“Modified Approach” presents the goal of a lean culture: “to build a better, faster, more efficient and streamlined process.” The article, written by quality improvement consultants Grace Duffy and John W. Moran and published in the August 2010 edition of Six Sigma Forum Magazine, shows work flow processes and demonstrates areas where challenges may arise and how those challenges may be overcome. The authors identify lean wastes with pertinent examples for the public health field. These authors show knowledge and understanding of the obstacles faced by public health professionals in planning for the future as well as meeting everyday challenges.