Tag: Emergency Dept

How Can a Story Like This Occur in Any E.D., Yet Alone a Hospital With a Lean Program?

How Can a Story Like This Occur in Any E.D., Yet Alone a Hospital With a Lean Program?

This story was sent to me by somebody I know with a Lean manufacturing career. It’s shocking, but it could happen anywhere, I suppose. I’m not going to name names… the author of this has allowed me to share it, without mentioning him or the health system. How can something like this happen in any […]

By November 14, 2016 14 Comments Read More →
#TBT: A Doctor’s Response to this Doctor Who Was Upset About Lean

#TBT: A Doctor’s Response to this Doctor Who Was Upset About Lean

You might remember my post from June about an emergency physician who wrote a journal article bashing “Lean” — but what he described didn’t sound like Lean at all. As I said then: “In the article, Dr. Cotton describes the poor treatment he’s received from a 40-something internal “Lean consultant” named Dean. read more

By October 13, 2016 0 Comments Read More →
This Doctor is Upset About Something, But It Doesn’t Really Sound Like Lean

This Doctor is Upset About Something, But It Doesn’t Really Sound Like Lean

Now, there’s a story written by an emergency medicine physician, Dr. Brad Cotton, that appears in a publication called “Emergency Medicine News” — FIRST PERSON: ‘We Fired Our Hospital’…

Case Study: Emergency Department (ED) Throughput Improvement Through Lean

Case Study: Emergency Department (ED) Throughput Improvement Through Lean

Mark’s Note: Today’s guest post comes via my friends at the ThedaCare Center for Healthcare Value, who suggested this case study from Salem Health. You might remember my post from 2012 where I shared a video of some of their senior leaders talking about going to Japan. At the bottom of this post is an 18-minute […]

U.S. Hospitals Have the Best E.R. Care for Kids, But Aren’t Prepared For Them?

U.S. Hospitals Have the Best E.R. Care for Kids, But Aren’t Prepared For Them?

There’s been a back and forth of views about the state of pediatric emergency medicine recently in the Wall St Journal. Let me start first, actually, with the more recent statement, a rebuttal from Michael Gerardi M.D., FACEP, President of the American College of Emergency Physicians, in the form of a letter to the editor. read more

Some Highlights from Last Week’s “Kaizen Live” Event at Franciscan St. Francis Health

Some Highlights from Last Week’s “Kaizen Live” Event at Franciscan St. Francis Health

Last Wednesday and Thursday, I collaborated with Joe Swartz and a countless number of his colleagues to host 24 visitors from different health systems (and an Indiana state government organization) to learn about the “Kaizen” approach to continuous improvement first hand at Joe’s health system – Franciscan St. Francis Health in Indianapolis. read more

The Opposite of “Serious Emergency Care” [Cartoon]

The Opposite of “Serious Emergency Care” [Cartoon]

Hospital billboards and health system advertising can be a curious thing. One ad that I see driving between San Antonio and Austin is one that promises: “Serious E.R. Care” Or something like that. I don’t have a picture of it because taking photos while driving might lead to an visit to the emergency department (safety […]

Lean Healthcare Discussed on Cincinnati Local TV News

Lean Healthcare Discussed on Cincinnati Local TV News

I’ve partnered up with the Ohio-based non-profit consulting group, TechSolve, over the past few years in some of their Lean healthcare promotions efforts, recently teaching some classes with them on Lean and Kaizen in healthcare. One of their team members, Matthew Jobe, was recently on a local Cincinnati TV news show, talking about Lean in […]

By September 29, 2013 0 Comments Read More →
Stuff I’m Reading – June 14, 2013: Sleepy Banker, Concerned Workers, Cost Diversity, Conference Diversity

Stuff I’m Reading – June 14, 2013: Sleepy Banker, Concerned Workers, Cost Diversity, Conference Diversity

It’s again time to close some browser tabs and clear out the backlog of articles I’ve wanted to share but maybe don’t merit an entire blog post… It’s time again for “Stuff I’m Reading”… Click on any header for the article I’m referencing. read more

A Lean Guy Watches CBC’s “Rate My Hospital”

A Lean Guy Watches CBC’s “Rate My Hospital”

“Approximately 8 to 10% of the individuals who walk through our doors are being hurt by us,” says David  Musyj, CEO of Windsor Regional Hospital. That’s one of the first things you hear in this CBC program “Rate My Hospital,” which aired earlier this month in Canada. See also this page on the investigative report. […]

Easier to Game the Numbers than Fix the System – in Education and Healthcare

Easier to Game the Numbers than Fix the System – in Education and Healthcare

I’ve cited his book before (including this post with an example from The Office)…  Brian Joiner wrote, in his outstanding book  Fourth Generation Management: The New Business Consciousness,  that there are three things that can happen when you have a quota or a target imposed upon people: 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 →
Podcast #149 – Gregory Jacobson, MD, Kaizen in Emergency Medicine

Podcast #149 – Gregory Jacobson, MD, Kaizen in Emergency Medicine

Please upgrade your browser MP3 File (run time 25:56) My guest for episode #149 is Gregory Jacobson, MD, the co-founder and CEO at KaiNexus. We’ll be talking about his early work with Kaizen in emergency medicine settings – how did he get introduced to Kaizen principles and how did train others, especially physicians, in getting […]

Kaizen: The Key To Lean Healthcare?

Ken Congdon at Healthcare Technology Online  recently interviewed me for this story that’s now online:  Kaizen: The Key To Lean Healthcare?. Mark Graban, lean expert and co-author of an upcoming book titled  Healthcare Kaizen, often compares Kaizen to the suggestion box methodology. “Traditionally, suggestion boxes have employees submit anonymous ideas,” says Graban. “Those ideas are […]

Forget Pull or Push, Focus on Improving Patient FLOW Instead

Forget Pull or Push, Focus on Improving Patient FLOW Instead

Back in the manufacturing world, the distinction between “push” and “pull” is often much more obvious than it is in healthcare. Push production occurs when products are built based on the forecast were something other than actual customer needs. In the Lean approach, pull systems are the ideal to prevent overproduction, to reduce inventory costs, […]

Collected Quality & Cost Results from Healthcare Value Network Members

Collected Quality & Cost Results from Healthcare Value Network Members

I was at the ThedaCare Center for Healthcare Value office a few months ago when Dr. John Toussaint reported that he had gotten a call from Dr. Don Berwick, the head of Medicare and Medicaid. Dr. Berwick wanted a collection of results from healthcare organizations that are improving quality and reducing costs, through approaches like […]

Denver Health’s Lean Patient Safety Improvements on PBS’ NewsHour

Denver Health’s Lean Patient Safety Improvements on PBS’ NewsHour

On June 30, the PBS NewsHour program did a 7-minute story on healthcare improvement (featuring Lean and Toyota methods) at Denver Health. You can also see the video or read the transcript on the NewsHour site: “Denver Hospital Sets the Bar for Patient Safety.” Watch the full episode. See more PBS NewsHour. read more

“Kaizen” Mentioned in Dilbert Cartoon, but in a Warped Way

“Kaizen” Mentioned in Dilbert Cartoon, but in a Warped Way

The word “kaizen” appeared in last Friday’s Dilbert strip. It’s a funny portrayal of how some might misinterpret kaizen or Lean approaches. What’s wrong with Wally’s thought process?