Tag: Doctor

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. My contact in […]

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 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 7 Comments Read More →