Tag: Doctor

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. read more

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 →

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. read […]

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 3 Comments Read More →
Dr. John Toussaint Says “Don’t Kill Me!”

Dr. John Toussaint Says “Don’t Kill Me!”

To end the week, here’s a piece by our friend John Toussaint, MD, CEO of the ThedaCare Center for Healthcare Value, that was published on CNBC.com: “Don’t Kill Me! What I Want From the Healthcare System: Author of ‘Potent Medicine“ Even though John was a practicing physician and a CEO (of the health system ThedaCare), […]

By August 10, 2012 3 Comments Read More →
A Brave Analogy from Dr. Atul Gawande

A Brave Analogy from Dr. Atul Gawande

A number of readers have sent me a link to the latest  New Yorker missive from Dr. Atul Gawande (whose work I greatly admire). It’s titled “Big Med: Restaurant chains have managed to combine quality control, cost control, and innovation. Can health care?” The piece makes a number of good points about the need to […]

Dr. Donald Berwick – Ahead of his Time on Kaizen in 1989

Dr. Donald Berwick – Ahead of his Time on Kaizen in 1989

I’ve blogged before about Dr. Donald M. (Don) Berwick, the founder of the Institute for Healthcare Improvement and the former administrator of the Centers for Medicare and Medicaid Services (CMS). I was fortunate to meet him briefly at the 2010 IHI National Forum, where he spoke a lot about Lean in his keynote remarks. read […]

KaiNexus Updates – White Paper and Customer Videos

KaiNexus Updates – White Paper and Customer Videos

I’ve been busy over the past year working with the startup KaiNexus. Our technology is now being used (or in the process of going live) in nine medical centers / health systems in the U.S. We have published our first white paper that talks about the results from early customers and the ROI from a […]

Podcast #150 – Jeffrey Lobosky, MD, “It’s Enough to Make You Sick”

Podcast #150 – Jeffrey Lobosky, MD, “It’s Enough to Make You Sick”

Please upgrade your browser MP3 File (run time 22:18) My guest for episode #150 is Jeffrey M. Lobosky, MD, the author of the book It’s Enough to Make You Sick: The Failure of American Health Care and a Prescription for the Cure. Dr. Lobosky talks about what he thinks is lacking in current healthcare reform […]