Tag: Culture

#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 6 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 2 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 photo by:

By September 2, 2015 0 Comments Read More →
Kaizen Hints from Heloise, or, If Kaizen is Common Sense, Why Isn’t It More Common?

Kaizen Hints from Heloise, or, If Kaizen is Common Sense, Why Isn’t It More Common?

I’m a big nerd in that I love reading newspapers basically cover to cover. I’m a nerd in many ways, I guess. You don’t have to be a survey nerd to take my short reader survey (and you might win a book!). I was a pretty unusual child, reading the entire Detroit Free Press every […]

Says @Jack Dorsey: It’s an “Organizational Failure” if the CEO Has to Make a Decision

Says @Jack Dorsey: It’s an “Organizational Failure” if the CEO Has to Make a Decision

Jack Dorsey is well known among tech circles, as a co-founder of Twitter (he’s @Jack) and, now, as the CEO of Square. I’m a frequent Twitter user (I’m @MarkGraban) and I also utilize the Square reader occasionally to sell a book to somebody. I appreciate being able to easily and inexpensively accept a credit card here […]

Cleaning out the Backlog: 3P in the NHS, “Secret” HAI Weapons, MRI $$$, and Fines for Medical Harm

Cleaning out the Backlog: 3P in the NHS, “Secret” HAI Weapons, MRI $$$, and Fines for Medical Harm

As I sometimes do, I’m going to close out a bunch of browser tabs (which makes my Mac run faster) and I’ll do that by sharing some articles that caught my eye but maybe don’t merit full blog posts of their own. I’m cleaning out the LeanBlog backlog and trying to reduce inventory… so here […]

Throwback Thursday: 23 Tweets I Might Have Sent in 2002

Throwback Thursday: 23 Tweets I Might Have Sent in 2002

I have been going through some old papers recently and I found two sheets of paper with hand-written thoughts or “truisms” that I had scribbled down in early 2002. The word truism, it turns out, doesn’t mean “true” so much as it means “a statement that is obviously true and says nothing new or interesting.” Oops. […]