#TBT: A Doctor’s Response to this Doctor Who Was Upset About Lean
As I said then:
“In the article, Dr. Cotton describes the poor treatment he’s received from a 40-something internal “Lean consultant” named Dean.
If what Dr. Cotton describes is true, I stand by him in his concerns.
But, there are things I’ll be critical of here, about his writing and behavior.”
The original post:
Now, Dr. Mark Jaben, a friend of mine and an emergency physician has written a letter, co-authored with Dr. Richard MacKenzie that was published by the same journal:
…where “LAME” is my term for Lean As Misguidedly Executed.
The letter makes many good points, including the following:
“People are not cars! Of course not. Lean evolved from Toyota’s experience, but it is really about the way people organize themselves to get work done. Lean is built upon continuous improvement and respect for people. Both are essential to overcome the inevitable tension that exists between an organization pursuing its goals and individuals doing their work. Successfully navigating this dilemma explains why Lean works, not just in assembly-line manufacturing but also in software development, legal offices, nonprofits, government, and even health care. Lean is about how people function together.”
What do you think?
Check out my podcast with Dr. Jaben:
And a webinar he did for KaiNexus: