“…The objective is also to maximize the value for the customer, where value means the ability to offer services and products according to the customer's needs, at the exact moment and with convenient prices (Bhamu & Sangwan, 2014;Lacerda, Xambre & Alvelos, 2016). However, lean principles are not exclusive to the industrial sector and have been used with success in the operations of various sectors, an example of supply chains, in the education, administration, maintenance, product development and also in hospitals (Rauch, Damian, Holzner & Matt, 2016; Dias, Reis, Oliveira, Maruyama & Martinez, 2018). When it comes to the health sector, the product expected by patients is the cure of their ills, which translates into the value of these services (Spagnol, Min & Newbold, 2013).…”