Tag: Culture

Lean People Don’t Say Things Like “Idiot Proofing”

Lean People Don’t Say Things Like “Idiot Proofing”

I’ve long been skeptical of so-called “Lean Sigma” or “Lean Six Sigma.” And not because I’m against Six Sigma statistical methods, which are valid and helpful in solving certain difficult problems. What I don’t like is the oft-stated “Lean Sigma” mantra that says something like, “Lean and Six Sigma are just tools in the improvement […]

By November 21, 2016 8 Comments Read More →
Highlights from the Original 1984 NUMMI Team Member Handbook, Part 1

Highlights from the Original 1984 NUMMI Team Member Handbook, Part 1

I recently wrote about my exploration of the collected papers of the late Don Ephlin, a UAW senior leader and a professor of mine at MIT. In that first post, I shared a few quotes that were scattered around the original NUMMI Team Member Handbook from 1984, the year that the plant re-opened as the joint […]

By November 15, 2016 6 Comments Read More →
What We @KaiNexus (and Our Customers) Believe About People & Improvement

What We @KaiNexus (and Our Customers) Believe About People & Improvement

We’ve been having a great time at the KaiNexus User Conference. Check out key moments and tweets at the hashtag #KaiNexusUC16 on Twitter. To kick off the event, we shared a video that features KaiNexus team members sharing what we believe about people, organizations, and continuous improvement: read more

By November 4, 2016 0 Comments Read More →
Podcast #263 – Pascal Dennis, “Andy & Me and the Hospital”

Podcast #263 – Pascal Dennis, “Andy & Me and the Hospital”

Joining me for Episode #263 is another returning guest, Pascal Dennis (@AuthorPascal on Twitter). He was previously a guest on Episodes #96 and #239, talking about two of his previous books (see a full list here). Today, we’re talking about his most recent book, a business novel called Andy & Me and the Hospital: Further Adventures on […]

By September 21, 2016 1 Comments Read More →
#TBT with an Update: Kaizen & Culture Clash Between Suntory & Jim Beam?

#TBT with an Update: Kaizen & Culture Clash Between Suntory & Jim Beam?

Last year, I wrote a blog post about the intersection of two things I like a lot: Kaizen and whiskey: “Why Kaizen is an Important Differentiator for Japanese Whisky.” Yeah, the spelling of whiskey/whisky isn’t standardized :-) The article talked about how the Japanese distiller Suntory practices “Kaizen” in an attempt to continuously improve their […]

By September 8, 2016 2 Comments Read More →
#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 →