The story from Consorci Sanitari del Garraf

"In 2009, three medical facilities in the comarca del Garraf, near Barcelona, merged into one organization, the Consorci Sanitari del Garraf. Faced with a 17% budget cut, a result of the financial crisis, the newly created hospital had to find a way to improve its processes and become more efficient."

This is a really sweet story from Spain that illustrates how you don't need lots of money and extra resources to apply Lean thinking.  Read the text, but really watch the videos to get a feel for how it happened.