Notes and References from my #LKNA13 Talk on Lean Healthcare

mark graban LKNA 2013

I had a chance to attend the Lean Kanban North America conference this week. It was a different “tribe” to be a part of, as the topics focused on software and IT settings, including agile development, “kanban” project management, and broader lean management topics.

I gave a talk on “lean healthcare,” which is always an interesting challenge when it’s not an audience of healthcare professionals.

Here are notes and links that I cited in my slides, including data and key references:

You can also view this as a Google Doc.

    1. Are my staff and doctors treated with dignity and respect by everyone in our organization?
    2. Do my staff and doctors have the training and encouragement to do work that gives their life meaning?
    3. Have I recognized my staff and doctors for what they do?

Picture via Twitter.

Tweets about the talk:

TonianneDeMariaBarry [email protected]  

1/3 of healthcare spending = waste (including medical errors which are preventable) – @MarkGraban #LKNA13 #lean #healthcare

Marc Johnson [email protected]

CEO’s aren’t asked to wear a badge saying “why are we understaffed?” Yet doctors are asked to wear one for hand washing #lkna13 @MarkGraban

Pawel Brodzinski [email protected]

Lean tools are just a tip of iceberg. Org culture, mindset and mgmt system are underwater part – not seen at 1st sight @markgraban #lkna13

Michael Mumau [email protected]

Managers, are we looking for bad apples to blame when we should be looking for bad processes? @MarkGraban #lkna13

Pawel Brodzinski [email protected]

Being careful is not sufficient. Would careful deva create bug-free software? @markgraban #lkna13 same as “do the work right at 1st attempt”

Eric Willeke [email protected]

#lkna13 “The Five Who’s” — @MarkGraban the result of a name/shame/blame culture

Pawel Brodzinski [email protected]

And on cord is not only to stop the line. It’s a call for help in the first place. @markgraban #lkna13 Same as blockers on Kanban board

If your managers say things like “My people are very careful”, this is an indication that you have a systemic quality problem #lkna13

TonianneDeMariaBarry [email protected]

W/#lean,hospitals able to double amt of time nurses have bedside. Improves quality/curbs waste (less waiting/falls) – @MarkGraban #lkna13

Pawel Brodzinski [email protected]

The ultimate arrogance is to change the way people work without changing the way we manage them @markgraban #lkna13

Derek W. Wade [email protected]

#LKNA13 Child at risk story from @MarkGraban illustrates 1 issue w lean adoption in software: our risks are seldom as grave (death, harm)

Nayan Hajratwala [email protected]

Great talk by @markgraban on lean healthcare. Nice job! #lkna13

Thom Leggett [email protected]

Inspiring talk from @MarkGraban on lean in healthcare. Plenty of transferable thoughts. Important to get an alternative perspective. #lkna13

Eb [email protected]

The goal is not #Lean or #Agile or #Kanban. I hope we can continue to remember that. #lkna @markgraban


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Now Available – The updated, expanded, and revised 3rd Edition of Mark Graban’s Shingo Research Award-Winning Book Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement. You can buy the book today, including signed copies from the author.

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Mark Graban's passion is creating a better, safer, more cost effective healthcare system for patients and better workplaces for all. Mark is a consultant, author, and speaker in the "Lean healthcare" methodology. He is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as The Executive Guide to Healthcare Kaizen. His most recent project is an eBook titled Practicing Lean that benefits the Louise H. Batz Patient Safety Foundation, where Mark is a board member. Mark is also the VP of Improvement & Innovation Services for the technology company KaiNexus.

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