Tag: Gemba

#Lean: The Toyota Production System is Mainly About the Philosophy

#Lean: The Toyota Production System is Mainly About the Philosophy

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 […]

By February 24, 2016 12 Comments Read More →
#Lean Would Be a Solution for What These Nurses Complain About

#Lean Would Be a Solution for What These Nurses Complain About

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 […]

By February 22, 2016 5 Comments Read More →
Guest Post: Is Your Organization Practicing “Unlean Lean”?

Guest Post: Is Your Organization Practicing “Unlean Lean”?

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 […]

By February 11, 2016 0 Comments Read More →
Wise Words from Mark Twain on Continuous Improvement and Perfection

Wise Words from Mark Twain on Continuous Improvement and Perfection

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…

By January 13, 2016 0 Comments Read More →
More Notes on Dr. Deming & “If Japan Can, Why Can’t We?” (Part 3)

More Notes on Dr. Deming & “If Japan Can, Why Can’t We?” (Part 3)

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…

By January 6, 2016 3 Comments Read More →
Throwback Thursday: Flexing, Gemba Claus, Problems, Shook, Jail, and Holiday Gifts

Throwback Thursday: Flexing, Gemba Claus, Problems, Shook, Jail, and Holiday Gifts

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: The Emperor’s Sacred Cow’s New Clothes – “Flexing” Hospital Staff I’d argue that “flexing” should really be called something more brutally accurate like “sending staff home […]

By December 17, 2015 0 Comments Read More →
The Business, the Science, and the Continuous Improvement of “Bar Rescue”

The Business, the Science, and the Continuous Improvement of “Bar Rescue”

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.

“We are not Toyota”

“We are not Toyota”

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…

By November 12, 2015 4 Comments Read More →
Like Lean: An NFL Head Coach Gets Out of His Office, Listens, Learns

Like Lean: An NFL Head Coach Gets Out of His Office, Listens, Learns

…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…

By October 15, 2015 0 Comments Read More →
We’re Ready for #KaizenLive on Wednesday & Thursday – Join Us Virtually

We’re Ready for #KaizenLive on Wednesday & Thursday – Join Us Virtually

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 […]

Stuff I’m Reading March 2015: Womack, Sweatshops, Hospitals, and Surveys

Stuff I’m Reading March 2015: Womack, Sweatshops, Hospitals, and Surveys

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 […]

New #Lean & #Lean Startup Candy Hearts for Valentine’s Day – #LeanValentine

New #Lean & #Lean Startup Candy Hearts for Valentine’s Day – #LeanValentine

Ok, for those of you who maybe find “50 Shades of Lean” to be a bit too racy, here are some sweet “candy hearts” for Valentine’s Day… Lean and Lean Startup Edition. Create your own hearts here and submit your creations using the form below or tweet them with the hashtag #LeanValentine. There’s no prize offered […]

By February 13, 2015 9 Comments Read More →
Audio Parody – “Lean Serial”

Audio Parody – “Lean Serial”

My wife and I were late to the wildly popular podcast “Serial,” but we listened to the first six episodes while traveling over the holidays. I ran hot and cold on the serialized non-fiction story about a murder… it was somewhat interesting, but a bit drawn out. The show requires a lot of patience (and […]

By January 30, 2015 1 Comments Read More →
Words vs. Simple Visuals; A Secret About Japanese Hospitals

Words vs. Simple Visuals; A Secret About Japanese Hospitals

This tweet and photo made me chuckle the other day… If it’s “your right” or “your left” as you’re going up or down the stairs, collisions are going to happen if everybody followed these instructions: No, it won't. pic.twitter.com/2iJ3POnrDB — Nille af Ekenstam (@nilrod) November 27, 2014 read more

By December 3, 2014 2 Comments Read More →
Unclear on the Lean Concept: Gemba Walks

Unclear on the Lean Concept: Gemba Walks

Here’s the third cartoon collaboration with artist Carrie Howarth, CMA (AAMA), a workflow facilitator at a health system in Florida. See all of the cartoons here. More to come! This cartoon is not inspired by any particular incident or any real health system, but it was based off my random thought about what would happen IF a […]

By November 17, 2014 1 Comments Read More →
Homer Simpson Does Some Kaizen at Home and a Gemba Walk at Work

Homer Simpson Does Some Kaizen at Home and a Gemba Walk at Work

Recently, while watching part of The Simpsons marathon that aired on FXX, I was inspired to write this post: “Proof That Nelson from The Simpsons is Not a Good Kaizen Coach.” That led Simon from Germany to point out a different episode where it seems like Homer does a “gemba walk” at the nuclear power plant […]

By September 23, 2014 0 Comments Read More →
Podcast #208 – Michael Bremer, “How to Do a Gemba Walk”

Podcast #208 – Michael Bremer, “How to Do a Gemba Walk”

MP3 File (run time 36:24) Joining me for episode #208 is Michael Bremer, author of the recently released eBook How to Do a Gemba Walk. Michael is president of The Cumberland Group, a business improvement consulting firm based in Illinois. In today’s episode, Michael talks about different types of gemba walks, key behaviors that need to […]

By September 9, 2014 1 Comments Read More →
Proof That Nelson from The Simpsons is Not a Good Kaizen Coach

Proof That Nelson from The Simpsons is Not a Good Kaizen Coach

If you know me, you know I’m a huge fan of The Simpsons. The show has been on TV for 25 of my 40 years. The cable channel FXX is having an “Every Simpsons Ever” marathon, showing all 552 episodes over 12 days. I’m watching it here and there, especially my favorite episodes from the […]

By August 24, 2014 5 Comments Read More →