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Implementing Lean Six Sigma in a multi-speciality hospital through a change management approach I am delighted to see the publication of the above entitled manuscript in the TQM journal, a leading practitioner journal of quality management in Europe. Many thanks to all co-authors: Alok Kumar Samanta and G. Varaprasad from NIT Calicut and Anand Gurumurthy from IIM Kozhikode, India. Many healthcare institutions, such as hospitals, have recently implemented quality improvement initiatives such as Lean Six Sigma (LSS). However, only a few have sustained the initiatives and remained successful. One of the main reasons for the failure of LSS implementation is that managers tend to view LSS as individual projects. Managers lack a Change Management (CM) focus during the implementation. The primary purpose of this study is to document the implementation of LSS through a CM approach to improve sustainability. Define-Measure-Analyse-Improve-Control (DMAIC) and the Awareness-Desire-Knowledge-Ability-Reinforcement (ADKAR), a popular CM approach, are combined to propose a new framework. The usefulness of the proposed framework is demonstrated using a case study in a multi-speciality hospital located in southern India.The study found that several factors are responsible for the high Length of Stay (LOS) for patients in the Emergency Department (ED). By implementing this proposed model to implement LSS and taking corrective actions, the average LOS was reduced from 267 to 158 min (a 40% reduction approximately).The complete step-by-step approach is explained, and the LOS was considerably reduced during the pilot project. The findings will provide valuable insights for healthcare practitioners to understand the steps involved in the combined DMAIC-ADKAR model. The findings would also give healthcare practitioners the confidence to identify suitable tools and implement LSS in organisations where the practitioners work. Happy to share a copy of the manuscript on request. BR Professor Antony VP of Research, IAQ Professor of Quality and OPEX Newcastle Business School Northumbria University, England, UK