including as Chairperson of the Nedbank Business transformation forum. In 2011, Elon worked at Vodacom in the media Liaison team as a senior consultant for organization resolution team. In 2014 he joined Gauteng Department of Health and worked with Mckinsey and Company on the first Lean initiatives in the Department. He has continued to work in the Department using Lean Methodology, partnering with Lean Institute Africa. He has focused on furthering his lean learning and is a green belt in Lean Six Sigma, as well as studying Project Management, Operations Management and Lean in healthcare at Wits University.

He is currently one of only two Lean healthcare practitioners in the Gauteng Department of Health, after three and half years of training, coaching and mentoring. He is now leading Introduction to Lean workshops independently, having rolled out eighteen workshops with healthcare staff, and he is currently mentoring and coaching eleven Hospitals across Gauteng.

Nawane Dorothy Sekgala is an experienced Professional Nurse who holds a certificate in enrolled nursing, Diploma in General Nurse and BCur (Ed st Adm) in Occupational Health Nursing.

She worked at Sizwe Tropical Disease Hospital as an enrolled nurse for 3 years and then moved to apposition at Charlotte Maxeke Johannesburg Academic Hospital. Here she first worked as a professional nurse in the medical cardiology ward and her current position is in TB focal point and HIV clinic. She is an active member of the Lean project in this department.

Grey Dube, Elon Mathipa and Nawane Dorothy Sekgala from the Gauteng Department of Health will be presenting ‘Building Capacity, Building Momentum: 3 years into the Lean Initiative‘ in the plenary morning sessions and Gladys Bogoshi will join them in presenting ‘Lean and Lean Leader Coaching‘ in the afternoon breakaway sessions’.  To read more about the presentations, please see the abstract here.

Stephan Fourie is a Medical Doctor and also holds an MBA from Stellenbosch University. Currently, as Director in the Western Cape Department of Health, he is involved with numerous specialised projects. Previous roles in the Department include Medical Manager for Red Cross War Memorial Children’s Hospital as well as the Provincial Clinical Operations Coordinator.

He leads the newly established Collaborative Healthcare Improvement (CHI) initiative team that drives lean healthcare in the Western Cape Department of Health, supported by the Lean Institute Africa and Catalysis.

To read more about Dr Fourie’s presentation ‘Improvement work in the Western Cape Department of Health’, please see the abstract here.


Rose Heathcote is the founder of Thinking People, and her purpose is to advance the learning and application of Lean Thinking in Africa.

For more than 20 years, she has focused on raising the performance of enterprises in most industry sectors in Africa, Middle East, UK and India through Lean Thinking and Best Practice. She has been privileged to work with 100+ companies, from micro through to large internationals, supporting them with:

  • Strategy and Execution in Lean Thinking
  • Corporate and Individual Learning and Development

She has a background in Industrial Engineering and Business Management and is the author of ‘Making a Difference’ and ‘Clear Direction’.

Contact Rose by visiting www.thinkingpeople.co.za.

To read more about Rose Heathcote’s workshop ‘Introduction to Lean Thinking‘, please see the workshop outline here.


Heather Tuffin is a medical doctor turned improvement scientist. She works with staff in the Western Cape provincial health system to improve patient care processes, with the joint aims of improving health outcomes and creating a greater level of joy in the workplace.

She has recently been appointed as Project Manager for the newly formed Collaborative Healthcare Improvement (CHI) office for the Western Cape Department of Health.

She is an honorary lecturer for the faculty of Emergency Medicine at UCT, where she teaches Patient Safety and Improvement Science as part of their Masters programme.

In 2014, Lean Institute Africa awarded Heather the De Beers Diamond Award for “Excellence in making South Africa a better place for all”.

To read more about Heather Tuffin’s workshop ‘Our Province’s experience with lean management‘, please see the workshop outline here.