Tag: Doctor

Sorta Live Blogging Fox News “Beware! Danger at the Doctor” (Part 1)

Sorta Live Blogging Fox News “Beware! Danger at the Doctor” (Part 1)

However, administrators will not disclose the actual number of safety events that occur at the hospital. According to Apkon, going public with error rates could backfire by making various departments look bad. Even if the hospital could provide context for the error rates, public reporting could deter employees from reporting mistakes. “It’s a tough balance,” […]

How Many Exam Rooms Do You Need?

How Many Exam Rooms Do You Need?

Mark’s note: When I first started in healthcare, I worked for a team called ValuMetrix Services, a part of Johnson & Johnson that did consulting for labs and healthcare organizations. During that time, I got to work with Tony Milian. While I came from manufacturing outside of J&J, Tony had moved over from other parts […]

#TBT: An Old Podcast with Dr. Jack Billi and a Future #Lean Physician Webinar in May

#TBT: An Old Podcast with Dr. Jack Billi and a Future #Lean Physician Webinar in May

For those of you who have been around Lean healthcare for a while, I hope you’ve met or at least heard of Dr. Jack Billi from the University of Michigan. He’s currently the Associate VP of Medical Affairs and he’s been a champion of Lean for a long time. For this Throwback Thursday, I’m going […]

Podcast #245 – Dr. Tom Evans, Improving Healthcare Quality in Iowa

Podcast #245 – Dr. Tom Evans, Improving Healthcare Quality in Iowa

Today is the first of two episodes that I’ll post here during Patient Safety Awareness Week. I agree with the National Patient Safety Foundation that every day should be patient safety day. I’m sure my guest for episode #245 would agree with that. He is Tom Evans, MD, FAAFP, the President and CEO of the Iowa Healthcare […]

Doctors Get Upset With Being Pushed, Bad Leadership, Clumsy Incentives; Try to Unionize

Doctors Get Upset With Being Pushed, Bad Leadership, Clumsy Incentives; Try to Unionize

A few weeks back, a number of you sent me this article from the New York Times: “Doctors Unionize to Resist the Medical Machine“ The article describes a physician who is trying to take the amount of time – the right amount of time – that he thinks is required to get a proper diagnosis […]

By February 15, 2016 14 Comments Read More →
MDs Can Earn a CME Credit from AMA, Learning about Lean

MDs Can Earn a CME Credit from AMA, Learning about Lean

Today, I’m sharing a link to some free “Lean 101” material that the AMA has created for physicians. I’m not sure when this initiative launched, but I just learned about it… the AMA is offering some online education about Lean in healthcare…

By December 8, 2015 0 Comments Read More →
Podcast #231 – Dr. Eric Dickson, Starting with Lean at UMass Memorial

Podcast #231 – Dr. Eric Dickson, Starting with Lean at UMass Memorial

Today’s guest is Eric Dickson,MD, MHCM, FACEP, the president and CEO of UMass Medical Center. Today’s podcast is a recording of an interview that I did on stage at the 2015 Lean Healthcare Transformation Summit, as part of the CEO panel I was moderating.

By September 29, 2015 0 Comments Read More →
Podcast #226 – Steve Hoeft and Dr. Bob Pryor, “The Power of Ideas to Transform Healthcare”

Podcast #226 – Steve Hoeft and Dr. Bob Pryor, “The Power of Ideas to Transform Healthcare”

My guests for episode #226 are Steve Hoeft and Dr. Robert (Bob) Pryor from Baylor Scott & White Health in Texas. Bob serves as President, Chief Operating Officer and Chief Medical Officer for the system and was formerly CEO of Scott & White Health before their merger with Baylor Health Care System. Steve is the Chief of Operations […]

See How a British Psychiatrist is Using LEGO Videos to Explain Lean Healthcare

See How a British Psychiatrist is Using LEGO Videos to Explain Lean Healthcare

A collection of creative videos was recently brought to my attention and I’d like to share them here. They are created by Dr. Mark Harrison (@leanpsychiatry), a psychiatrist for an NHS Trust. He created the videos by taking photos of LEGO creations and adding voiceover. It’s amazing that we all have the technology required to […]

How Has Dr. Jack Billi Achieved 100% Hand Hygiene Compliance Since 2008?

How Has Dr. Jack Billi Achieved 100% Hand Hygiene Compliance Since 2008?

Thanks to my friends in the Michigan Quality System group, the internal Lean group at the University of Michigan Health System. They shared a video that was put together by Dr. Jack Billi, a long-time student of Lean and advocate for Lean healthcare.  You can listen to my podcast with him from 2011. read more

Reader Question from an MD: One Shot to Talk to the Hospital CEO About #Lean

Reader Question from an MD: One Shot to Talk to the Hospital CEO About #Lean

Before I head out on vacation, here is a reader question that I am sharing for your input.I’m sharing this with permission and I’m obscuring a few details at their request. Please read and leave a comment below the post. My approval of comments might be a bit slow after Tuesday evening as I start […]

Are Hospitalists Ready to Get Serious About Reducing Waste and Improving Care?

Are Hospitalists Ready to Get Serious About Reducing Waste and Improving Care?

I was quoted in two articles that appeared in “Today’s Hospitalist”: “Discharging Mr. Wood: Time to get serious about waste” and “Standardized work: Improving quality by reducing practice variation.” Reducing Waste The author, David A. Frenz, MD, points out that it’s a “collective delusion” that the U.S. spending so much more on healthcare leads to safer […]

Podcast #220 – Dr. Bob Wachter, Lean & The Digital Doctor

Podcast #220 – Dr. Bob Wachter, Lean & The Digital Doctor

My guest for episode #220 is somebody I’ve wanted to interview for a long time, Dr. Robert Wachter, one of the leading voices in the modern patient safety movement. He’s most recently author of a brand-new book The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age. His book was excerpted in […]

Lean Factories and Lean Hospitals Are Safer and They’re Better Listeners

Lean Factories and Lean Hospitals Are Safer and They’re Better Listeners

When we introduce the idea of Lean to healthcare organizations, it’s very common for somebody (often a senior physician) to say something like, “But we don’t want assembly line medicine.” The implication is that assembly lines and factories are cold, rigid, uncaring places that focus on ruthless efficiency and making the numbers at the expense […]

Article about Lean in Two Sioux Falls Health Systems

Article about Lean in Two Sioux Falls Health Systems

I recently saw an article about Avera Medical Group and Sanford Clinic in Sioux Falls, South Dakota: “Health systems learn to be lean.” Avera McKennan Hospital, in Sioux Falls, was featured in the 2nd edition of my book Lean Hospitals.  A physician describes how, with Lean, they are spending MORE time with each patient AND get to […]

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 4 Comments Read More →
Negligent People or a Bad System Leading to Surgical Errors?

Negligent People or a Bad System Leading to Surgical Errors?

A woman has the wrong side of her brain operated on. The headline features the hospital’s name and the surgeon’s name. It seems the “name, blame, and shame” process has begun. SSM Health Care St. Louis, Dr. Armond Levy face lawsuit after wrong-side brain surgery In complex systems, like healthcare, is it overly simplistic to […]

Video Interview with Dr. Peter Pronovost on Checklists & Patient Safety

Video Interview with Dr. Peter Pronovost on Checklists & Patient Safety

Here’s a video interview with Dr. Peter Pronovost, author of the book Safe Patients, Smart Hospitals: How One Doctor’s Checklist Can Help Us Change Health Care from the Inside Out, via AARP. It’s a brief synopsis of the patient safety and quality problem and some of the basics of how checklists (and proper management of […]