Tag: Healthcare

Why It’s OK That This Suggestion Box Was Full of Cobwebs

Why It’s OK That This Suggestion Box Was Full of Cobwebs

As I guy who started his career in manufacturing before moving to healthcare in 2005, I don’t get many opportunities to visit the “gemba” at a factory very often anymore. I get to occasionally visit a Toyota plant (in the U.S. or Japan). As I’m getting settled back into the Dallas / Fort Worth (DFW) […]

A Post-Mortem on a Different Hospital Lean Journey

A Post-Mortem on a Different Hospital Lean Journey

Today’s post is an addendum from Saturday’s post on the apparent death of a health system Lean program: “Why Would a New Healthcare CEO Kill a Lean Program?” If you read that post, there’s an interesting comment from a Presence Health employee that doesn’t shed too much more light on this: read more

Why Would a New Healthcare CEO Kill a Lean Program?

Why Would a New Healthcare CEO Kill a Lean Program?

Back in September 2015, I wrote a post (“Learning to be Lean” – An Inside Look at a Rapid Improvement Event“) that linked to a Modern Healthcare article about a Rapid Improvement Event at Presence Health in Illinois. The piece was written by journalist Sabriya Rice, who had been allowed to participate in the event. The […]

11 Ways You Can Get Ideas to Flow From Staff

11 Ways You Can Get Ideas to Flow From Staff

Mark’s note: Today’s guest post is by Duke Rohe of the Office of Performance Improvement at M.D. Anderson Cancer Center in Houston. I’ve met Duke many times at the annual Society for Health Systems conference and he’s always a pleasure to talk with. He shares quite a bit online through the online “Healthcare Management Engineers” […]

By April 28, 2016 0 Comments Read More →
A Radical Idea in Healthcare: Refunds for Dissatisfied Customers

A Radical Idea in Healthcare: Refunds for Dissatisfied Customers

I love stories of humility and customer focus in healthcare. Let me share two such stories with you today. Oh, and, I ended up sharing a story of mine that’s related and might just recount a few screw ups on my part… but I think I eventually did the right thing. Failing (?) the NorthBay […]

Key Tweets from @MarkGraban – Week of April 18, 2016: Frontier #FAIL, Plank Meetings, A Lean Learner on NPR

Key Tweets from @MarkGraban – Week of April 18, 2016: Frontier #FAIL, Plank Meetings, A Lean Learner on NPR

Here’s the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow [email protected] 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 […]

Gemba Academy Visits Franciscan St. Francis Health to Learn #Lean & #Kaizen

Gemba Academy Visits Franciscan St. Francis Health to Learn #Lean & #Kaizen

Our friends at Gemba Academy produce some really nice online Lean education materials. It’s a subscription service, but you can see some free videos on YouTube. As part of their “Gemba Live” series, host Ron Pereira visited Franciscan St. Francis Health in Indianapolis. That’s the hospital, of course, of my Healthcare Kaizen co-author Joe Swartz. read more

XYZ Thinking: A Practical View of Scientific Thinking in Healthcare & Beyond

XYZ Thinking: A Practical View of Scientific Thinking in Healthcare & Beyond

Mark’s Note: Today’s guest post is by my good friend and fellow DFW-area resident Michael Lombard. Next week, on Tuesday April 19, I’m hosting a KaiNexus webinar where Michael will be presenting on the topic of A Lean Management System Supported By KaiNexus. Register for this free webinar today to attend live or view the recording. read […]

Dr. John Toussaint Responds to the NEJM Piece: What Lean Really Is

Dr. John Toussaint Responds to the NEJM Piece: What Lean Really Is

Regular readers will remember my post about the New England Journal of Medicine piece on Lean by Pamela Hartzband, M.D., and Jerome Groopman, M.D. that so badly confused Lean with top-down Taylorism. John Toussaint, M.D., the former CEO of ThedaCare and CEO of the ThedaCare Center for Healthcare Value wrote a long response that was […]

Key Tweets from @MarkGraban – Week of April 4, 2016: Fishbones, Kaizen, Green Belt Nun

Key Tweets from @MarkGraban – Week of April 4, 2016: Fishbones, Kaizen, Green Belt Nun

Here’s the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow [email protected] join the fun and the conversation. See the previous installments of Key Tweets here. Wednesday’s blog post was mostly a collection of tweets about the “Kaizen Live!” […]

#KaizenLive: Asking, Not Telling… Not Just About Solutions, But About Problems

#KaizenLive: Asking, Not Telling… Not Just About Solutions, But About Problems

Wow, we had a great time at Franciscan St. Francis Health this week. We had the “Kaizen Live!” class and workshop Monday through Wednesday. Yesterday, I got to spend the day with Joe Swartz and his “Franciscan Transformation” team from across the system. There are so many great lessons to share from the time there. […]

#TBT: An Old Podcast with Dr. Jack Billi and a Future #Lean Physician Webinar in May

#TBT: An Old Podcast with Dr. Jack Billi and a Future #Lean Physician Webinar in May

For those of you who have been around Lean healthcare for a while, I hope you’ve met or at least heard of Dr. Jack Billi from the University of Michigan. He’s currently the Associate VP of Medical Affairs and he’s been a champion of Lean for a long time. For this Throwback Thursday, I’m going […]

#KaizenLive: Building a Culture of Continuous Improvement Takes Time, Other Reflections

#KaizenLive: Building a Culture of Continuous Improvement Takes Time, Other Reflections

I want to express my gratitude to Joe Swartz and his colleagues at Franciscan St. Francis Health for hosting our “Kaizen Live!” event. Yesterday was the first full day and everybody (24 attendees) will be back this morning to continue the learning and discussion. The Franciscan story and our other Kaizen experiences are documented in […]

#KaizenLive – Our Optional Kaizen Intro Class & Lessons Learned

#KaizenLive – Our Optional Kaizen Intro Class & Lessons Learned

This week, Joe Swartz (pictured at left) and I are running a “Kaizen Live” workshop at his main hospital, Franciscan St. Francis Health. Today and tomorrow, we’re running a 1.5-day workshop where attendees will get to visit departments and hear from leaders who are actively creating a culture of continuous improvement. read more

Key Tweets from @MarkGraban – Week of March 28, 2016: Moving, Sticky Notes, Berwick

Key Tweets from @MarkGraban – Week of March 28, 2016: Moving, Sticky Notes, Berwick

Here’s the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow [email protected] 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 […]

Resistance is Futile? Practical Change Techniques for All Levels of Your Organization

Resistance is Futile? Practical Change Techniques for All Levels of Your Organization

Mark’s Note: This is the week my wife and I are physically moving from San Antonio to the DFW area, so thanks to those who have helped with guest posts. Today’s guest post is by Sue Kozlowski, who is part of the team at Techsolve, a team that’s based in Cincinnati. In the past, I’ve collaborated […]

Transparency in Healthcare: Patients *Can* Handle the Truth

Transparency in Healthcare: Patients *Can* Handle the Truth

Mark’s Note: Here is another guest post from Drew Locher. I’m hoping that he’ll contribute occasionally to the blog as a guest author. My podcast with him is coming soon… please do read his “part 1” of this post and then read this. It’s a sad story about how healthcare organizations and care providers can be […]

Case Study: Emergency Department (ED) Throughput Improvement Through Lean

Case Study: Emergency Department (ED) Throughput Improvement Through Lean

Mark’s Note: Today’s guest post comes via my friends at the ThedaCare Center for Healthcare Value, who suggested this case study from Salem Health. You might remember my post from 2012 where I shared a video of some of their senior leaders talking about going to Japan. At the bottom of this post is an 18-minute […]