It services hundreds of global firms, including Goldman Sachs, Visa and DHL. Infosys has developed switching software for Cisco, a factory management system for Nestl and an inventory tracking application for Nordstrom.

FORBES: Passage To India

For example, for the same capital cost and ROI, LED lighting may be beneficial in a New Jersey factory, while a new water management system may provide more bang for the buck in a similar factory in California.

FORBES: Apples to Apples: Comparing Sustainability Projects' Cost And Environment Benefits

Cincinnati Children's is a rare case in the U.S. health care system of what happens when factory-style operations management conquers the improvisational and often sloppy delivery of care in hospitals.

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