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Gaming the System: Graduation Rates & Pneumonia Rates

by Mark Graban on April 24, 2014 · 3 comments

board games 150x150 Gaming the System: Graduation Rates & Pneumonia Rates leanRegular readers of the blog will know that one of my favorite topics is “Gaming the Numbers” (or “Gaming the System“).

As Brian Joiner so brilliantly wrote, as shared by the late, great Peter Scholtes , there are three things people can do when faced with having to hit goals, targets, or quotas:

(1) improve the system, (2) distort the numbers, or (3) distort the system

Two items were in the news recently about #2 and #3 — from NCAA basketball and from hospitals.

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mark graban lean blog Gaming the System: Graduation Rates & Pneumonia Rates leanAbout LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology. Mark is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as the new Executive Guide to Healthcare Kaizen. Mark is also the VP of Innovation and Improvement Services for KaiNexus.


photo by: Joe Bain

A Book, a Webinar, a Workshop & a Summit from the ThedaCare Center for Healthcare Value

by Mark Graban Apr 23, 2014 1 comment

I am an unabashed fan of the ThedaCare Center for Healthcare Value, as you’re probably aware. For full disclosure, I was previously an employee of the Lean Enterprise Institute, a key partner of the Center. They have a lot of great information and events, so I’d like to use today’s post to share that with […]

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Lean is Common Sense? #ObviouslyLean

by Mark Graban Apr 22, 2014 7 comments

I’ve been amused by the Hotels.com “Captain Obvious” character and TV commercials. Hotels.com is, um, a site where you book hotels. Obvious. It’s often said that Lean is “common sense.” If that’s true, I guess it goes along with the phrase that common sense is uncommon. Aspects of a Lean culture often seem like common […]

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