Author Archive: Mark Graban

Mark Graban founded LeanBlog.org in January 2005. He is the primary blogger and managing editor of the site.

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10 Key Lean Mindsets for Factories, Hospitals, Startups, and More

10 Key Lean Mindsets for Factories, Hospitals, Startups, and More

Here’s my latest post for LinkedIn through their “Influencers” series. It might be old hat to readers of this blog, but I hope what I shared is useful for a wider audience that I have there. 10 Key Lean Mindsets for Factories, Hospitals, Startups, and More Feel free to comment there at LinkedIn or here […]

Is Your Lean Journey Being Embraced With “Open Arms?” Are you Practicing Lean “Faithfully?”

Is Your Lean Journey Being Embraced With “Open Arms?” Are you Practicing Lean “Faithfully?”

The phrase “Lean journey” is used widely to describe an organization’s transformation over time. It’s either a phrase that invokes helpful imagery or it’s a horrible cliché. I was speaking at a Lean event last week and I kept hearing “Lean journey” come out of the mouths of most speakers. It probably counts as a […]

Podcast #222 – Erin S. DuPree, M.D., FACOG, Joint Commission Center for Transforming Healthcare

Podcast #222 – Erin S. DuPree, M.D., FACOG, Joint Commission Center for Transforming Healthcare

Joining me for episode #222 of the podcast is Erin S. DuPree, M.D., FACOG, the Chief Medical Officer and Vice President for the Joint Commission Center for Transforming Healthcare. Dr. DuPree is an OB/GYN by training, was previously the Chief Medical Officer and Senior Vice President for Medical Affairs at The Mount Sinai Medical Center in […]

Gemba in the NICU: More Notes from our “Kaizen Live” Experience at Franciscan

Gemba in the NICU: More Notes from our “Kaizen Live” Experience at Franciscan

In my first post about the on-site Kaizen learning experience at Franciscan St. Francis Health, an event I came to call “Kaizen Live,” I wrote about some of the initial presentations and discussions from Franciscan leaders. You can also see my tweets from the days. A big part of the 1.5-day event was the three “gemba […]

U.S. Hospitals Have the Best E.R. Care for Kids, But Aren’t Prepared For Them?

U.S. Hospitals Have the Best E.R. Care for Kids, But Aren’t Prepared For Them?

There’s been a back and forth of views about the state of pediatric emergency medicine recently in the Wall St Journal. Let me start first, actually, with the more recent statement, a rebuttal from Michael Gerardi M.D., FACEP, President of the American College of Emergency Physicians, in the form of a letter to the editor. He wrote: “Emergency […]

Key Tweets from @MarkGraban from the Last Two Weeks – May 4 & 11, 2015

Key Tweets from @MarkGraban from the Last Two Weeks – May 4 & 11, 2015

Here’s the latest installment of “Key Tweets,” a post that summarizes some of my tweets (or retweets) from the week. Follow me @MarkGraban and join the fun and the conversation. See the previous installments of Key Tweets here. If you’re reading this via email or RSS, you might get a better experience by clicking through to view […]

Throwback Thursday – What Did a Mid 1990s Textbook Say About Lean?

Throwback Thursday – What Did a Mid 1990s Textbook Say About Lean?

My friend Ryan, who works at a hospital in Canada, sent me a few pictures of an Industrial Engineering textbook that he used almost 20 years ago. He wrote: I was cleaning up my upstairs when I came across a textbook from 1996 from my Industrial Engineering undergrad studies.  On a hunch, I wanted to […]

Another Experiment That Works in Healthcare: Safety Huddles

Another Experiment That Works in Healthcare: Safety Huddles

Following up on yesterday’s post on seemingly successful experiments with ACOs, here’s another article, from HBR, on “safety huddles” in healthcare: “How Every Hospital Should Start the Day“ I’ve seen some hospitals using daily safety huddles. It sends a powerful message when leaders make patient safety (and staff safety) a visible priority in the organization. Recently, […]

An Experiment That Works in Healthcare: Pioneer ACOs

An Experiment That Works in Healthcare: Pioneer ACOs

You might be considered “wonky” for enjoying the topics discussed here at LeanBlog.org… but that’s fine. This is a safe environment for being wonky about Lean and improvement. From Vox.com, Sarah Kliff normally does a great job covering healthcare topics, including this latest piece: “This small, wonky Obamacare program saved $384 million over 2 years“ Since […]

Not What We Mean by Celebrating Failures [Dilbert 5/7/15]

Not What We Mean by Celebrating Failures [Dilbert 5/7/15]

Did you see last Thursday’s Dilbert? The first panel is pictured at left. Visit dilbert.com to see the whole cartoon. In the Lean community, we talk about the need to encourage improvement and experimentation by not punishing failures. Sometimes when you try, you’re going to “fail” or not get the outcome you were expecting, predicting, or hoping […]

Are There Any Hospitals That Should NOT Try Lean or Kaizen?

Are There Any Hospitals That Should NOT Try Lean or Kaizen?

I was asked an interesting and thought-provoking question the other day: “Are there any hospitals where you’d suggest not trying to adopt Lean or situations where it might be counterproductive or harmful?” This question came from a PhD management professor who was, in my estimation from his comments, somebody who thought Lean was a bunch […]

That Medication Cabinet is Secure… Or Secure-ish

That Medication Cabinet is Secure… Or Secure-ish

I was on a long flight the other day and I watched an episode of the ABC comedy Black-ish. In episode 3 of the first season, the mother of the family, named Rainbow (her parents were hippies), is trying to impress her young daughter by showing her what it’s like to be an anesthesiologist. The […]

Dr. Atul Gawande’s Article on Reducing the Waste of Unnecessary Healthcare

Dr. Atul Gawande’s Article on Reducing the Waste of Unnecessary Healthcare

I’ve been a big fan of Dr. Atul Gawande’s writing for a long time (see previous posts about him and his work). His latest article is out, which I was able to read last night. It just came out (or I first heard of it yesterday). Overkill: An avalanche of unnecessary medical care is harming patients […]

How this Kaizen Prevents New Moms From Feeling Like They’re Being “Stabbed in the Heart”

How this Kaizen Prevents New Moms From Feeling Like They’re Being “Stabbed in the Heart”

I wanted to share a recent Kaizen improvement story that I heard from a hospital. Great things can happen when we: Listen to our patients Take action to prevent similar problems Get departments working together to coordinate care Imagine you’re a new mother and you’re recovering in a room after your postpartum care. You’ve been […]

Key Tweets from @MarkGraban – Week of April 27, 2015

Key Tweets from @MarkGraban – Week of April 27, 2015

Here’s the latest installment of “Key Tweets,” a post that summarizes some of my tweets (or retweets) from the week. Follow me @MarkGraban and join the fun and the conversation. See the previous installments of Key Tweets here. If you’re reading this via email or RSS, you might get a better experience by clicking through to view […]

Why is Today “#WorldNoResourcesDay” and Why Do Words Matter?

Why is Today “#WorldNoResourcesDay” and Why Do Words Matter?

I learned about this the other today via Twitter (hat tip to @agile_memes), but today is “World No Resources Day” (see hashtag #WorldNoResourcesDay). See the small website at http://worldnoresourcesday.com/ and their thoughts on “why should I join in?” I’m not sure who is behind this. It’s probably not some Communist May Day thing. Maybe it is. Even if it […]

What Can a 10 Month Old Child Teach Us About Focus, Willpower… and Kaizen?

What Can a 10 Month Old Child Teach Us About Focus, Willpower… and Kaizen?

Mark’s note: Today’s guest post is by Gert Linthout, from Belgium. Gert and I were part of the same Lean healthcare study trip to Japan back in 2012. He was the co-creator of this creative video on Kaizen that I featured in this blog post. See his previous guest post. By Gert Linthout Last Saturday afternoon, we enjoyed […]

Cleaning out the Backlog: 3P in the NHS, “Secret” HAI Weapons, MRI $$$, and Fines for Medical Harm

Cleaning out the Backlog: 3P in the NHS, “Secret” HAI Weapons, MRI $$$, and Fines for Medical Harm

As I sometimes do, I’m going to close out a bunch of browser tabs (which makes my Mac run faster) and I’ll do that by sharing some articles that caught my eye but maybe don’t merit full blog posts of their own. I’m cleaning out the LeanBlog backlog and trying to reduce inventory… so here […]