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Tag: Healthcare

Reflections: If I Hadn’t Moved From Lean Manufacturing to Lean Healthcare

Reflections: If I Hadn’t Moved From Lean Manufacturing to Lean Healthcare

I just got back from Japan last night and I’m going to take it easy during this Thanksgiving week. Rest and family time are high priorities, of course, as I’m sure they are for many of you. I will be reflecting a lot on my trip and I’ll be writing more posts about the trip […]

By November 24, 2014 4 Comments Read More →
SAFETY – Question Your Assumptions

SAFETY – Question Your Assumptions

Mark’s note: Today’s guest post is by Brian Buck, a fellow lean healthcare  practitioner who blogged until about two years ago at his site “Improve With Me.”  Recently, I took my son to his primary care provider and the doctor asked if I would like a flu shot for my four year old son.  I […]

By November 19, 2014 2 Comments Read More →
Unclear on the Lean Concept: Gemba Walks

Unclear on the Lean Concept: Gemba Walks

Here’s the third cartoon collaboration with artist Carrie Howarth, CMA (AAMA), a workflow facilitator at a health system in Florida. See all of the cartoons here. More to come! This cartoon is not inspired by any particular incident or any real health system, but it was based off my random thought about what would happen IF a […]

By November 17, 2014 1 Comments Read More →
Follow our Japan Lean Healthcare Tour via Twitter

Follow our Japan Lean Healthcare Tour via Twitter

Konichiwa from Nagoya! Starting today, we have a group of 18 people here in Japan, including 13 doctors, some nurses, and healthcare senior leaders from around the world. I’ll eventually be blogging about aspects of the trip, but you can follow along in somewhat real time via Twitter this week. Mr Masaaki Imai now talks […]

By November 16, 2014 0 Comments Read More →
This Awesome Video Shows What Kaizen Looks Like at Scottsdale Lincoln Health Network

This Awesome Video Shows What Kaizen Looks Like at Scottsdale Lincoln Health Network

Thanks to my friend (and future co-author) Mike Stoecklein for sharing this video (and a blog post) about his Healthcare Value Network visit to Scottsdale Lincoln Health Network. The video shows many employees from many different departments at what they call an “ACT Fair” – an improvement fair where different departments highlight how they “act” to improve. […]

By November 14, 2014 0 Comments Read More →
Must Listen: CBC Radio Piece on #Lean in Ontario, ThedaCare, and Saskatchewan

Must Listen: CBC Radio Piece on #Lean in Ontario, ThedaCare, and Saskatchewan

I was thankful to find this CBC Radio news story / podcast from the program “White Coat Black Art,” hosted by Dr. Brian Goldman: The Toyota Way for Healthcare It’s just under 30 minutes long and I think it’s a “must listen.” You can also get this through iTunes and your iOS device. Here are […]

By November 13, 2014 5 Comments Read More →
Video: Endoscopy Nurses are “Kaizen Crazy” at Franciscan St. Francis Health!

Video: Endoscopy Nurses are “Kaizen Crazy” at Franciscan St. Francis Health!

Today, I’m traveling to Tokyo, but I’m still thinking of the amazing nurses and leaders at Franciscan St. Francis Health in Indiana. Through my co-author Joe Swartz, the director of business transformation, their work is featured heavily in our book Healthcare Kaizen. I hope to share their examples and inspiration next week with our hosts and my […]

By November 12, 2014 0 Comments Read More →
Traveling to Japan Tomorrow – What Questions Should I Ask?

Traveling to Japan Tomorrow – What Questions Should I Ask?

Tomorrow, I’m leaving for Japan and I’ll be with Kaizen Institute for our second Lean healthcare study tour (see a PDF about the trip). We have an incredibly diverse group, with attendees from the U.S., Canada, Denmark, Saudi Arabia, Indonesia, Malaysia, India, and Singapore. We’re going to learn a lot about Japan and Lean and I’m […]

By November 11, 2014 7 Comments Read More →
Guest Post: Organizations are Solving Problems; Are They Workarounds or Real Improvements?

Guest Post: Organizations are Solving Problems; Are They Workarounds or Real Improvements?

Mark’s note: Today’s post is a guest post by my friend and colleague Isaac Mitchell. We’ve crossed paths at conferences, including the annual Society for Health Systems conference, where he shared some of their great work on Kaizen that’s being done at East Tennessee Children’s Hospital. Hopefully we’ll see you there in February with keynote […]

By November 6, 2014 6 Comments Read More →
“Lean Koffie” in The Netherlands; Smells & Tastes the Same as Our “Coffee”

“Lean Koffie” in The Netherlands; Smells & Tastes the Same as Our “Coffee”

Back in September, I wrote about our most recent “Lean Coffee” gathering in San Antonio, where people from different healthcare organizations talked about their improvement efforts. As part of my visit to The Netherlands this week, Marc Rouppe van der Voort (pictured below with me), arranged a gathering of healthcare improvement professionals who participate in their […]

By November 5, 2014 4 Comments Read More →
A Week in The Netherlands

A Week in The Netherlands

This week, I’ll be in The Netherlands for the first time since my visit in 2009. I was invited that first time by Marc Rouppe van der Voort to visit St. Elisabeth Hospital (where he worked at the time) and to speak at a conference. This is where I first heard about their concept of […]

By November 3, 2014 1 Comments Read More →
What I’m Listening To: Atul Gawande, Toyota’s Jeff Miller, Eric Ries

What I’m Listening To: Atul Gawande, Toyota’s Jeff Miller, Eric Ries

I’ve occasionally had a “What I’m Reading” post, where I share links to articles that I’ve enjoyed that don’t necessarily merit a whole blog post. Today is about “What I’m Listening To” — podcasts that I’ve heard and want to share (beyond the episodes I have created for my own podcast series, which will be […]

By October 31, 2014 1 Comments Read More →
Questions That Aren’t Really Questions

Questions That Aren’t Really Questions

My Lean mentors often talk about “leading with questions.” Kim Barnas and ThedaCare use this approach in different ways, including “stat sheets,” which are basically checklists (or standardized work) full of questions for leaders to use in the workplace. See her outstanding book Beyond Heroes: A Lean Management System for Healthcare. What kinds of questions […]

By October 30, 2014 17 Comments Read More →
The New York Jets Illustrate What Happens When an Losing Organization Tries to Copy a Winner

The New York Jets Illustrate What Happens When an Losing Organization Tries to Copy a Winner

Organizations try to copy each other all the time. It doesn’t always work. Manufacturing: A plant manager visits another factory and sees neatly organized tools and then comes home and tells everybody “to do 5S.” They’ve thoroughly missed the fact that the good factory engaged everybody in the 5S process and was using the methodology […]

By October 28, 2014 0 Comments Read More →
Free Webinar Tomorrow – #Lean & Daily Management by @KaiNexus

Free Webinar Tomorrow – #Lean & Daily Management by @KaiNexus

Tomorrow, at 1 pm Eastern, Dr. Greg Jacobson and I are giving a KaiNexus-sponsored webinar: Daily Management with KaiNexus: From Huddle Boards to Web-Based Technology I’ll be talking about daily Lean management practices, such as: Strategy deployment Process audits / rounding Performance measures Kaizen & staff ideas Daily standup meetings (“huddles”) I’ll explain the practice […]

By October 27, 2014 0 Comments Read More →
How Many Die From Medical Mistakes in U.S. Hospitals?

How Many Die From Medical Mistakes in U.S. Hospitals?

Note: This is being republished, with permission, under a Creative Commons license. See the original ProPublica page and comments. by Marshall Allen ProPublica, Sep. 19, 2013, 10:03 a.m.by Charles Ornstein and Lena Groeger, ProPublicaby Dan Nguyen, Charles Ornstein and Tracy Weber, ProPublica by Robin Fields, Al Shaw and Jennifer LaFleur, ProPublica It seems that every […]

Kaizen: Throat Scopes & Applesauce

Kaizen: Throat Scopes & Applesauce

During my recent visit to Franciscan St. Francis Health System, some of the nurses proudly called themselves “Kaizen Queens” (and there was one self-described “Kaizen Princess”) although they also use the term “Kaizeneer” that Franciscan uses more broadly. In the endoscopy department, they have implemented more than 750 improvements so far this year (in a […]

By October 20, 2014 0 Comments Read More →
#Ebola – The Glaring Gap Between Staff Education and Proper, Effective Training

#Ebola – The Glaring Gap Between Staff Education and Proper, Effective Training

I saw this headline the other day: “U.S. Soldiers Get Just Four Hours of Ebola Training” The phrase “just four hours” implies that it wasn’t enough. How do we know? Maybe four hours of training, done properly, is all that’s needed. It might also be four hours MORE than the amount of training given to […]

By October 18, 2014 13 Comments Read More →