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Tag: A3

“Quality Circles” Are Alive & Well in Japanese Organizations; We Might Call it A3 Problem Solving

“Quality Circles” Are Alive & Well in Japanese Organizations; We Might Call it A3 Problem Solving

One question I was asked to ask during my Japan trip was to see if “Quality Circles” are still active in Japanese companies. I think the term was brought to the U.S. in the 1980s and 1990s, but generally wasn’t widely adopted for a number of reasons – probably due to management mindsets and organizational […]

By November 20, 2014 4 Comments Read More →
Another PDSA: Please Don’t…

Another PDSA: Please Don’t…

PDSA, back to the days of Dr. Deming, has stood for Plan Do Study Adjust. A key point in the application of PDSA (and a key to A3 problem solving), is to avoid jumping to solutions. We Plan — and this includes understanding the problem and the current state of our process or system. We don’t […]

Live Blogging Day 1: Lean Healthcare Transformation Summit 2014

Live Blogging Day 1: Lean Healthcare Transformation Summit 2014

Today is the first day of the 5th annual Lean Healthcare Transformation Summit. Follow along on Twitter with hashtag #HCSummit14 to see my tweets and thoughts from others. I will be adding updates to this post during the day, as well. These are not meant to be complete notes or a transcript… but quotable and interesting thoughts or comments […]

Kaizen Tip: Just Do Its and Root Causes

Kaizen Tip: Just Do Its and Root Causes

In the Kaizen process, we ask everybody to identify problems (or opportunities) and then to write down an idea that could potentially solve the problem (or at least solve it to some extent).  What’s written down on the card (or submitted into KaiNexus software) is the starting point for discussion within a team and/or with […]

Podcast #193 – Mark Jaben, MD on Lean, Change, and Our Brains

Podcast #193 – Mark Jaben, MD on Lean, Change, and Our Brains

Please upgrade your browser MP3 File (run time 35:10) My guest for episode #193 is Mark Jaben, MD, talking about our brains, Lean, and change. Mark has been a guest blogger for me before and it’s great to talk to him today about his research and experiences. In our conversation, Mark talks about “the troublesome features […]

By February 6, 2014 3 Comments Read More →
‘Lean and Green’ is Free

‘Lean and Green’ is Free

Mark’s note: What follows is a guest post by Keivan Zokaei about the necessary and unsurprisingly overlap between Lean principles and environmental stewardship. I wrote about this dynamic in a 2010 blog post: “Lean Leads to Green, Which Supports Lean,” about the work done by one of my former clients, Children’s Medical Center Dallas. By […]

By October 11, 2013 12 Comments Read More →
A Lean Guy Visits Scott & White Hospital – Leader Standard Work, Huddles, and Lean Culture

A Lean Guy Visits Scott & White Hospital – Leader Standard Work, Huddles, and Lean Culture

Hosted by Steve Hoeft, author of the book Stories from My Sensei: Two Decades of Lessons Learned Implementing Toyota-Style Systems, I had a chance to visit Scott & White Hospital in Temple, Texas. With his permission (but without editorial review), I am sharing some stories from my visit to their excellent health system (which is […]

Toyota Brings TPS & The Toyota Way to India – The Same Familiar Principles

Toyota Brings TPS & The Toyota Way to India – The Same Familiar Principles

Here’s a fascinating article: “How Toyota brought its famed manufacturing method to India.” The piece starts with a story about a classic Toyota management practice — “Genchi Genbutsu, or on-site inspection, which is at the core of the Toyota Production System (TPS). Nakagawa, who has been a TPS practitioner for four decades, doesn’t believe in […]

Start 2013 with “The Spirit of Kaizen”

Start 2013 with “The Spirit of Kaizen”

As we enter the new year, it’s a great time to reflect back on 2012 – what worked and what didn’t work… what do we plan to do differently in 2013? Those are some of the core questions found on a “strategy A3” as often used in the Lean methodology. Individuals and organizations often try […]

By December 31, 2012 6 Comments Read More →
The Newtown Tragedy – Our National Response and Problem Solving

The Newtown Tragedy – Our National Response and Problem Solving

As are many people across the United States and around the world, I’m saddened by the violence that claimed so many lives Friday in Newtown, Connecticut at Sandy Hook Elementary School. The mass shootings that plague our country are incredibly upsetting. My friend Bob Emiliani created the graphic that’s shown at left, that represents our […]

By December 17, 2012 30 Comments Read More →
Videos: Lean in Daily Work at the University of Michigan Health System

Videos: Lean in Daily Work at the University of Michigan Health System

If your organization blocks access to YouTube… shame on them. The videos I’m sharing here are two reasons you should insist they open access to the world of Lean healthcare education that exists there. Today, I’m sharing two videos produced by the University of Michigan Health System about “Lean in Daily Work.” Their approach builds […]

By August 28, 2012 0 Comments Read More →

A Hard Habit to Break

No, this isn’t a post about the the 80s Chicago tune “Hard Habit to Break.” It’s about individual habits related to problem solving that are hard to break. As Charles Kettering (the famed engineer of General Motors and the namesake for my dad’s alma mater, Kettering University, the former GMI) said: “A problem well stated […]

Two Lean Jobs in the New York HHC

Two Lean Jobs in the New York HHC

The country’s largest public health system, the New York City Health and Hospitals Corporation has two Lean healthcare jobs available and they’ve asked me to post them here. Carlos Scholz writes: We have 2 open positions for Lean Facilitators/Trainers at New York City Health and Hospitals Corporation. If you know about anyone, please forward these […]

Continuing Experiments in Self Publishing & Lean Publishing

Continuing Experiments in Self Publishing & Lean Publishing

After my first experiment with the great Leanpub.com service (my “Best of Lean Blog 2011″ eBook), I was happy to see my good friend Jamie Flinchbaugh experiment with publishing some original content on that site. Jamie’s new book is  A3 Problem Solving: Applying Lean Thinking, available now. It’s been a busy week for me, so […]

By February 17, 2012 4 Comments Read More →
Guest Post: The Chain of Improvement

Guest Post: The Chain of Improvement

Mark’s note: Today’s guest post is from  Dr. Mark Jaben. I first met Mark in person at  Cindy Jimmerson’s Lean Healthcare West conference in Montana last year.  I’m happy to publish this new guest post to follow up his previous post, inspired by New Zealand. This is really born out of a recent medical trip […]

April Fool 2011: New “A3″ App Utilizes Two iPads & Virtual Sensei Technology

April Fool 2011: New “A3″ App Utilizes Two iPads & Virtual Sensei Technology

Today, I’m happy to bring you an interview, conducted via Skype Chat, with Baka Eipuriru, inventor of a new iPad app called “A3 Sensei.”  It is a new app (a pair of apps, actually) that you can use to create and share A3s, a core Lean and TPS problem solving and planning methodology that has […]

Updating “A Vision for a Lean Hospital”

Updating “A Vision for a Lean Hospital”

I am working on finishing up the revised and updated edition of my first book Lean Hospitals: Improving Quality, Patient Safety, and Employee Satisfaction. I’m adding new case studies and examples, refining the book in general, and adding some new topics like strategy deployment and A3’s. I’ve shared the first chapter of the book for […]

Reader Question: Support and “First Responders” for Healthcare Professionals

Reader Question: Support and “First Responders” for Healthcare Professionals

Here is a new reader question from Steve Palmreuter in Michigan. He raises a topic that I’ve been thinking about lately, so I’m happy to share it with you (with his permission). You might remember Steve as I blogged about a news story in 2009 that highlighted his shift from manufacturing to healthcare and we’ve […]

By December 21, 2010 4 Comments Read More →