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Tag: Doctor

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 3 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 […]

Less Margin, No Mission?

Less Margin, No Mission?

I’ve re-read this article a number of times: “Cancer clinics are turning away thousands of Medicare patients. Blame the sequester.” It’s a sad situation – the federal government, via Medicare, has cut the reimbursement to cancer clinics for chemotherapy treatment as a result of the across-the-board “sequestration” budget cuts. Root cause here? Lack of leadership […]

Shorter MD Intern Work Hours – Quality Has Gotten Worse (Unless it Hasn’t)

Shorter MD Intern Work Hours – Quality Has Gotten Worse (Unless it Hasn’t)

In recent years, there’s been a movement away from having first-year residents work such long grueling hours – 24 hour shifts or longer, multiple days in a row on call, etc. The idea was that fatigued residents were making poor decisions and mistakes, leading to patient harm. It seems reasonable, since who performs really well […]

John Toussaint on Shifting from White Coat Leadership

John Toussaint on Shifting from White Coat Leadership

Here is a short video clip from 2009… Dr. John Toussaint talking about the need to shift away from “White Coat Leadership” to Lean Leadership. He’s still preaching this message as we try getting more healthcare leaders, physicians or non-physicians, to realize that culture change starts by looking in the mirror. Click on the image […]

By February 13, 2013 3 Comments Read More →
Fine Print: “Doctors: Best of 2013″ List Does Not List the Best Doctors

Fine Print: “Doctors: Best of 2013″ List Does Not List the Best Doctors

Here is a piece that I wrote exclusively for publication on LinkedIn (but you can read it without an account, I believe). It’s not strictly “Lean” related, but I think it does speak to questions about the changing way customers (patients) will choose value (cost or quality in healthcare). As real quality and cost data […]

By January 29, 2013 7 Comments Read More →
Podcast #163 – Dr. Greg Johnson, A Chief Medical Officer Talks Lean

Podcast #163 – Dr. Greg Johnson, A Chief Medical Officer Talks Lean

Please upgrade your browser MP3 File (run time 26:38) My guest for episode #163 is Dr. Gregory R. Johnson, the Chief Medical Officer at Parkview Health in Fort Wayne, Indiana. In this episode, we talk about how Parkview is using Lean to cope with today’s challenging environment, how Dr. Johnson encourages Lean thinking among physicians, […]

By January 25, 2013 0 Comments Read More →
Podcast #160 – Dr. Joseph Guarisco, Emergency Department Process Improvement

Podcast #160 – Dr. Joseph Guarisco, Emergency Department Process Improvement

Please upgrade your browser MP3 File (run time 29:48) My guest for podcast #160 is Joseph S. Guarisco, M.D., FAAEM, FACEP. Dr. Guarisco is currently Chairman of the Department of Emergency Medicine and System Chief of Emergency Services for the Ochsner Health System. Dr. Guarisco is a keynote speaker at the upcoming Society for Health […]

By January 4, 2013 1 Comments Read More →
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 →

Recommended Webinar on Monday: Lean in an Academic Medical Setting; U-M Health System Faces Challenges

If you liked my January 2011 podcast with Jack Billi, MD, from the University of Michigan Health System and Medical School, be sure to check out this free webinar on Monday, December 10, delivered by MIT: Lean Thinking in an Academic Medical Center—The Beat Goes On I’m sure it will be well worth your time. […]

By December 8, 2012 0 Comments Read More →
Dr. Gary Kaplan’s Piece on Lean for the Institute of Medicine

Dr. Gary Kaplan’s Piece on Lean for the Institute of Medicine

Here is a commentary written by Gary S. Kaplan, MD, the CEO of Virginia Mason Medical Center: “The Lean Approach to Health Care: Safety, Quality, and Cost.” More than a decade ago, Kaplan and the team at VMMC realized they had to focus “on three things: 1) the safety of patients while in our care; […]

By November 28, 2012 4 Comments Read More →
Archive of Free Webinar – Greg Jacobson, MD on Kaizen for Healthcare

Archive of Free Webinar – Greg Jacobson, MD on Kaizen for Healthcare

Updated 11/8 to include a link to the recording  and changing the post to past tense. Gregory Jacobson, MD, co-founder and CEO of KaiNexus (disclosure: I’m on the management team) gave a free webinar next Tuesday, November 6 at 3 pm EST. The webinar was produced by Gemba Academy, an official partner with KaiNexus. Greg […]

By November 8, 2012 0 Comments Read More →
Guest Post: What’s Under Your Road to Improvement?

Guest Post: What’s Under Your Road to Improvement?

Mark’s note: Today’s guest post is by Dr. Mark Jaben, an emergency medicine physician who has also been working with KaiNexus.   If you drive along Highway 19 near Fayetteville, West Virginia, you’re likely to drive across the bridge traversing the New River Gorge. Before its construction, getting from one side to the other required […]

By October 4, 2012 0 Comments Read More →
Notes from the 2012 Northeast Shingo Prize Conference, Day One

Notes from the 2012 Northeast Shingo Prize Conference, Day One

Yesterday was an outstanding day at the Northeast Shingo Prize Conference in Worcester, Massachusetts – my first time attending and speaking at this event. It’s always great to see Bruce Hamilton (of “Toast Kaizen” fame) and the rest of the GBMP team, along with the great people from the Shingo Prize. You know it’s the […]

By September 26, 2012 1 Comments Read More →
Stuff I’m Reading: August 15, 2012

Stuff I’m Reading: August 15, 2012

Picking up a feature I was doing a few months back, the backlog of stuff I’ve read and wanted to blog about has grown… that inventory becomes this post. Here are links to some varied articles I’ve read recently that might be of interest on a number of Lean related topics: 6,000 die a year […]

By August 15, 2012 1 Comments Read More →
Dr. Berwick’s 1989 Advice on Making Kaizen Happen in Healthcare

Dr. Berwick’s 1989 Advice on Making Kaizen Happen in Healthcare

Last week, I blogged about the 1989 New England Journal of Medicine article by Dr. Donald M. Berwick, “Continuous Improvement as an Ideal in Health Care.” Dr. Berwick wrote that kaizen (as continuous improvement) is not alien to healthcare, as “self development, continuous learning, the pursuit of completeness are all familiar themes in medical instruction […]

By August 13, 2012 2 Comments Read More →