Objective: The objective of this study was to identify lean healthcare management system (LHMS) constructs and to develop model to test the validity(exploratory [EFA] and confirmatory factor analysis [CFA]) of LHMS constructs for Malaysian healthcare industry.Methods: Data were obtained from 238 healthcare managements in Malaysian healthcare industry. This report presents the results of the EFA, reliability analysis, and CFA which are empirically verified.Results: A set of assessment measurement of LHMS constructs is expected to be suitable for characteristics and improves the competitiveness. The result shows that eight constructs of LHMS are acceptable in this study.Conclusion: This research specifies a study which is based on the LHMS measurement includes leadership, employee involvement, organizational culture, customer focus, technological innovation, process innovation, managerial innovation, and healthcare performance. This study provides fundamental knowledge and direction for researchers in further research as well as practitioners to constantly improve performance through the implementation of LHMS.Keywords: Lean healthcare, Healthcare performance, Healthcare industry, Malaysian.