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Operational Excellence Examples: How Companies Put It Into Practice

Posted by Maggie Millard

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Jun 14, 2024, 8:44:08 AM

Overhead photo of three case file folders labeled Manufacturing, Healthcare, and Government, each holding an object: an orange stop button, a patient wristband, and a city ID badge.

Key takeaways

The operational excellence examples worth studying name three things: the problem, the method, and the result. Most published examples name only the company.

  • Toyota, Amazon, and GE appear on nearly every list, which makes them the least useful place to look for something you could actually copy this year.
  • Award programs publish verified, current examples. NIST recognized five organizations with the 2024 Baldrige Award, spanning healthcare, engineering, education, insurance, and city government.
  • A normal improvement is small. Across the KaiNexus customer base, 28% of improvements carry direct financial impact, the average improvement is worth roughly $15,000, and about 1 in 100 exceeds $100,000. Published examples are the 1 in 100.
  • The harder problem is replication. A mechanism that depends on one site leader travels only as far as that leader does.

Find the example closest to your industry and your size, then copy the mechanism rather than the outcome.


Search for operational excellence examples and you get Toyota, Amazon, Walmart, and GE, usually with no numbers attached. Those results were real. They are also no help to anyone running a single plant or regional health system, because the published version never says what broke, what the team changed, or how anyone knew it worked.

Operational excellence is an organization's ability to deliver more value to customers, consistently, by making continuous improvement part of how the whole organization runs. The examples below are grouped by industry, and wherever a source exists, each carries the problem the team faced and what changed. Several come from award programs that verify results before publishing, including the five organizations recognized by NIST with the 2024 Baldrige Award. Others come from organizations running sustained improvement programs that nobody ever writes up.

What do the strongest operational excellence examples have in common?

A usable example names the problem, the method, and a result someone outside the company could check. Most published write-ups supply the logo and stop.

"Company X streamlined its operations and improved efficiency" names neither the constraint nor the change, which leaves nothing to copy. Look for these instead:

  • A named constraint. Wait times, defect rates, turnover, days to close the books.
  • A mechanism, not a mindset. A daily huddle with a standing agenda is a mechanism, while "a culture of continuous improvement" describes an aspiration.
  • A result with a date and a source attached. If it cannot be traced, treat it as a claim.

Infographic listing the three things a credible operational excellence example names: the problem as a named constraint, the method as a mechanism, and the result with a date and a source.

Which companies are recognized for operational excellence right now?

The operational excellence companies recognized most recently are the 2024 Baldrige Award recipients: Chickasaw Nation Department of Health, the City of Henderson, Freese and Nichols, Northeast Delta Dental, and Alamo Colleges District. Abbott's diagnostics site in Hangzhou received the Shingo Prize in 2025. Both awards put examiners inside the building before anyone publishes, which separates them from a vendor case study.

What stands out is how little they have in common. Chickasaw Nation Department of Health holds a five-star rating from the Centers for Medicare and Medicaid Services, putting it in the top 10% nationally, and in the top 10% for workforce retention.

The City of Henderson, Nevada, ranks in the top 10% for police and fire services, parks, and overall city services. At Freese and Nichols, revenue grew from $200 million in 2019 to $325 million in 2023, making it the first two-time engineering winner. Northeast Delta Dental has insured 1,091,563 people and keeps 99% of them. Alamo Colleges District won twice, in 2018 and 2024, a first in higher education. Abbott's Hangzhou site earned its prize on behavior across the whole operation, with no flagship project.

OrganizationSectorRecognitionDocumented result
Chickasaw Nation Dept. of HealthHealthcare2024 Baldrige AwardFive-star CMS rating, top 10% nationally
City of Henderson, NVLocal government2024 Baldrige AwardTop 10% for police, fire, and parks
Freese and NicholsEngineering2024 Baldrige Award$200M to $325M revenue, 2019 to 2023
Northeast Delta DentalInsurance2024 Baldrige Award1,091,563 people insured, 99% retention
Alamo Colleges DistrictHigher education2024 Baldrige AwardFirst two-time higher education winner
Abbott RMDx HangzhouDiagnostics2025 Shingo PrizeSite-wide improvement culture

What does operational excellence look like in manufacturing?

In manufacturing, operational excellence looks like an operator who can stop the line, and a management system that treats the stoppage as information instead of failure. Toyota's andon cord is still the reference case, and it matters more than just-in-time inventory. Just-in-time only works when defects surface where they happen.

The operational excellence examples that actually transfer are the ones no one bothers to publish: a changeover shortened on second shift, a kitting error designed out, a scheduling bottleneck cleared. None of it becomes a case study, and all of it is what a working program spends its days on. The same work shows up inside structured improvement work in manufacturing at any size.

What do the healthcare examples show?

Healthcare borrowed the stop-the-line mechanism from manufacturing and kept it almost intact. Virginia Mason built its production system directly on the Toyota Production System. Its Patient Safety Alert requires any employee who sees a situation likely to harm a patient to halt the activity and report it on the spot, which is an andon cord with a clinical name.

Virginia Mason and ThedaCare get filed under Six Sigma sometimes, though both are Lean systems. Six Sigma earns its place where the problem is variation in a high-volume process. A 2025 study of inpatient prescribing at a military hospital in Saudi Arabia used DMAIC to cut the prescribing error rate from 2.1% to 1.3%, a move from 3.5 to 3.7 sigma. A result like that looks modest on paper, which is what genuine Six Sigma work looks like.

Chickasaw Nation Department of Health pairs its five-star rating with top 10% workforce retention, and both 2025 Baldrige recipients were healthcare organizations: Nor-Lea Hospital District in rural New Mexico, a 2024 finalist, and Northwell Glen Cove Hospital. The judges also recognized Methodist Healthcare Ministries of South Texas for a retention-focused workforce strategy. Quality gains hold where staffing is stable, because improvement work dies when the people who built it leave. Operational Excellence in Healthcare: How to Build a Culture of Continuous Improvement covers the sector in more depth.

Where else does operational excellence show up?

Outside manufacturing and healthcare, the clearest operational excellence examples come from financial services, government, and education. In all three, the binding constraint is coordination between functions.

Financial services examples are about consolidation, almost never speed. JPMorgan Chase runs risk identification and mitigation through one firmwide framework. HSBC handles compliance assessment, monitoring, and reporting inside a single system instead of one per jurisdiction. In both cases the win is closing the seams between functions, where problems sit unnoticed.

Public sector examples get overlooked, and they often travel better, because no agency can buy its way out of a process problem. The City of Henderson holds a What Works Cities Gold Certification from Bloomberg Philanthropies for data-driven governance. In Iowa, Mary Greeley Medical Center earned a 2025 Baldrige Best Practice Spotlight for pulling hospital staff, city partners, and first responders into one effort to cut unnecessary emergency department visits, which no department could have run alone.

SectorTypical challengeCommon methodWhat changes
ManufacturingDefects and changeover timeLean, TPS, Shingo ModelFlow improves, problems surface fast
HealthcareSafety events, prescribing errorsLean, DMAICVariation drops, staff report issues
Financial servicesFragmented risk and complianceCentralized management systemsGaps between functions close
Government and educationService quality on fixed budgetsBaldrige frameworkPerformance measured against peers

Which methods do these operational excellence examples use?

Five methods account for the operational excellence examples on this page: the Toyota Production System and Lean, Six Sigma, the Shingo Model, the Baldrige Excellence Framework, and daily management. All five are component parts of operational excellence, none competing with the others. Which one produced an example matters more than which is best, because the method sets the limits of what it can tell you.

  1. The Toyota Production System and Lean. Lean produces the best examples of flow, and the weakest examples of scope. A Lean case study shows exactly how a changeover was shortened and almost nothing about whether the same approach survives in a function with no physical process. Read these for the mechanism, and stay skeptical about how far it travels.
  2. Six Sigma and DMAIC. The numbers here are the most defensible you will find, and the narrowest. Because the method demands a measurement system before the improvement starts, Six Sigma examples arrive with real baselines. One documented shift still says nothing about the processes running beside it. Teams who want that rigor at scale usually pair it with dedicated Six Sigma tooling.
  3. The Shingo Model. Shingo is the only one that scores behavior instead of output. Examiners watch what operators do when a problem surfaces, which makes a Shingo site the best evidence that improvement has spread past the improvement office. The assessment is site-level, so a prize tells you about one plant and not one company. The 10 Principles of Operational Excellence covers the framework in detail.
  4. The Baldrige Excellence Framework. Baldrige looks at the whole organization and attaches a peer comparison, which nothing else here does, and that is why recipients can say "top 10% nationally" instead of "improved significantly." It is also the slowest signal. The evaluation runs on an annual award cycle, so what you read describes a steady state, never a turnaround in progress.
  5. Daily management and visual controls. Almost nothing here gets published, and the other four methods sit on top of it. Durable programs run a short standing review with named owners and visible due dates. Nobody writes a case study about a huddle, which is why it is missing from every list.

What do these examples leave out?

Published operational excellence examples leave out the size of a normal improvement, and rarely say whether the result reached a second site. Every one of them is an outlier by construction. Benchmark against outliers and your own results will look disappointing when they are healthy.

Across the KaiNexus customer base, 28% of improvements carry direct financial impact, the average improvement is worth roughly $15,000, and about 1 in 100 exceeds $100,000. A working program looks like that from the inside: mostly small changes, a minority financially measurable, and once in a while the six-figure result somebody writes up. A board asking why the program has not produced a Toyota is asking for the 1 in 100, sustained across decades.

Grid of 100 circles showing that 28 of every 100 improvements carry direct financial impact, the average improvement is worth roughly $15,000, and about 1 in 100 exceeds $100,000.

Replication is the harder half. Most enterprise programs can name one site that runs improvement well, and every other site is the actual problem. The Lean Enterprise Institute describes why improvements fail to stick in three ways, all of them failures of replication. People learn the tools and nothing sustains them. Improvements get made with no business problem behind them. Thinking never changes, so old habits come back. When a result depends on one plant manager chasing it, the next site gets a description of the improvement, stripped of what produced it.

How do you apply these operational excellence examples in your own organization?

Use operational excellence examples to locate the mechanism your own program is missing, and skip the search for a company to emulate. Each turns into a checklist item naming something that exists somewhere else and not here.

Can a frontline person halt a process and get a response the same day, as Virginia Mason's alert system requires? Does a measurement baseline exist before the improvement starts, or get reconstructed afterward? When a site reports performance, is there an external peer to compare against, or only its own prior year? A no to any of those questions names the gap faster than another case study will. Top Strategies to Achieve Operational Excellence sets out how to close those gaps, and Lean Transformation Steps for Operational Excellence covers sequencing across sites.

What every example here has in common is visibility. Someone outside the team could see the work while it was still moving: which items were open, who owned them, and whether last quarter's change still held.

Common questions about operational excellence examples

A method only matters to the degree its mechanism can be repeated by people who did not invent it. Toyota's influence spread on that basis, and it explains why a proven result dies one site over.

What is the best-known example of operational excellence?

The Toyota Production System is the best-known example, without much competition. It introduced just-in-time production, built-in quality, and the andon cord, and nearly every framework that followed borrows from it. Its influence reaches past manufacturing, since systems like the Virginia Mason Production System are direct adaptations.

Which industries use operational excellence?

Operational excellence is used in every industry with repeatable work where variation carries real cost. Recent Baldrige recipients include a health system, a city government, a community college district, an engineering firm, and a dental insurer. Only the vocabulary changes by sector, while the management system underneath stays recognizable.

What do Baldrige and Shingo examiners actually assess?

Baldrige examiners look at a whole organization, while Shingo examiners judge observed behavior at a single site, so the two recognitions are not interchangeable. Baldrige evaluates categories spanning leadership, strategy, customers, workforce, operations, and results, weighed against peer benchmarks. Shingo examiners watch what people do when a problem appears, which the reporting will never show.

Why do improvements that work at one site fail at another?

Improvements that work at one site usually fail at another because the mechanism was never separated from the person running it. A result that depends on one plant manager's follow-up travels only as far as that manager does. The sites that do replicate send the standing review, the named ownership, and the visibility ahead of the improvement itself.

Pull quote reading: A result that depends on one plant manager's follow-up travels only as far as that manager does.

Build the system your own example depends on

Producing an example like these depends less on which method you pick than on whether the work stays visible after attention moves on. That means being able to say what is underway across every site, who owns each piece, and which improvements are still standing a year on. That is what separates one good case study from a result that repeats everywhere.

KaiNexus gives organizations one system for capturing improvement work, tracking it to implementation, and showing whether gains held. Get a Demo to see what that looks like against your own improvement work.

Topics: Improvement Culture, Improvement Process, Improvement Methodology, Operational Excellence

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