Chapter 2 Case Study: Using Lean Tools to Identify and Eliminate Waste Janie Felder-Walker 44 unread replies.44 replies. After reading the case study, respond to one of the three questions below. How would you apply the quality improvement tools and strategies to a real-world healthcare setting? Provide specific examples and justify your choices. Critically analyze the challenges in implementing quality improvement initiatives based on the case study. What alternative approaches could have been taken to address these challenges effectively? Identify and discuss any ethical dilemmas presented in the case study related to healthcare quality. How would you recommend resolving these dilemmas while maintaining patient-centered and ethical standards