web analytics

Author Archive: Mark Graban

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

rss feed Facebook Twitter Google Plus LinkedIn YouTube

Author's Website →

What People Say is Their “Biggest Challenge Related to Innovation and Improvement”

What People Say is Their “Biggest Challenge Related to Innovation and Improvement”

Yesterday’s post was about some of our work at KaiNexus and today’s post is hosted over on the KaiNexus Blog: Challenges to Innovation and Improvement In the post, I share some of the survey reflections that were shared with us by attendees of our webinars (our next one is on July 9, hosted by Gemba Academy). […]

What Does #Lean Flow Look Like in Healthcare? Check Out These Two Videos

What Does #Lean Flow Look Like in Healthcare? Check Out These Two Videos

It’s easy for people to think that Lean is about cost-cutting. That would be wrong, but many people associate Lean with cost cutting. Cost cutting is the old mindset. The old hack and slash approach, which focuses on layoffs or “everybody cut your budget by x%” mandates, dies hard. It’s easy for people to think […]

Continuously Improving our KaiNexus Continuous Improvement Webinars

Continuously Improving our KaiNexus Continuous Improvement Webinars

For the past few years, Dr. Greg Jacobson and I have worked closely together to create and deliver our continuous improvement webinars. We try to share content that is useful to customers and others who are interested in improvement and the webinars also give us an opportunity to practice what we preach – and what […]

Dilbert’s Colleague “Jeff’ and “That Will Never Work”

Dilbert’s Colleague “Jeff’ and “That Will Never Work”

The Dilbert strip from June 18 features a (new?) colleague of Dilbert’s… a guy named Jeff. In the first panel, Jeff shows himself to be a Negative Nelly: The practice of Kaizen requires a certain positivity. Instead of pointing out “here’s why that won’t work,” we need to focus more on asking “how do we make […]

My Thoughts on “10 Ideas That Hospital and Health System CEOs Need to Ditch,” Including Blame

My Thoughts on “10 Ideas That Hospital and Health System CEOs Need to Ditch,” Including Blame

I saw this piece by Bob Herman at Becker’s Hospital Review and ended up writing a blog post here instead of writing a long comment there. The piece is: 10 Ideas That Hospital and Health System CEOs Need to Ditch I was happy to see ThedaCare’s CEO Dr. Dean Gruner quoted – listen to my podcasts […]

Transcript of Podcast #203 – Chris Jerry, The Emily Jerry Foundation (Part 1)

Transcript of Podcast #203 – Chris Jerry, The Emily Jerry Foundation (Part 1)

LeanBlog Podcast #203 Check out the page for this episode with links and more information Listen to the episode while reading: Announcer:  Welcome to the Lean Blog Podcast. Visit our website at www.leanblog.org. Now, here’s your host, Mark Graban. Mark Graban:  Hi. This is Mark Graban. Welcome to episode 203 of the podcast for June 23rd, […]

Irony – When An Advocate for Healthcare “Transparency” Hides Who They Are

Irony – When An Advocate for Healthcare “Transparency” Hides Who They Are

I received a tweet the other day from what appears to be a patient safety advocacy group. That’s always great to see. However, I am usually curious to see who the group is, who their leaders are, etc. The website is “Just Ask” or www.PatientSafetyAct.com. They raise serious issues about the lousy (my word, not […]

Podcast #203 – Chris Jerry, The Emily Jerry Foundation, Part 1

Podcast #203 – Chris Jerry, The Emily Jerry Foundation, Part 1

MP3 File (run time 40:21)  | Listen via YouTube Read the transcript My guest for Episode #203 (and an upcoming Part 2) is Chris Jerry, founder of The Emily Jerry Foundation.  The foundation was created in the aftermath of the tragic death of his daughter, Emily - a preventable medical error caused by a number of factors and […]

Lean Healthcare Study Tour – Join Me in November 2014

Lean Healthcare Study Tour – Join Me in November 2014

You might remember that I partnered with Kaizen Institute about two years ago to do their first “Lean Healthcare Study Tour” to Japan. I blogged a bit about the last trip last week. It was a great learning experience, as a group of healthcare leaders and Lean practitioners from around the world spent a week […]

My Personal Kaizen on Scheduling Meetings – Fewer Emails and Less Time

My Personal Kaizen on Scheduling Meetings – Fewer Emails and Less Time

One of the key aspects of the Kaizen process is that we SHARE completed improvements with others. That’s a key principle that Joe Swartz and I wrote about in Healthcare Kaizen, and it’s a key aspect of the KaiNexus software platform. Another important Kaizen behavior is leading by example and I try to do that. One […]

Dilbert Gets Called “Resistant to Change”

Dilbert Gets Called “Resistant to Change”

As I’ve blogged about before, I really dislike the term “resistance to change.” When managers label people as “resistant to change,” that’s often a polite or passive aggressive way of saying “they won’t do what I want them to do.” If people are “being resistant,” you have an obligation as a leader to ask “why?” Maybe your […]

A Sad Story About “Lean” That Wasn’t Really Lean Management At All

A Sad Story About “Lean” That Wasn’t Really Lean Management At All

In March, I wrote a post titled “Is it Lean’s Fault or the Old Management System’s?” about how people’s complains about Lean are actually often complaints about old management mindsets. Unfortunately, what’s described as “Lean” in an organization is sometimes not a transformation in management thinking… in those cases, it’s really just a few new tools […]

Spurs Win the NBA Title: Systems, Learning, Teamwork, & Leadership

Spurs Win the NBA Title: Systems, Learning, Teamwork, & Leadership

Since my wife and I moved to San Antonio just over two years ago, we’ve become big Spurs fans. Since the Spurs are the only major pro sports team here, it’s basically a civic obligation to get behind our local team. The ThedaCare folks and others in Appleton and Green Bay feel that way about […]

Podcast #202 – Patrick Graupp, TWI in Healthcare

Podcast #202 – Patrick Graupp, TWI in Healthcare

MP3 File (run time 34:56) My guest today for Episode 202 is Patrick Graupp, co-author of the excellent book Getting to Standard Work in Health Care: Using TWI to Create a Foundation for Quality Care, co-authored with Martha Purrier from Virginia Mason Medical Center. If you’re brand new to the Training Within Industry (TWI) model, […]

The #Lean Goals That Matter: SQDCM

The #Lean Goals That Matter: SQDCM

Today is the start of the 2014 World Cup, which means much of the world will be talking about goals. I’m not really a soccer, I mean football, fan but I’m all for goals. In the Lean management system, we generally have five high-level goals. These were the goals taught to us in the auto […]

Visiting Two Japanese Hospitals with an Eye for Lean; I Can’t Wait to Go Back

Visiting Two Japanese Hospitals with an Eye for Lean; I Can’t Wait to Go Back

In November 2012, I had the opportunity to visit Japan for the first time as part of a Lean healthcare study mission. It was fascinating to compare notes with colleagues from the U.S., Belgium, and Holland as we visited factories, including a Toyota plant, and two hospitals that are using the methodology – at least […]

Cleaning out the Backlog: Krafcik, Email, Lincoln, Leadership, Humility, Patient Falls

Cleaning out the Backlog: Krafcik, Email, Lincoln, Leadership, Humility, Patient Falls

As I sometimes do, I’m going to close out a bunch of browser tabs and share some articles that caught my eye recently but don’t merit full blog posts of their own. I’m cleaning out the LeanBlog backlog and trying to reduce inventory… so here we go: Where is Jon Krafcik Now? You might remember […]

Podcast #201 – WorkOut Process at Mary Greeley Medical Center

Podcast #201 – WorkOut Process at Mary Greeley Medical Center

MP3 File (run time 37:21) Joining me for episode #201 are Ron Smith, a Process Improvement Coordinator/Lean Facilitator at Mary Greeley Medical Center (in Iowa) and Suz Kaprich, a consultant with KaiNexus (disclosure: I’m on the management team of KaiNexus and have an ownership stake in the company). Today, they are talking about a three-month “WorkOut” […]