As world leaders grapple with how to efficiently and safely deliver COVID-19 vaccines to 8 billion people, the task of building vaccine-administration pods will fall to thousands of local hospitals, clinics, and community centers. There will be no “one size fits all” solution to this challenge; core design elements, based on basic principles of continuous improvement (or lean management), offer a roadmap. As world leaders grapple with how to efficiently and safely deliver COVID-19 vaccines to 8 billion people, the task of building vaccine-administration pods will fall to thousands of local hospitals, clinics, and community centers. There will be no “one size fits all” solution to this challenge; core design elements, based on basic principles of continuous improvement (or lean management), offer a roadmap. Define the Challenge All lean, or continuous improvement, work begins with some version of defining the problem to be solved.

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