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	<title>Comments on: Amazing Single Piece Flow MD Office</title>
	<atom:link href="http://www.leanblog.org/2006/06/amazing-single-piece-flow-md-office/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.leanblog.org/2006/06/amazing-single-piece-flow-md-office/</link>
	<description>Mark Graban&#039;s leanblog.org - Lean Healthcare, Lean Thinking, Lean Manufacturing, Toyota Production System</description>
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		<title>By: Mark Graban</title>
		<link>http://www.leanblog.org/2006/06/amazing-single-piece-flow-md-office/#comment-22093</link>
		<dc:creator>Mark Graban</dc:creator>
		<pubDate>Fri, 24 Jun 2011 14:08:27 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2006/06/amazing-single-piece-flow-md-office/#comment-22093</guid>
		<description>I found a link to a PPT that references some of the work:

&lt;a href=&quot;http://www.google.com/url?sa=t&amp;source=web&amp;cd=2&amp;ved=0CB0QFjAB&amp;url=http%3A%2F%2Fwww.qualitynet.org%2Fdcs%2FBlobServer%3Fblobkey%3Did%26blobwhere%3D1228861168972%26blobheader%3Dmultipart%252Foctet-stream%26blobheadername1%3DContent-Disposition%26blobheadervalue1%3Dattachment%253Bfilename%253DSingle-Piece%2BFlow%2Bin%2Ba%2BPhysicians%2BOffice.ppt%26blobcol%3Durldata%26blobtable%3DMungoBlobs&amp;rct=j&amp;q=%E2%80%9CRespect%20for%20patient%20time%20is%20a%20business%20model.%E2%80%9D%20dr.%20griffin&amp;ei=GpoETr30D8Lb0QGqi43nCw&amp;usg=AFQjCNE9Bf0fujFp8XoQ17KIFS0B20vSlw&amp;sig2=t831PAIw71rsyNJbAZmmYQ&quot; rel=&quot;nofollow&quot;&gt;LINK&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>I found a link to a PPT that references some of the work:</p>
<p><a href="http://www.google.com/url?sa=t&#038;source=web&#038;cd=2&#038;ved=0CB0QFjAB&#038;url=http%3A%2F%2Fwww.qualitynet.org%2Fdcs%2FBlobServer%3Fblobkey%3Did%26blobwhere%3D1228861168972%26blobheader%3Dmultipart%252Foctet-stream%26blobheadername1%3DContent-Disposition%26blobheadervalue1%3Dattachment%253Bfilename%253DSingle-Piece%2BFlow%2Bin%2Ba%2BPhysicians%2BOffice.ppt%26blobcol%3Durldata%26blobtable%3DMungoBlobs&#038;rct=j&#038;q=%E2%80%9CRespect%20for%20patient%20time%20is%20a%20business%20model.%E2%80%9D%20dr.%20griffin&#038;ei=GpoETr30D8Lb0QGqi43nCw&#038;usg=AFQjCNE9Bf0fujFp8XoQ17KIFS0B20vSlw&#038;sig2=t831PAIw71rsyNJbAZmmYQ" rel="nofollow">LINK</a></p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-22093" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('22093', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-22093-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-22093" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('22093', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-22093-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Jim Murphy</title>
		<link>http://www.leanblog.org/2006/06/amazing-single-piece-flow-md-office/#comment-22092</link>
		<dc:creator>Jim Murphy</dc:creator>
		<pubDate>Fri, 24 Jun 2011 13:28:11 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2006/06/amazing-single-piece-flow-md-office/#comment-22092</guid>
		<description>Hi
Tried the links and both are no longer functioning. I would love access to the original content.</description>
		<content:encoded><![CDATA[<p>Hi<br />
Tried the links and both are no longer functioning. I would love access to the original content.</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-22092" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('22092', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-22092-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-22092" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('22092', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-22092-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Serviced Offices</title>
		<link>http://www.leanblog.org/2006/06/amazing-single-piece-flow-md-office/#comment-22089</link>
		<dc:creator>Serviced Offices</dc:creator>
		<pubDate>Fri, 24 Jun 2011 11:42:31 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2006/06/amazing-single-piece-flow-md-office/#comment-22089</guid>
		<description>I’m going to take this data and give it to every doctor I run into.</description>
		<content:encoded><![CDATA[<p>I’m going to take this data and give it to every doctor I run into.</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-22089" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('22089', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-22089-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-22089" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('22089', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-22089-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Ralf</title>
		<link>http://www.leanblog.org/2006/06/amazing-single-piece-flow-md-office/#comment-682</link>
		<dc:creator>Ralf</dc:creator>
		<pubDate>Wed, 21 Jun 2006 21:31:00 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2006/06/amazing-single-piece-flow-md-office/#comment-682</guid>
		<description>Mark,&lt;br/&gt;&lt;br/&gt;the smooth process was possible because the patients said clearly what the reason for their coming was (and the dentist knew the specialities of his clients&#039; teeth). So the dentist could decide how much time was needed for treatment. Coming late you would just let happen once because afterwards you would learn you had to wait till an appriopriate time window to be fitted into the tied schedule.&lt;br/&gt;&lt;br/&gt;....and yes you are right: thís dentist was really working smarter not harder (he wasn&#039;t stressed at all -as far as I could say).&lt;br/&gt;&lt;br/&gt;Regards&lt;br/&gt;&lt;br/&gt;Ralf</description>
		<content:encoded><![CDATA[<p>Mark,</p>
<p>the smooth process was possible because the patients said clearly what the reason for their coming was (and the dentist knew the specialities of his clients&#8217; teeth). So the dentist could decide how much time was needed for treatment. Coming late you would just let happen once because afterwards you would learn you had to wait till an appriopriate time window to be fitted into the tied schedule.</p>
<p>&#8230;.and yes you are right: thís dentist was really working smarter not harder (he wasn&#8217;t stressed at all -as far as I could say).</p>
<p>Regards</p>
<p>Ralf</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-682" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('682', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-682-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-682" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('682', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-682-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Mark Graban</title>
		<link>http://www.leanblog.org/2006/06/amazing-single-piece-flow-md-office/#comment-680</link>
		<dc:creator>Mark Graban</dc:creator>
		<pubDate>Wed, 21 Jun 2006 14:43:00 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2006/06/amazing-single-piece-flow-md-office/#comment-680</guid>
		<description>Make sure to emphasize that this doctor wasn&#039;t &quot;working harder&quot; in the course of doing his work different.  Quite the opposite, I think he was far less stressed out than he was under his old approach.</description>
		<content:encoded><![CDATA[<p>Make sure to emphasize that this doctor wasn&#8217;t &#8220;working harder&#8221; in the course of doing his work different.  Quite the opposite, I think he was far less stressed out than he was under his old approach.</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-680" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('680', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-680-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-680" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('680', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-680-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Mike Lopez</title>
		<link>http://www.leanblog.org/2006/06/amazing-single-piece-flow-md-office/#comment-676</link>
		<dc:creator>Mike Lopez</dc:creator>
		<pubDate>Wed, 21 Jun 2006 14:17:00 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2006/06/amazing-single-piece-flow-md-office/#comment-676</guid>
		<description>I&#039;m going to take this data and give it to every doctor I run into.</description>
		<content:encoded><![CDATA[<p>I&#8217;m going to take this data and give it to every doctor I run into.</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-676" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('676', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-676-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-676" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('676', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-676-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Mark Graban</title>
		<link>http://www.leanblog.org/2006/06/amazing-single-piece-flow-md-office/#comment-672</link>
		<dc:creator>Mark Graban</dc:creator>
		<pubDate>Tue, 20 Jun 2006 21:07:00 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2006/06/amazing-single-piece-flow-md-office/#comment-672</guid>
		<description>Ralf - thanks for your comments.  I know lean is possible... I&#039;m just surprised that the human element (variability in treatment time and patients arriving late) doesn&#039;t trip things up more often.  Still, his system is better than my family practice office here in Texas.  I&#039;m about to find a new doctor because I&#039;m tired of waiting too long once I&#039;m there.  I wonder if they care?  They have a huge waiting room that&#039;s decorated very nicely -- a bad sign!  They expect too many people to be out there far too long.</description>
		<content:encoded><![CDATA[<p>Ralf &#8211; thanks for your comments.  I know lean is possible&#8230; I&#8217;m just surprised that the human element (variability in treatment time and patients arriving late) doesn&#8217;t trip things up more often.  Still, his system is better than my family practice office here in Texas.  I&#8217;m about to find a new doctor because I&#8217;m tired of waiting too long once I&#8217;m there.  I wonder if they care?  They have a huge waiting room that&#8217;s decorated very nicely &#8212; a bad sign!  They expect too many people to be out there far too long.</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-672" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('672', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-672-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-672" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('672', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-672-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Ralf</title>
		<link>http://www.leanblog.org/2006/06/amazing-single-piece-flow-md-office/#comment-671</link>
		<dc:creator>Ralf</dc:creator>
		<pubDate>Tue, 20 Jun 2006 20:39:00 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2006/06/amazing-single-piece-flow-md-office/#comment-671</guid>
		<description>Hi Mark,&lt;br/&gt;&lt;br/&gt;you wrote, &quot;Part of me is skeptical -- how can Dr. Griffin&#039;s appointment times be so predictable?&quot; wondering how LEAN can be achieved in the medical field.&lt;br/&gt;&lt;br/&gt;Myself, I made very positive experiences during my student time in Bamberg where I had a dentist (chosen by chance, it was the closest one to the student housing). Making an appointment (and there had been several even after I moved out of Bamberg later on) was always a pleasure, because once you had the appointment you could be that when arriving there was not enough time to read the paper five pages and then work started (finished in excellent quality in the least time necessary). It was a real one-piece-flow (even though in 1991 &quot;Lean Thinking&quot; wasn&#039;t yet published, there were never more than one client in the waiting room.&lt;br/&gt;&lt;br/&gt;I really loved going there because I didn&#039;t loose any -even during student time- valuable time:-))&lt;br/&gt;&lt;br/&gt;...so you can see LEAN is possible in areas where you wouldn&#039;t expect it:-)&lt;br/&gt;&lt;br/&gt;All the best from Leipzig&lt;br/&gt;&lt;br/&gt;Ralf</description>
		<content:encoded><![CDATA[<p>Hi Mark,</p>
<p>you wrote, &#8220;Part of me is skeptical &#8212; how can Dr. Griffin&#8217;s appointment times be so predictable?&#8221; wondering how LEAN can be achieved in the medical field.</p>
<p>Myself, I made very positive experiences during my student time in Bamberg where I had a dentist (chosen by chance, it was the closest one to the student housing). Making an appointment (and there had been several even after I moved out of Bamberg later on) was always a pleasure, because once you had the appointment you could be that when arriving there was not enough time to read the paper five pages and then work started (finished in excellent quality in the least time necessary). It was a real one-piece-flow (even though in 1991 &#8220;Lean Thinking&#8221; wasn&#8217;t yet published, there were never more than one client in the waiting room.</p>
<p>I really loved going there because I didn&#8217;t loose any -even during student time- valuable time:-))</p>
<p>&#8230;so you can see LEAN is possible in areas where you wouldn&#8217;t expect it:-)</p>
<p>All the best from Leipzig</p>
<p>Ralf</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-671" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('671', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-671-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-671" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('671', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-671-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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