Comments on: Naida Grunden and Lean Healthcare http://www.leanblog.org/2008/12/naida-grunden-and-lean-healthcare/ Mark Graban's leanblog.org - Lean Healthcare, Lean Thinking, Lean Manufacturing, Toyota Production System Thu, 09 Feb 2012 22:59:58 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Kenneth http://www.leanblog.org/2008/12/naida-grunden-and-lean-healthcare/#comment-4242 Kenneth Wed, 10 Dec 2008 12:01:00 +0000 http://leanblog.bigbigdesign.net/2008/12/naida-grunden-and-lean-healthcare/#comment-4242 I agree with Naida's comments that we need a more empowered workforce to avoid "death by the slow no," as a response to reform efforts.<br/><br/>When physicians, nurses, and allied healthcare professionals feel that they are making their time count, the practice environment improves dramatically.<br/><br/>Quality and safety will save dollars; it is always less expensive to do things right the first time rather than treat complications.<br/><br/>Kenneth H. Cohn, M.D., MBA, FACS<br/>Author of Better Communication for Better Care and Collaborate for Success!<br/>http://healthcarecollaboration.com I agree with Naida’s comments that we need a more empowered workforce to avoid “death by the slow no,” as a response to reform efforts.

When physicians, nurses, and allied healthcare professionals feel that they are making their time count, the practice environment improves dramatically.

Quality and safety will save dollars; it is always less expensive to do things right the first time rather than treat complications.

Kenneth H. Cohn, M.D., MBA, FACS
Author of Better Communication for Better Care and Collaborate for Success!
http://healthcarecollaboration.com

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]]> By: Richard Tucker http://www.leanblog.org/2008/12/naida-grunden-and-lean-healthcare/#comment-4241 Richard Tucker Wed, 10 Dec 2008 06:52:00 +0000 http://leanblog.bigbigdesign.net/2008/12/naida-grunden-and-lean-healthcare/#comment-4241 I think one key is that we don't have to get the best and brightest to develop an answer to tell us. The answer is found by asking the people who do the work. EXPERience = EXPERtise.<br/><br/>Go and see what is really happening in the workplace. Little problems add up over an entire system. I worked with one hospital that had a pharmacy tech that did nothing but flip scanned images right-side up before they went to the pharmacist. It saved time for the pharmacist, but did not really add any value to the medication process. By working with the nursing units and labeling all the fax/scanners "Face Down/Feet First", we could eliminate this work (but not the job) of the pharm tech and have them do something useful-- like delivering meds!<br/><br/>We are sitting on a gold mine of knowledge in the people that do the work! We just have tap into it.<br/><br/>Richard Tucker<br/>www.hpp.bz I think one key is that we don’t have to get the best and brightest to develop an answer to tell us. The answer is found by asking the people who do the work. EXPERience = EXPERtise.

Go and see what is really happening in the workplace. Little problems add up over an entire system. I worked with one hospital that had a pharmacy tech that did nothing but flip scanned images right-side up before they went to the pharmacist. It saved time for the pharmacist, but did not really add any value to the medication process. By working with the nursing units and labeling all the fax/scanners “Face Down/Feet First”, we could eliminate this work (but not the job) of the pharm tech and have them do something useful– like delivering meds!

We are sitting on a gold mine of knowledge in the people that do the work! We just have tap into it.

Richard Tucker
http://www.hpp.bz

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]]> By: Dean Bliss http://www.leanblog.org/2008/12/naida-grunden-and-lean-healthcare/#comment-4239 Dean Bliss Tue, 09 Dec 2008 15:03:00 +0000 http://leanblog.bigbigdesign.net/2008/12/naida-grunden-and-lean-healthcare/#comment-4239 Great article. As Naida said, we generally know the "what" to do, and certainly the "why". The question is "how" to get it done. Will it take an FAA-like mandate? Will it work with a transformation at all levels of healthcare? Will the payment system be changed to provide incentives and/or penalties? I wish we had the answer. Maybe the next step is to get the best and brightest together to develop the answer. Great article. As Naida said, we generally know the “what” to do, and certainly the “why”. The question is “how” to get it done. Will it take an FAA-like mandate? Will it work with a transformation at all levels of healthcare? Will the payment system be changed to provide incentives and/or penalties? I wish we had the answer. Maybe the next step is to get the best and brightest together to develop the answer.

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