Introduction:

The knowledge and development of skills related to process management in health professionals are vital for improving the quality of services.

Objective:

To propose actions for the elimination of changes in the processes management in Cuban health institutions.

Methods:

This is a descriptive, cross-sectional research from January to June 2020 focused on the search for knowledge about the processes in 35 health institutions. It was examined from questions asked to the participants about the processes they carried out in their institutions, their waste and proposals for improvement. The Lean approach was applied to the processes studied.

Results:

The following changes were identified: delays in waiting times; duplication of documents and complementary exams, excessive modeling, unnecessary transfers of personnel, errors in the planning of promotion actions and use of human resources in activities not related to their training. The following actions were proposed for improvement: scheduling of consultations by staggered hours, distribution of modeling according to the type of institution, use of information and communication technologies, managerial control of processes.

Conclusions:

The application of the Lean approach in the management of processes in health institutions makes it possible to identify their flow changes and propose improvement actions, fundamentally of an organizational and managerial control nature.

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