Comments on: Lean is “Loving Care”? http://www.leanblog.org/2010/01/lean-is-loving-care/ Mark Graban's leanblog.org, Lean Manufacturing, Lean Healthcare, Toyota Production System Sun, 05 Sep 2010 23:26:01 +0000 hourly 1 http://wordpress.org/?v=abc By: Learning and Sharing Lean Healthcare in Winnipeg — Lean Blog http://www.leanblog.org/2010/01/lean-is-loving-care/#comment-9685 Learning and Sharing Lean Healthcare in Winnipeg — Lean Blog Sat, 01 May 2010 02:23:47 +0000 http://www.leanblog.org/?p=4719#comment-9685 [...] We’re not making the Lean hospital a cold, uncaring “assembly line.” Look at the Dutch example of “loving care.” When we free up nurses from running around searching for supplies and equipment, that gives them [...] [...] We’re not making the Lean hospital a cold, uncaring “assembly line.” Look at the Dutch example of “loving care.” When we free up nurses from running around searching for supplies and equipment, that gives them [...]

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]]> By: Lucian Leape Loathes Lean or “L.A.M.E.”? — Lean Blog http://www.leanblog.org/2010/01/lean-is-loving-care/#comment-9510 Lucian Leape Loathes Lean or “L.A.M.E.”? — Lean Blog Thu, 15 Apr 2010 09:02:20 +0000 http://www.leanblog.org/?p=4719#comment-9510 [...] I guess Dr. Leape hasn’t visited or talked with the leaders at St. Elisabeth Hospital in The Netherlands who describe their Lean effort’s goals as providing “loving care.“ [...] [...] I guess Dr. Leape hasn’t visited or talked with the leaders at St. Elisabeth Hospital in The Netherlands who describe their Lean effort’s goals as providing “loving care.“ [...]

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]]> By: An Industrial Engineer as Hospital CEO — Lean Blog http://www.leanblog.org/2010/01/lean-is-loving-care/#comment-8654 An Industrial Engineer as Hospital CEO — Lean Blog Tue, 02 Mar 2010 10:45:10 +0000 http://www.leanblog.org/?p=4719#comment-8654 [...] Riordan reminded me of the philosophy from St. Elisabeth in The Netherlands. The Dutch talked about their philosophy of Lean leading to “loving care.” [...] [...] Riordan reminded me of the philosophy from St. Elisabeth in The Netherlands. The Dutch talked about their philosophy of Lean leading to “loving care.” [...]

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]]> By: Don Nelson http://www.leanblog.org/2010/01/lean-is-loving-care/#comment-7002 Don Nelson Tue, 26 Jan 2010 15:37:25 +0000 http://www.leanblog.org/?p=4719#comment-7002 Marc - Great post! Lean and loving is not mission impossible but mission possible almost by definition. Lean IS loving, especially in this case. It frees up time for the nursing staff to do what they love best - provide high-quality care. Enjoy you time in Sweden! Marc – Great post! Lean and loving is not mission impossible but mission possible almost by definition. Lean IS loving, especially in this case. It frees up time for the nursing staff to do what they love best – provide high-quality care. Enjoy you time in Sweden!

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]]> By: Simon Ellberger http://www.leanblog.org/2010/01/lean-is-loving-care/#comment-6997 Simon Ellberger Mon, 25 Jan 2010 23:59:01 +0000 http://www.leanblog.org/?p=4719#comment-6997 Great! I love the lovely picture! I actually have been trying to substitute in my teaching "love for people" instead of "respect for people" as one of the two fundamental principles of "lean." I think it's a more powerful principle that encompasses the "respect" version. Unfortunately, it doesn't seem to go over well (yet) because of the sensitivity to the "love" word. My inspiration for this was twofold--once hearing Fred Kofman define "love" as "radical respect for the right of another to be an other" and a quote from Humberto Maturana: "We can expand our cognitive domain through a novel experience brought forth through the expression of a biological interpersonal congruence that lets us see the other person and open up for him room for existence beside us. This act is called 'love,' or the acceptance of the other person beside us in our daily living. Without acceptance of others living beside us, there is no social process and, therefore, no humanness. Biologically, without acceptance of others, there is no social phenomenon." Love is healthy; health is love. Sounds like John Lennon ("Love is real; real is love"). Thanks for the post! Great! I love the lovely picture!

I actually have been trying to substitute in my teaching “love for people” instead of “respect for people” as one of the two fundamental principles of “lean.” I think it’s a more powerful principle that encompasses the “respect” version. Unfortunately, it doesn’t seem to go over well (yet) because of the sensitivity to the “love” word.

My inspiration for this was twofold–once hearing Fred Kofman define “love” as “radical respect for the right of another to be an other” and a quote from Humberto Maturana: “We can expand our cognitive domain through a novel experience brought forth through the expression of a biological interpersonal congruence that lets us see the other person and open up for him room for existence beside us. This act is called ‘love,’ or the acceptance of the other person beside us in our daily living. Without acceptance of others living beside us, there is no social process and, therefore, no humanness. Biologically, without acceptance of others, there is no social phenomenon.”

Love is healthy; health is love. Sounds like John Lennon (“Love is real; real is love”).

Thanks for the post!

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]]> By: Mark Graban http://www.leanblog.org/2010/01/lean-is-loving-care/#comment-6995 Mark Graban Mon, 25 Jan 2010 17:54:17 +0000 http://www.leanblog.org/?p=4719#comment-6995 Marc - thanks for the update and elaboration on that. Sounds like a great message for inspiring improvement with the right purpose. To all -- just to clarify, when I made my comment about "ruthless efficiency", I wasn't knocking efficiency. I was knocking the "ruthless" part that would ignore purpose and mission. I don't think I'd be accused of not liking efficiency... but just wanted to clarify after reflecting on what I wrote. I think Marc is right when efficiency and care should support each other. Marc – thanks for the update and elaboration on that. Sounds like a great message for inspiring improvement with the right purpose.

To all — just to clarify, when I made my comment about “ruthless efficiency”, I wasn’t knocking efficiency. I was knocking the “ruthless” part that would ignore purpose and mission. I don’t think I’d be accused of not liking efficiency… but just wanted to clarify after reflecting on what I wrote.

I think Marc is right when efficiency and care should support each other.

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]]> By: Marc Rouppe van der Voort http://www.leanblog.org/2010/01/lean-is-loving-care/#comment-6994 Marc Rouppe van der Voort Mon, 25 Jan 2010 17:46:07 +0000 http://www.leanblog.org/?p=4719#comment-6994 Hi Mark, thanks for putting our theme on your blog, great how you stress what lean is about. Since the symposium Jacob Caron and others have lead the development of a (concept) framework for our lean journey. We call it .... The St. Elisabeth Healthcare Improvement System (St. Elisabeth ZorgVerbeterSysteem) with four elements in a triangle. The three sides are: - Agility - Quality - Safety In the center of the triangle: loving care Loving care refers to patients, but also to each other as care providers. The Dutch term is 'Menslievendheid' which literally would be translated into 'loving people' or perhaps 'human compassion'. We're now starting learning communities on loving care. The first community is 'oncology' and is formed by doctors and nurses. Lean and loving care are starting to mingle and are leading to great discussions. Yes we need to become more efficient and process oriented. And we also want to become more sensitive to the individual needs of every patient. The two really strengthen each other. Marc St. Elisabeth Hospital .-= Marc Rouppe van der Voort´s last blog ..<a href="http://leanthinkinginhealthcare.blogspot.com/2010/01/continuous-improvement-with-improvement.html" rel="nofollow">Continuous improvement with the 'improvement chart'</a> =-. Hi Mark, thanks for putting our theme on your blog, great how you stress what lean is about. Since the symposium Jacob Caron and others have lead the development of a (concept) framework for our lean journey. We call it …. The St. Elisabeth Healthcare Improvement System (St. Elisabeth ZorgVerbeterSysteem) with four elements in a triangle. The three sides are:
- Agility
- Quality
- Safety
In the center of the triangle: loving care

Loving care refers to patients, but also to each other as care providers. The Dutch term is ‘Menslievendheid’ which literally would be translated into ‘loving people’ or perhaps ‘human compassion’.

We’re now starting learning communities on loving care. The first community is ‘oncology’ and is formed by doctors and nurses. Lean and loving care are starting to mingle and are leading to great discussions. Yes we need to become more efficient and process oriented. And we also want to become more sensitive to the individual needs of every patient. The two really strengthen each other.

Marc
St. Elisabeth Hospital
Marc Rouppe van der Voort´s last blog ..Continuous improvement with the ‘improvement chart’

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]]> By: Dean Bliss http://www.leanblog.org/2010/01/lean-is-loving-care/#comment-6993 Dean Bliss Mon, 25 Jan 2010 16:50:39 +0000 http://www.leanblog.org/?p=4719#comment-6993 Excellent stuff, Mark. The "ruthless efficiency" subject comes up frequently. I always emphasize with people that compassion is a critical part of the healthcare business, and no amount of process improvement should interfere with the time we spend with our patients. When we measure value-added time, one of the value-added components is comforting patients, even if it delays something else. I like the idea of "Lean and Loving", and I think it fits well with how Lean and healthcare fit together. Excellent stuff, Mark. The “ruthless efficiency” subject comes up frequently. I always emphasize with people that compassion is a critical part of the healthcare business, and no amount of process improvement should interfere with the time we spend with our patients. When we measure value-added time, one of the value-added components is comforting patients, even if it delays something else. I like the idea of “Lean and Loving”, and I think it fits well with how Lean and healthcare fit together.

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]]> By: Steve Harper http://www.leanblog.org/2010/01/lean-is-loving-care/#comment-6992 Steve Harper Mon, 25 Jan 2010 16:24:29 +0000 http://www.leanblog.org/?p=4719#comment-6992 What is the ultimate example of "respect for people"? Love. We need to get over this resistance to being "touchy feely". It may be uncomfortable for some people to "care" about the people they work with, but I think it is as essential to long term sustainability as any kaizen event or A3. A robot can't love anything; a person can. As one of your recent blogs stated, we need to respect people's humanity. Is love not part of what it is to be human? Thank you for this topic, Mark. I agree that it is profound and impressive. What is the ultimate example of “respect for people”? Love. We need to get over this resistance to being “touchy feely”. It may be uncomfortable for some people to “care” about the people they work with, but I think it is as essential to long term sustainability as any kaizen event or A3. A robot can’t love anything; a person can. As one of your recent blogs stated, we need to respect people’s humanity. Is love not part of what it is to be human?

Thank you for this topic, Mark. I agree that it is profound and impressive.

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