Tag: Culture

#Lean Healthcare Trip to China, Day 1, Part 2: Chinese Hospital Presentations in Beijing

#Lean Healthcare Trip to China, Day 1, Part 2: Chinese Hospital Presentations in Beijing

Continuing from Part 1 of my post about my first day of my first China trip, I’d like to share more about the Lean healthcare conference and presentations that took place. In the next presentation from a Chinese hospital, the speaker started talking about the need to “improve [patient and employee] satisfaction through Lean management” […]

The Blame and Shame(ful) Culture of Healthcare

The Blame and Shame(ful) Culture of Healthcare

Mark’s Note: This is another guest post by Drew Locher (check out past posts and my podcast with him). There’s been a lot in the news about “medical error” arguably being the 3rd leading cause of death in the United States. But what about the errors that don’t cause death, but cause harm and/or annoyance? […]

Podcast #249 – Steve Leuschel on “Lean Culture Change”

Podcast #249 – Steve Leuschel on “Lean Culture Change”

My guest for episode #249 of the podcast is Steve Leuschel, author of the book Lean Culture Change: Using a Daily Management System. You can find Steve on Twitter as @stevenleuschel. You might remember a post from January that included an excerpt from his book on “huddles.” In this episode, we discuss topics including his greatest influences, […]

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

#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 […]

Podcast #246 – Steve Montague, #Lean, Checklists & #PatientSafety

Podcast #246 – Steve Montague, #Lean, Checklists & #PatientSafety

Episode #246 is my second episode in recognition of Patient Safety Awareness Week. My guest is Steve Montague, who talked about Lean and Crew Resource Management with me in episode #195 in 2014. He’s a retired Navy fighter pilot, a commercial pilot, and a consultant for hospitals and health systems… and a fellow Texan and a […]

Announced “Workplace Principles” for NHS Wales Staff Sound Like Lean Principles

Announced “Workplace Principles” for NHS Wales Staff Sound Like Lean Principles

Each Saturday, I get an email newsletter from the UK-based site “Nursing Times.” Last week, this article, caught my eye: “Workplace principles revealed for NHS staff in Wales.” A free registration might be required to read it or other articles, but it’s worth it.

What We Can Learn About Teamwork and Culture from the San Antonio Spurs

What We Can Learn About Teamwork and Culture from the San Antonio Spurs

After living in San Antonio for almost four years, my wife and I will finally be settled into the DFW area by the end of March. There’s a lot we will miss about San Antonio and that includes the San Antonio Spurs. Even if you’re not into the NBA, it’s basically a civic obligation to […]

By February 26, 2016 1 Comments Read More →
#Lean: The Toyota Production System is Mainly About the Philosophy

#Lean: The Toyota Production System is Mainly About the Philosophy

Things are coming along with the 3rd revised edition of my book Lean Hospitals. There’s a lot of “batch and queue” processing (and delays) in the publishing value stream. A few weeks back, the publisher threw the “first pages” over the proverbial wall to me. These are the first typeset pages in PDF form that have […]

By February 24, 2016 12 Comments Read More →
#Lean Would Be a Solution for What These Nurses Complain About

#Lean Would Be a Solution for What These Nurses Complain About

In my time working with hospitals, I’ve always been very sympathetic to front-line nurses (and other staff). They are far too often overburdened and undersupported. Work is often more difficult than it needs to be — too much hassle and not enough time with patients. Nurses are forced to jump through hoops, fighting through bad […]

By February 22, 2016 5 Comments Read More →
“Never Tell a Man What to Do…” — So, Here’s What You Should Do Instead

“Never Tell a Man What to Do…” — So, Here’s What You Should Do Instead

At KaiNexus, we love our customers and we’re constantly impressed by what they’re saying and, more importantly,what they’re doing and accomplishing. We recently published a video on our YouTube Channel with Matthew Cannistraro from Harrington Air Systems. He has a lot to say about improvement, but I love this expression that he passes along from his grandfather […]

By January 25, 2016 1 Comments Read More →
Cleveland Clinic Improvement Model, Part 2: Problem Solving & Standardization

Cleveland Clinic Improvement Model, Part 2: Problem Solving & Standardization

Yesterday, I wrote Part 1 of this post on the Cleveland Clinic Improvement Model. Part 1 covered the left hand half of the model, with Organizational Alignment and Visual Management being the key themes. Once you have alignment, measures, and visual management in place (with big doses of communication, leadership, and teamwork), you’re better situated […]

By January 20, 2016 4 Comments Read More →
Cleveland Clinic Improvement Model, Part 1: Alignment & Visual Management

Cleveland Clinic Improvement Model, Part 1: Alignment & Visual Management

Back in November, I had a chance to meet Nate Hurle, from Cleveland Clinic, as he was giving a presentation about their work with Lean and continuous improvement. As we chatted, I mentioned that I’d be in Ohio in early December, as I was going to visit my grandfather who lives in northeastern Ohio (he’s […]

By January 19, 2016 9 Comments Read More →
More Notes on Dr. Deming & “If Japan Can, Why Can’t We?” (Part 3)

More Notes on Dr. Deming & “If Japan Can, Why Can’t We?” (Part 3)

Hopefully you’ve already seen the famed 1980 NBC documentary “If Japan Can, Why Can’t We?” that featured Dr. W. Edwards Deming. I posted a link to the video and some notes on Part 1 of the broadcast. Today, I’d like to blog about Part 3 of the program…

By January 6, 2016 3 Comments Read More →
Throwback Thursday: Humility is a Rare & Powerful Trait

Throwback Thursday: Humility is a Rare & Powerful Trait

Humility is an important part of the Lean management philosophy… it also means being willing to admit that there is a problem. Humility means “we don’t really know so we must understand and then try many things to see if we have the right solution.”

By December 3, 2015 0 Comments Read More →
Going Cheap Vs. Leading and Being Lean

Going Cheap Vs. Leading and Being Lean

I’ve worked with a lot of companies whose primary operational strategy boils down to “cut costs”. Others on Mark’s blog have written about the many unintended consequences of cutting costs as a myopic strategy. But I’d like to share a trend among small manufacturers I’ve seen…

Podcast #228 – Zeynep Ton, “The Good Jobs Strategy”

Podcast #228 – Zeynep Ton, “The Good Jobs Strategy”

Labor Day is Monday, so maybe it’s appropriate that my guest for episode #228 of the podcast is Zeynep Ton, an Adjunct Associate Professor of Operations Management at the MIT Sloan School of Management. You may have recently seen her being interviewed by Fareed Zakaria on CNN. Read her full bio here. read more

By September 3, 2015 3 Comments Read More →
Football, Holistic Systems, and Challenging the Way It’s Always Been Done

Football, Holistic Systems, and Challenging the Way It’s Always Been Done

Many of you might not care, but it’s football season. Major college football starts tomorrow night and the NFL kicks off their season next Thursday. On that note, if you’d like to “kick off” a Kaizen approach to continuous improvement in your organization, I’d like to help. read more

By September 2, 2015 0 Comments Read More →