In this case study involving an anonymous hospital, nursing department leaders sought to improve efficiency of their staff's shift change assignments. Upon value stream mapping the process, team members identified the shift nursing report took 43 minutes on average to complete. Using DMAIC and other quality tools, team members improved the process' sigma level from 0.7 to 3.3.

1. Explain and Summarize the application of Lean and Six Sigma in the case study.
2. Describe ways in which Lean and Six Sigma could be applied to improve health care economics and the application of health care financial and funding models.