The development of manufacturing industries in Malaysia has started more than 50 years ago. Nonetheless, after more than 50 years Malaysian manufacturing has been established, the issues of maintenance, safety, quality, cost, and performance efficiency still receive criticism, complaints, and various suggested approach to improve their product quality, operation management, and customer satisfaction. As a result, in order to improve the quality of manufacturing industries, Malaysian government has supported and encourage for develop total solution especially for quality improvement, increase safety and setup low cost for productive maintenance. Thus, to help the Malaysian manufacturer to achieve national agenda, further Total Productive Maintenance (TPM) tool essential. Recently, manufacturing companies are moving toward maintenance engineering practices, lean dashboard methodology process, statistical engineering solution, audit quality maintenance control and performance efficiency improvement; lower cost of production, cheaper maintenance cost , just in time (JIT) operation deliveries, eliminate of waste in any aspect of its operations and finally produce high quality product and better service to customer compared to competitors. The objectives of this research is to develop propose TPM tool as an important catalyst for continually seek better maintenance performance and in turn against competitive advantage. By implementing prototype of TPM system, modern manufacturing companies will eliminate waste in operation activities such as to reduce maintenance cost, reduce time monitoring and control's, reduce defect, to reduce lead time, and reduce variation process and also improve quality product and good service for customer satisfaction.

In current competitive business and modern work, organizational culture and Lean Healthcare (LH) is important to improve organizational performance in healthcare industry. Healthcare industry itself is moving forward toward preparing a cost and time efficient, morale, quality, and safety healthcare providers. Thus, the aim of this study is to develop a lean healthcare tool that incorporate lean healthcare practices, quality improvement effort and performance measure in Malaysian healthcare industry. This finding is to provide a lower cost of material, improve supply chain process, better service quality for customer, and Just in Time (JIT) services deliveries. This study also expect to eliminate healthcare waste and defects in many aspects of the healthcare operation, strengthening relationships with vendors, producing high quality products, and ultimately serve customers better than competitors. The development through lean healthcare tool will be conduct in Malaysia healthcare industry and will also be adopt to analyze the data gather from systems validation process. Further, the findings of the study are expects to provide a practical guideline for healthcare practitioner to enhance performance improvement and to provide tested lean healthcare system, quality improvement effort and performance improvement systems in healthcare industries through a tool. Development of lean healthcare tool will be test in this research. Hence, this research might be important to Malaysian Healthcare industry in improving performance improvement. As such, it is expected to benefit both researchers, practitioners, consultant and academic player.