Is Iowa the only state with a concerted, identified effort to improved quality, cost, and service, even having a â€œLean Day Proclomationâ€? Just read a post from Jamie Flinchbaugh on Mark Grabanâ€™s blog. Jamie will be speaking at the Lean Government Exchange in June in Des Moines, IA. Glad to see Iowa government continuing to be a leader in this arena. Iâ€™m starting to develop a fire for what I can do to contribute to the application of lean in both government and healthcare, because I see huge opportunities to improve quality and cost in these arenas. Glad to see my friends at PDG Consultants as a primary contributor to the event as well.