Tag: Healthcare

What’s Demoralizing? The Colors on a Chart or Not Improving the System?

What’s Demoralizing? The Colors on a Chart or Not Improving the System?

I forget what hospital these charts are even from, but it doesn’t really matter. It’s become more common, in my gemba visits, to see hospital departments charting metrics. They are often part of “huddle boards” that teams gather around on a daily basis (or, ideally, each shift). It’s good to see daily metrics, as opposed […]

By August 25, 2015 9 Comments Read More →
Updating “Lean Hospitals” and a New eBook, “Practicing Lean”

Updating “Lean Hospitals” and a New eBook, “Practicing Lean”

Quick Announcement: If you’re in the Dallas / Fort Worth area (or willing to travel here), I’m offering a free change management workshop on September 9. Learn more and register. Hopefully you’re aware of my book Lean Hospitals. It was first published in 2008 and I was able to do a second, revised edition that was released […]

By August 24, 2015 2 Comments Read More →
Franciscan Kaizen Video #8: A Hospital Manager Makes Time for Kaizen

Franciscan Kaizen Video #8: A Hospital Manager Makes Time for Kaizen

It’s been a little while, but here’s a new video about Kaizen and continuous improvement from our friends at Franciscan St. Francis Health in Indianapolis. See all of the videos in the link here or via my YouTube playlist. In this video, Hollynn Lobsiger, the manager of the endoscopy unit, talks about what Kaizen means to […]

By August 13, 2015 0 Comments Read More →
When Warnings Aren’t Given or Heeded, People Die: Planes, Ice Cream & Hospitals

When Warnings Aren’t Given or Heeded, People Die: Planes, Ice Cream & Hospitals

In healthcare, it’s a well-known problem that people often don’t speak up to point out risks or to report near misses. It’s an organizational culture problem… people are afraid of being blamed, punished, or retaliated against for speaking up. A 2012 “report released…  by the inspector general of the U.S. Department of Health and Human […]

By August 12, 2015 5 Comments Read More →
Using Lean to Organize Hospital Closets… NPR Commenters Are Not Impressed

Using Lean to Organize Hospital Closets… NPR Commenters Are Not Impressed

I saw this story when it originally appeared online as part of a local public radio station in California. It was now picked up nationally by NPR and a number of you emailed me about this Lean healthcare piece about UCLA Medical Center: Hospitals Turn To Toyota To Make Care Safer And Swifter It’s a generally […]

By August 10, 2015 8 Comments Read More →
Mark Graban Interviewed in the Journal “Healthcare”

Mark Graban Interviewed in the Journal “Healthcare”

Thanks to Dr. Russell B. Kerbel and Khin-Kyemon Aung for interviewing me for the journal, “Healthcare: The Journal of Delivery Science and Innovation.” It’s an open access article, meaning you can read it online and/or download a PDF. They asked some very interesting questions, including: 1) Thinking about Healthcare Delivery Science, in the context of Ebola: What […]

Moving from “Visuals” to “Visual Management” and to Broader Lean Thinking

Moving from “Visuals” to “Visual Management” and to Broader Lean Thinking

I’ve been studying and working with Lean for 20 years now and I love Lean because I’m still learning and getting better at this craft. I love seeing other people get excited about Lean when it’s new to them, when they see the potential for improvement and the power of Lean. But, sometimes people get […]

Why This Sushi Company Policy Letter Should be Copied by Hospitals – As Long as They All Actually Live by It

Why This Sushi Company Policy Letter Should be Copied by Hospitals – As Long as They All Actually Live by It

I love the Texas-based grocery store chain “Central Market.” It’s like a local version of a Whole Foods, basically. One of their features is a sushi area that’s run by a third-party company, Yummi Sushi. Posted prominently is a letter that outlines their stated approach to quality and safety. Click the photo for a larger […]

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

Key Tweets from @MarkGraban – Week of July 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 […]

A Lean Guy Listens to NPR: NICU Waste, Growing a Rural Hospital, Value in Cancer Drugs, and More

A Lean Guy Listens to NPR: NICU Waste, Growing a Rural Hospital, Value in Cancer Drugs, and More

I did a similar post in 2012, but here’s a post where I share some recent NPR stories that I’ve heard recently (through the NPR One app, which I absolutely love). This is similar to my “A Lean Guy Reads…” series, my “Cleaning Out the Backlog” series, and the “Stuff I’m Reading” posts. Not All […]

Key Points About Kaizen from Japanese Hospitals, Going Back in December

Key Points About Kaizen from Japanese Hospitals, Going Back in December

I’ve gone to Japan twice now with Kaizen Institute to study Lean with healthcare professionals from around the world. I first went in 2012, as a paid attendee, and I went back in 2014 as a partner and co-facilitator to teach and lead discussions during the trip. Both trips were fantastic experiences, and I’ve not only seen Japan […]

Podcast #226 – Steve Hoeft and Dr. Bob Pryor, “The Power of Ideas to Transform Healthcare”

Podcast #226 – Steve Hoeft and Dr. Bob Pryor, “The Power of Ideas to Transform Healthcare”

My guests for episode #226 are Steve Hoeft and Dr. Robert (Bob) Pryor from Baylor Scott & White Health in Texas. Bob serves as President, Chief Operating Officer and Chief Medical Officer for the system and was formerly CEO of Scott & White Health before their merger with Baylor Health Care System. Steve is the Chief of Operations […]

Model Lines and Model Cells to Start a Lean Transformation Strategy

Model Lines and Model Cells to Start a Lean Transformation Strategy

There are any number of strategies or tactics that hospitals or health systems use when getting started with Lean. These approaches and decisions include one or more of the following… should we… Train lots of employees and managers about Lean? Decide if we’re using Lean or “Lean Six Sigma”? Formally certify managers and employees? Do […]

Parody Video: Keith Olber-Lean and the “Worst Persons in the Lean World.”

Parody Video: Keith Olber-Lean and the “Worst Persons in the Lean World.”

In this post, I’ll be presenting a parody video of Keith Olbermann‘s “worst persons in the sports world” videos. I don’t know how much overlap there is in people who read my blog and people who are fans of Olbermann. I’ve always been a big fan of Olbermann the sports guy… Olbermann the political commentator […]

Flashback Friday: Lean Won’t Work Here, We’re Different

Flashback Friday: Lean Won’t Work Here, We’re Different

Call it summer laziness, but I’m going to follow up my Throwback Thursday feature with a what I’ll call a “Flashback Friday” along with what’s a more embarrassing picture of myself from my awkward early years (I’m now in awkward middle age). The picture below… I call this my “Ron Burgundy phase.” Thank you, braces. […]

Podcast #225 – John Toussaint, MD, “Management on the Mend”

Podcast #225 – John Toussaint, MD, “Management on the Mend”

Joining me once again on the podcast today is John Toussaint, MD, the founder and CEO of the ThedaCare Center for Healthcare Value. We’re talking about his latest book, Management on the Mend (read my blog post about my first thoughts about the book). John wrote this new book to document “core elements of successful […]

How Has Dr. Jack Billi Achieved 100% Hand Hygiene Compliance Since 2008?

How Has Dr. Jack Billi Achieved 100% Hand Hygiene Compliance Since 2008?

Thanks to my friends in the Michigan Quality System group, the internal Lean group at the University of Michigan Health System. They shared a video that was put together by Dr. Jack Billi, a long-time student of Lean and advocate for Lean healthcare.  You can listen to my podcast with him from 2011. My contact in […]

Healthcare Headlines in the UK are Mostly Similar to the US

Healthcare Headlines in the UK are Mostly Similar to the US

As I wrote about last month, I love newspapers, so I felt like I fit into the culture last week when I spent five days of my vacation in London, a city I really love. People in England seem to be avid readers, based on the number of newspapers on sale and the number of […]