The critical challenge for healthcare today is to be a high quality/low cost provider. However, healthcare is struggling to meet the challenge in terms of quality, outcomes and cost. Healthcare is in need of a blueprint for transformation, leveraging new knowledge and innovation, while consistently and reliably delivering quality and controlling cost. Integrating the process change methodology of Lean with the enterprise visibility afforded by RTLS offers a wealth of exciting options for transformation, yet there is no existing model or defined body of research regarding the application of RTLS within a Lean methodology. The purpose of this project was to design a new model to be known as the Jagim Lean RTLS Model for Healthcare, that integrates the methodology of Lean with the capabilities of RTLS with nursing as a central figure in the healthcare delivery transformation process.