Increasing the efficiency of patient treatment as well as improving patient care quality and reducing waiting times are challenges facing healthcare systems around the world (Fine, et al., 2009). Furthermore, there is a challenge to increase the number of patients treated and to cut waiting times while retaining costs under control as well as becoming a more attractive employer (van Rossum et al., 2016). In order to meet the challenges in healthcare, different Quality Management (QM) initiatives have been applied (Seidl and Newhouse,2012). Lean and Six Sigma are popular QM initiatives originating from manufacturing but also used in the healthcare sector. Six Sigma and Lean can be used to detect value adding processes and also confirming control and sustainability of change through establishing plans (ibid). The purpose of this paper is to describe a shared picture of the situation and to identify general possibilities for improvements focusing on the transitions between wards.