Mischelle McMillin, from Franciscan St. Francis Health, shares “dos and don’ts” for leaders going out to the “gemba” (the workplace). What is “the riddler” and why should you avoid being one in your efforts to create a culture of continuous improvement?
Visiting the Gemba & Seeing a Growing Culture of Continuous Improvement at Mary Greeley Medical Center
Recently, I wrote about an on-site event that I helped the Iowa Lean Consortium and Mary Greeley Medical Center (MGMC) organize… here is my first post about the morning of that event, if you missed it:
Mark’s Note: Today’s post is by a new guest contributor, Tom Gormley. I first met Tom back in 2009 or 2010 when my wife and I were in Boston for the year. He was in the process of switching into healthcare and he has had a few roles with different health systems since then. You can read his short bio here or a full bio as a PDF.
This article caught my eye at Becker’s Hospital Review:
Even though organizations do formal physician and staff satisfaction surveys, the questions posed here is one that we should ask people frequently (including patients) in the name of improvement.
Thanks to the team at Creative Safety Supply for their sponsorship of LeanBlog.org. They’ve been running ads in the right sidebar since 2013. They’re a great fit for this blog because of their products that support safety and visual methods, two important aspects of Lean. Their current ads are for Lean Posters and for a 5S Guide / Poster.
Mark’s Note: Thanks to Paul, as one of our resident “Lean manufacturing bloggers” for reading and reviewing a book that I bought years ago, but never got around to.
By Paul Critchley:
I’m a car guy. Above all other mechanical devices that we engineers get to be involved with, I am fascinated most with these incredible machines. When you consider how automobile soperate nearly flawlessly even when enduring a spectrum of environmental extremes, it’s amazing to me how far the technology has come in under 100 years. As a boy, I can remember my friend’s parents’ cars breaking down semi-often (cars of the ’70s weren’t exactly renowned for reliability). Today, though, I can’t remember the last time I heard of a car breaking down or not starting that wasn’t due to an outside influence (i.e. getting flat or running out of gas).
As I guy who started his career in manufacturing before moving to healthcare in 2005, I don’t get many opportunities to visit the “gemba” at a factory very often anymore. I get to occasionally visit a Toyota plant (in the U.S. or Japan). As I’m getting settled back into the Dallas / Fort Worth (DFW) area, I’m reconnecting with some of the people I know through our local “Lean DFW” network.
Things are coming along with the 3rd revised edition of my book Lean Hospitals. There’s a lot of “batch and queue” processing (and delays) in the publishing value stream. A few weeks back, the publisher threw the “first pages” over the proverbial wall to me. These are the first typeset pages in PDF form that have gone through copy editing. It was my job to then review that “first draft” of the book and provide input on formatting and content.
In my time working with hospitals, I’ve always been very sympathetic to front-line nurses (and other staff). They are far too often overburdened and undersupported. Work is often more difficult than it needs to be — too much hassle and not enough time with patients. Nurses are forced to jump through hoops, fighting through bad systems, yet they too often get blamed when things go wrong.
Mark’s note: Today’s post is something that Drew Locher originally published in his email newsletter (sign up here), but he’s allowing me to post it here. I’ve met Drew through the Lean Enterprise Institute, as we’re both LEI faculty members, and we’ve crossed paths as various conferences. His newsletter resonated with me because it parallels my writing about “L.A.M.E.” or what Bob Emiliani calls “Fake Lean.“
A hat tip goes to Brian Buck for sharing this quote via email recently. Samuel Clemens, aka Mark Twain, was a pithy and wise man. I didn't remember this quote, but it is attributed to him. It's very appropriate for the type of work we do...
Hopefully you've already seen the famed 1980 NBC documentary "If Japan Can, Why Can't We?" that featured Dr. W. Edwards Deming. I posted a link to the video and some notes on Part 1 of the broadcast. Today, I'd like to blog about Part 3 of the program...
As we start easing into the holidays, I wanted to share a few throwback posts from this day or this week from previous years:
From this date in 2009:
For the Lean minded individual, Spike’s “Bar Rescue” is so much more than just a television show. It is basically a weekly, or binge-watched, case study on process improvement in bars across the country. “Bar Rescue” is another example of how any industry can benefit from continuous improvement.
Mark's note: Today's guest post is a return visit by Gert Linthout, from Belgium. Gert and I were part of the same Lean healthcare study trip to Japan back in 2012... Once upon a time... It was some years ago, when we guided a Lean transformation project in a regional hospital. The ambition was to drastically improve...
...this WSJ article caught my attention: "The Coach Who Won't Leave the Locker Room." The sub headline is "Why Carolina Panthers' Ron Rivera has become obsessed with integrating himself into his players' personal workspace." An NFL coach is at "the gemba" during a game, of course...
Joe Swartz and I have been working for a while to put together our first onsite Kaizen workshop at his health system, Franciscan St. Francis Health – all day tomorrow and Thursday morning.
We’re excited that the workshop / conference sold out and we have 25 people attending from different health systems and organizations. A few are from areas outside of healthcare, some are from hospitals, EMS, and even military medicine. We might do this again in the future, so contact us if you’d like to be informed of future opportunities.
As often happens, I have too many open browser tabs full of articles that I was going to potentially blog about. Too much WIP (a problem that Jim Benson will discuss in our upcoming Boston workshop).
So, it’s time for me to clear out my backlog and to share some articles I’ve been reading with some quick notes, instead of full blog posts. Well, I got my backlog down by three. I’ll try again next week with some shorter blurbs about more articles, perhaps.