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Tag: Emergency Dept

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. Banker falls asleep on keyboard and costs bank $293 million after accidentally […]

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: Distort the system Distort the numbers Improve the […]

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. About LeanBlog.org: Mark […]

“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? About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology. Mark is author of the Shingo Award-winning books Lean Hospitals and […]

Podcast #120 – Dr. Jody Crane & Chuck Noon, PhD, Lean Emergency Departments

Podcast #120 – Dr. Jody Crane & Chuck Noon, PhD, Lean Emergency Departments

Please upgrade your browser MP3 File (run time 38:30) Today’s episode is a chat with Jody Crane, MD, MBA and Chuck Noon, PhD. They are talking about their outstanding book The Definitive Guide to Emergency Department Operational Improvement: Employing Lean Principles with Current ED Best Practices to Create the “No Wait” Department. Dr. Crane is […]

As Seen on TV: Random Lean Terms in Commercials

As Seen on TV: Random Lean Terms in Commercials

On a recent Sunday morning, I was watching cable news channels and two different commercials had a word jump out at me, words that are commonly used in the Lean management system. One commercial featured the term “mistake proofed” and another used the term “right-sized.” Let’s talk about the terms and what they mean. About […]

From The Lean Edge: Alternatives to Hospitals Spending, Building, and Hiring More

From The Lean Edge: Alternatives to Hospitals Spending, Building, and Hiring More

Today, I’m linking to a response I gave on TheLeanEdge.org‘s blog that features some really well known Lean authors (people I really have learned a lot from, so it’s an honor to be included). The question they posed (which is hard if not impossible to figure out, due to the design of the site) is […]

An American ED Doc in New Zealand – Reflections on Pushback and Learning

An American ED Doc in New Zealand – Reflections on Pushback and Learning

Mark’s note: Today’s guest post is from Dr. Mark Jaben, an American doctor who worked in New Zealand, leading to this blog post. I have talked with Mark about Lean quite a bit over the past few years and we were able to cross paths at Cindy Jimmerson’s Lean Healthcare West conference in Montana last […]

By January 31, 2011 5 Comments Read More →

Tom Peters Asks Where the Radicals Are in Healthcare

Here’s a great essay from Tom Peters, a chapter from his book The Little Big Things: 163 Ways to Pursue EXCELLENCE. The email that was forwarded to me with this content said “Sharing is permitted,” so if you like this content, please buy his book. In this essay, Peters mentions Geisinger Health System, checklists, and […]

By October 8, 2010 8 Comments Read More →
Another Annual Update on a New Zealand Emergency Department

Another Annual Update on a New Zealand Emergency Department

It seems to be an annual event to see a news story about a New Zealand emergency department, Dunedin Hospital (not pictured at left) as reported by the Otago Times. It’s year three and the board “wants some traction” and some are warning that Lean “might not get much further without a change in the […]

By October 7, 2010 1 Comments Read More →
Consulting Case Studies Need Statistical Validity

Consulting Case Studies Need Statistical Validity

One of the books that’s had the biggest impact on my work is Donald Wheeler’s Understanding Variation: The Key to Managing Chaos. It’s the best guide for applying simple and powerful “statistical process control” (or SPC) practices to management data and decision making. A recently read a consulting case study, “Harris Methodist saves $648,695 through […]