Audio

You Don’t Build a Culture of Continuous Improvement by Waiting Until Your Culture is Totally Ready for Continuous Improvement

You Don’t Build a Culture of Continuous Improvement by Waiting Until Your Culture is Totally Ready for Continuous Improvement






When I talk to organizations about Kaizen, or continuous improvement, there’s far too much self-defeating talk, where people say things like: “We’re not going to try this Kaizen process because our culture isn’t ready yet.”






By January 19, 2017 0 Comments Read More →
2nd Post for the Deming Institute Blog: The Failed “Livonia Philosophy”

2nd Post for the Deming Institute Blog: The Failed “Livonia Philosophy”






Yesterday, the W. Edwards Deming Institute published the second in my series of three posts for them: “The Failure of “The Livonia Philosophy” at my GM Plant.” Read more…











By January 17, 2017 0 Comments Read More →
Lean is Not Just Process Improvement

Lean is Not Just Process Improvement






In my travels, I often meet people or visit organizations that say something like: “We’re doing Lean… we just call it Process Improvement.” They have a “Process Improvement” (PI) department…











By January 16, 2017 7 Comments Read More →
Contest: Win a Set of #Lean & #PatientSafety Books Plus Some StoreSMART Supplies

Contest: Win a Set of #Lean & #PatientSafety Books Plus Some StoreSMART Supplies






StoreSMART, a Rochester, New York-based manufacturer and retailer, has been an advertiser on this blog for over six months now. I also very much appreciate that they are trying to learn how to better serve those who are practicing Lean…











By January 12, 2017 0 Comments Read More →
Marie Osmond and The Excuses for Not Getting Lean

Marie Osmond and The Excuses for Not Getting Lean






Hear Mark read the post (subscribe to the podcast series): I don’t normally pay too much attention to TV commercials, but I was working out the other day and had TV streaming through my iPhone. Appropriately enough, a Nutrisystem ad with Marie Osmond started playing. I wouldn’t have really watched the ad, but the app froze […]






By January 10, 2017 2 Comments Read More →
Better Metrics & “Understanding Variation” – An Important Topic for Healthcare

Better Metrics & “Understanding Variation” – An Important Topic for Healthcare






My favorite book, as I’ve written about before, is not a “Lean book” — it’s Understanding Variation: The Key to Managing Chaos by Donald J. Wheeler, PhD. It might look like a book about statistics…











By January 9, 2017 0 Comments Read More →
My Post for the Deming Institute Blog: Why Dr. Deming’s Work is So Important to Me

My Post for the Deming Institute Blog: Why Dr. Deming’s Work is So Important to Me






I’m extremely honored that The W. Edwards Deming Institute published my first blog post in a series of three that I’ve written for them, to be published over the next month or so.











By January 6, 2017 0 Comments Read More →
What the World’s Best Organizations (in Business or Sports) Do…

What the World’s Best Organizations (in Business or Sports) Do…






Domonique Foxworth, who earned an MBA from Harvard Business School after his NFL playing days, says, “… there are competitive advantages to be gained in the way that organizations are run.”











By January 5, 2017 2 Comments Read More →
My Visit to Cleveland Clinic: Seeing Leaders Engaging Staff in Meaningful Improvement

My Visit to Cleveland Clinic: Seeing Leaders Engaging Staff in Meaningful Improvement






I had a chance to visit one of their community hospitals, Hillcrest Hospital, as well as the main campus. It was a very stimulating visit and it was great to see the progress they were making in building a “culture of improvement.”











By January 3, 2017 3 Comments Read More →
Food for Thought on Mistakes and Perfection

Food for Thought on Mistakes and Perfection






I saw this quote the other day and tweeted it. It seemed like food for thought and something to reflect on for a new year. A Google search doesn’t lead to a clear creator of this quote… it’s a common thought that has been around a long time, I guess.











By January 2, 2017 0 Comments Read More →
#TBT: What CFO Magazine Wrote About #Lean in 2009

#TBT: What CFO Magazine Wrote About #Lean in 2009






I first blogged about this article back in 2009 and it’s still online: “Keen to Be Lean“ The sub headline talks about hospitals being “desperate to cut costs.” Has that changed? I wish the motivation was more often about hospitals being “desperate to improve patient safety and quality.” Lean can address that too and should […]






By December 15, 2016 2 Comments Read More →
Examples of Corporate Speak Masking Reality in Banking and Healthcare

Examples of Corporate Speak Masking Reality in Banking and Healthcare






I get annoyed by corporate euphemisms, such as referring to people as “resources,” the term “right-sizing” for layoffs, and the type of jargon and babble parodied in the Weird Al song “Mission Statement.” Using unclear language can intentionally mask and hide reality, or sometimes it’s just another form of incompetence. read more






By December 2, 2016 1 Comments Read More →
Human Nature Around Incentives & Rewards… Even in North Korea?

Human Nature Around Incentives & Rewards… Even in North Korea?






Dr. W. Edwards Deming used to warn against replacing intrinsic motivation with extrinsic rewards and incentives. Brian Joiner (author of Fourth Generation Management), who worked with Deming, warned that setting targets and quotas can lead to three things: improving the system, distorting the system, or distorting the numbers. read more






By November 30, 2016 6 Comments Read More →
Lean People Don’t Say Things Like “Idiot Proofing”

Lean People Don’t Say Things Like “Idiot Proofing”






I’ve long been skeptical of so-called “Lean Sigma” or “Lean Six Sigma.” And not because I’m against Six Sigma statistical methods, which are valid and helpful in solving certain difficult problems. What I don’t like is the oft-stated “Lean Sigma” mantra that says something like, “Lean and Six Sigma are just tools in the improvement […]






By November 21, 2016 8 Comments Read More →
In My Global Lean Healthcare Travels, These 21 Things Are Pretty Universal

In My Global Lean Healthcare Travels, These 21 Things Are Pretty Universal






I do a lot of work across the U.S., but I’ve also been very fortunate to work with hospitals, clinics, and health systems around the world over the past 11 years. It started with a few trips to Canada to conduct some hospital lab assessments and Lean leadership training when I worked for a J&J hospital consulting […]






By November 17, 2016 4 Comments Read More →
ThedaCare CEO Dean Gruner to Retire; What’s Next for ThedaCare?

ThedaCare CEO Dean Gruner to Retire; What’s Next for ThedaCare?






A few weeks ago, I saw this announcement about Dean Gruner, MD, the second CEO to lead ThedaCare during their Lean journey: Dr. Dean Gruner, ThedaCare President and CEO, Announces Retirement “Dean Gruner, MD, president and CEO of ThedaCare since April 2008, today announced his plans to retire. Dr. Gruner began in healthcare 40 years […]






By October 19, 2016 0 Comments Read More →
Good News: UCSF to Teach #Lean to Residents

Good News: UCSF to Teach #Lean to Residents






I was happy to see this announcement the other day: UCSF to Train Residents in Lean Management and Process Improvement From the announcement: “UC San Francisco will train medical residents and fellows in Lean management principles, as part of a broader institutional commitment to continuous quality improvement. The effort is being supported in part with […]






By September 15, 2016 4 Comments Read More →
This Time, the NEJM Publishes Something Positive About #Lean

This Time, the NEJM Publishes Something Positive About #Lean






You might remember the hubbub (a kerfuffle?) over the NEJM opinion piece written by Dr. Jerome Groopman and Dr. Pamela Hartzband. See my first post about their article. There are more links at the bottom of this post Now, the “Perspective” section of the New England Journal of Medicine has published a piece titled “The Hard […]






By September 1, 2016 1 Comments Read More →