Comments on: LEAN or LAME? http://www.leanblog.org/2007/03/lean-or-lame/ Mark Graban's leanblog.org - Lean Healthcare, Lean Thinking, Lean Manufacturing, Toyota Production System Thu, 09 Feb 2012 02:40:19 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Mise-en-place, 5S, and why tape outlines on the desk are stupid. | http://www.leanblog.org/2007/03/lean-or-lame/#comment-26701 Mise-en-place, 5S, and why tape outlines on the desk are stupid. | Wed, 19 Oct 2011 07:05:33 +0000 http://leanblog.bigbigdesign.net/2007/03/lean-or-lame/#comment-26701 [...] about how to apply 5S in a knowledge environment is rampant, as these stories of “lean as misguidedly executed” (LAME) attest. I believe that’s because people focus on the easily visible, outward [...] [...] about how to apply 5S in a knowledge environment is rampant, as these stories of “lean as misguidedly executed” (LAME) attest. I believe that’s because people focus on the easily visible, outward [...]

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]]> By: Appreciating Systems » Hoshin kanri is key to #Lean deployement because it respects people http://www.leanblog.org/2007/03/lean-or-lame/#comment-26518 Appreciating Systems » Hoshin kanri is key to #Lean deployement because it respects people Thu, 13 Oct 2011 10:48:08 +0000 http://leanblog.bigbigdesign.net/2007/03/lean-or-lame/#comment-26518 [...] How many Lean programs start with an objective of reducing costs? How many of them are named “Lean” when it’s spelled “L.A.M.E“? [...] [...] How many Lean programs start with an objective of reducing costs? How many of them are named “Lean” when it’s spelled “L.A.M.E“? [...]

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]]> By: Appreciating Systems » Can #Lean be helped by Self-Determination Theory and #SolutionFocus? (a @doingwhatworks paper) http://www.leanblog.org/2007/03/lean-or-lame/#comment-21035 Appreciating Systems » Can #Lean be helped by Self-Determination Theory and #SolutionFocus? (a @doingwhatworks paper) Mon, 30 May 2011 12:06:13 +0000 http://leanblog.bigbigdesign.net/2007/03/lean-or-lame/#comment-21035 [...] What I described above, though caricatural (or is it?) is still what’s even been given a name: L.A.M.E. (Lean As Misguidedly Executed). [...] [...] What I described above, though caricatural (or is it?) is still what’s even been given a name: L.A.M.E. (Lean As Misguidedly Executed). [...]

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]]> By: Appreciating Systems » Curious Cat Management Improvement Blog » Building Adoption of Management Improvement Ideas in Your Organization http://www.leanblog.org/2007/03/lean-or-lame/#comment-20600 Appreciating Systems » Curious Cat Management Improvement Blog » Building Adoption of Management Improvement Ideas in Your Organization Fri, 13 May 2011 21:29:13 +0000 http://leanblog.bigbigdesign.net/2007/03/lean-or-lame/#comment-20600 [...] Regarding Lean, we have now quite some company that went for a Lean management system. Some were highly successful, other less, but it seems hat failure is generally associated with either not believing in Lean (self-fulfilling prophecy) or not doing “real Lean” (which generally means that Lean activities have been focused on tools and not on the management that should go with them – that’s L.AM.E. (Lean As Mistakenly Executed)) [...] [...] Regarding Lean, we have now quite some company that went for a Lean management system. Some were highly successful, other less, but it seems hat failure is generally associated with either not believing in Lean (self-fulfilling prophecy) or not doing “real Lean” (which generally means that Lean activities have been focused on tools and not on the management that should go with them – that’s L.AM.E. (Lean As Mistakenly Executed)) [...]

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]]> By:  | Karabin http://www.leanblog.org/2007/03/lean-or-lame/#comment-18260  | Karabin Thu, 17 Feb 2011 01:22:51 +0000 http://leanblog.bigbigdesign.net/2007/03/lean-or-lame/#comment-18260 [...] dette blogginnlegget fra 2007 irriterer Mark Graban seg over at mange LEAN-prosjekter egentlig er LAME-prosjekter. Med [...] [...] dette blogginnlegget fra 2007 irriterer Mark Graban seg over at mange LEAN-prosjekter egentlig er LAME-prosjekter. Med [...]

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]]> By: Mark Graban http://www.leanblog.org/2007/03/lean-or-lame/#comment-14783 Mark Graban Thu, 09 Dec 2010 18:51:38 +0000 http://leanblog.bigbigdesign.net/2007/03/lean-or-lame/#comment-14783 You might be interested in this post, Anna, of a hospital in The Netherlands that has the right attitude, I think. They have a lot of soul and caring around their lean efforts: http://www.leanblog.org/2010/01/lean-is-loving-care/ You might be interested in this post, Anna, of a hospital in The Netherlands that has the right attitude, I think. They have a lot of soul and caring around their lean efforts:

http://www.leanblog.org/2010/01/lean-is-loving-care/

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]]> By: Anna Smith http://www.leanblog.org/2007/03/lean-or-lame/#comment-14780 Anna Smith Thu, 09 Dec 2010 18:46:49 +0000 http://leanblog.bigbigdesign.net/2007/03/lean-or-lame/#comment-14780 Thanks for your reply. I had assumed that the rehab center was trying to be lean, but I just visited their website and they are apparently big on TQM. The other, 'good' hospital belongs to the Health Promoting Hospitals Network, http://www.euro.who.int/en/what-we-do/health-topics/Health-systems/public-health-services/activities/health-promoting-hospitals-network-hph And yes, the rehab center is treating her condition more than the person. They are "missing a soul" (quote my dad). Anyway, lean methodology is not used anywhere - so nevermind the question :) Still very interesting, though... Thanks! Thanks for your reply. I had assumed that the rehab center was trying to be lean, but I just visited their website and they are apparently big on TQM.
The other, ‘good’ hospital belongs to the Health Promoting Hospitals Network, http://www.euro.who.int/en/what-we-do/health-topics/Health-systems/public-health-services/activities/health-promoting-hospitals-network-hph
And yes, the rehab center is treating her condition more than the person. They are “missing a soul” (quote my dad).

Anyway, lean methodology is not used anywhere – so nevermind the question :) Still very interesting, though…
Thanks!

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]]> By: Mark Graban http://www.leanblog.org/2007/03/lean-or-lame/#comment-14761 Mark Graban Thu, 09 Dec 2010 17:48:45 +0000 http://leanblog.bigbigdesign.net/2007/03/lean-or-lame/#comment-14761 Hi Anna - thanks for your comment. For the sake of context, are either of those organizations using the lean methodology, to your knowledge? It sounds like the rehab center might be focusing on the technical and the clinical sides of care, without having as much focus on the caring side of health care, from a holistic standpoint? Are they treating her condition more than treating the person? Hi Anna – thanks for your comment. For the sake of context, are either of those organizations using the lean methodology, to your knowledge?

It sounds like the rehab center might be focusing on the technical and the clinical sides of care, without having as much focus on the caring side of health care, from a holistic standpoint? Are they treating her condition more than treating the person?

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]]> By: Anna Smith http://www.leanblog.org/2007/03/lean-or-lame/#comment-14754 Anna Smith Thu, 09 Dec 2010 17:05:53 +0000 http://leanblog.bigbigdesign.net/2007/03/lean-or-lame/#comment-14754 Hi Mark, This post has been on my mind - I'm trying to figure something out: My almost blind 92-year-old awesome grandmother had hip replacement surgery at a local hospital. She was treated like a Queen, made many friends and felt genuinely cared for. Then she transferred to a rehab center. Apparently, the nurses there meet every morning to discuss patients' progress, new developments, goals and the like. The staff maintains a rigorous schedule, sets challenging goals for each patient and follows-through with specialized training; all processes seem to be optimized and effective. But my grandmother does not feel taken care of, she is miserable. Her drinking cup is labeled with her name on it, but she can't read it. At lunch, a nurse sits with her while she is eating, but she is afraid to eat (and spill food all over her). She is not laughing much and not having a good time like she did at the hospital. From an organizational perspective, what went wrong? Hi Mark,

This post has been on my mind – I’m trying to figure something out: My almost blind 92-year-old awesome grandmother had hip replacement surgery at a local hospital. She was treated like a Queen, made many friends and felt genuinely cared for.

Then she transferred to a rehab center. Apparently, the nurses there meet every morning to discuss patients’ progress, new developments, goals and the like. The staff maintains a rigorous schedule, sets challenging goals for each patient and follows-through with specialized training; all processes seem to be optimized and effective.

But my grandmother does not feel taken care of, she is miserable. Her drinking cup is labeled with her name on it, but she can’t read it. At lunch, a nurse sits with her while she is eating, but she is afraid to eat (and spill food all over her). She is not laughing much and not having a good time like she did at the hospital.

From an organizational perspective, what went wrong?

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]]> By: Nissan – L.A.M.E. or Lean? « Beyond Lean http://www.leanblog.org/2007/03/lean-or-lame/#comment-11518 Nissan – L.A.M.E. or Lean? « Beyond Lean Fri, 16 Jul 2010 10:23:54 +0000 http://leanblog.bigbigdesign.net/2007/03/lean-or-lame/#comment-11518 [...] sounds like L.A.M.E. (Lean as Misguidedly Executed as coined over on the Leanblog by Mark Graban) and not lean.  If you had hiccups in procurement, lean behavior would ask questions around what [...] [...] sounds like L.A.M.E. (Lean as Misguidedly Executed as coined over on the Leanblog by Mark Graban) and not lean.  If you had hiccups in procurement, lean behavior would ask questions around what [...]

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