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This book examines the four components that must be in place for manufacturing and service organizations to achieve world-class business results: leadership and mentoring, process design and visual value streams, organization structure for sustainment, and fast knowledge sharing. The book illustrates the author‘s actual experience working on a special Lean Sigma transformation at an organization going through a market alteration and having to consider outsourcing production to low-cost countries. The text illustrates how the four key components helped them achieve a doubling of productivity, a 75% improvement to their yield, and on time delivery above 90%.