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Tag: Gemba

Toyota’s Jamie Bonini on Organizational Culture

Toyota’s Jamie Bonini on Organizational Culture

Last week at the Lean Healthcare Transformation Summit, I really enjoyed the presentation by Jamie Bonini,  General Manager of the  Toyota Production System Support Center (TSSC). Jamie started his career at Chrysler (where he knew Jamie Flinchbaugh, a good friend of this blog) and both Jamies, like me, are graduates of the MIT Leaders for […]

Lean Thinking (Finally?) Gets to Chrysler Windsor Plant?

Lean Thinking (Finally?) Gets to Chrysler Windsor Plant?

This article appeared back in March… March of 2013… as in this year: “Windsor Chrysler workers reduce waste to be world class.” I mean, good for them, but they are just now getting to this (even if the effort started in 2009 or so)… in the auto industry? Many hospitals were applying Lean thinking before […]

Transcript of Podcast #164 – Rachelle Schultz, CEO of Winona Health

Transcript of Podcast #164 – Rachelle Schultz, CEO of Winona Health

Occasionally, I have transcripts made from podcasts – and here is the transcript from Podcast #164 with Rachelle Schultz, CEO of Winona Health. Last year, Rachelle was also part of the CEO panel at the Lean Healthcare Transformation Summit. I’ll be at this year’s Summit, June 5-6 in Orlando, and I hope to see you […]

Toyota Brings TPS & The Toyota Way to India – The Same Familiar Principles

Toyota Brings TPS & The Toyota Way to India – The Same Familiar Principles

Here’s a fascinating article: “How Toyota brought its famed manufacturing method to India.” The piece starts with a story about a classic Toyota management practice — “Genchi Genbutsu, or on-site inspection, which is at the core of the Toyota Production System (TPS). Nakagawa, who has been a TPS practitioner for four decades, doesn’t believe in […]

Tips for Shadowing in Healthcare

Tips for Shadowing in Healthcare

“Shadowing” is a very powerful method. In a healthcare setting, we can shadow patients or staff to better understand the “current state” of how healthcare is delivered. This allows us to identify waste and opportunities for improvement. We want to see reality rather than make assumptions about how things work – this is the practice […]

Society for Health Systems Conference – Roger Gerard, ThedaCare

Society for Health Systems Conference – Roger Gerard, ThedaCare

Saturday at the Society for Health Systems conference, included an excellent keynote address from Roger Gerard, from the ThedaCare health system, co-author with Dr. John Toussaint of the book On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry. Some key points: Roger made a great point that the idea of “creating a […]

Toyota, Respect for People (or “Humanity”) and Lean

Toyota, Respect for People (or “Humanity”) and Lean

A principle that has been often discussed (and hopefully practiced) in the Lean community over the past few years is usually described as “respect for people.” A certain British rabble rouser recently said at a Lean conference “all this respect for people stuff is horse sh*t,” and that it is a “conventional Western management interpretation.” […]

By February 26, 2013 33 Comments Read More →
#LeanStartup Conference 2012 Notes – Get Out of the Building

#LeanStartup Conference 2012 Notes – Get Out of the Building

In his kickoff to the Lean Startup Conference, Eric Ries promised that there was so much content and so many speakers crammed into the day that we would all have a headache at some point. Yes, that came true for me. But, it was a very inspiring and thought-provoking day… with over 700 attendees in […]

By December 6, 2012 13 Comments Read More →
Guest Post: Showing True Respect by Going to the Gemba

Guest Post: Showing True Respect by Going to the Gemba

Today’s post is by Brian Collyer, blogger at Today’s Lean Manufacturing. Brian interviewed me recently for his podcast. Gemba: the Japanese term meaning “the real place” Gemba is the place in any organization where humans create value.   In the Lean community and in our Lean implementation efforts, it should be commonly said “Let’s go […]

By November 2, 2012 0 Comments Read More →
Going to Japan to Study Lean in November – Any Advice or Questions?

Going to Japan to Study Lean in November – Any Advice or Questions?

I had previously blogged about this Lean healthcare study trip to Japan, but I’m really excited that it’s coming up soon! I depart in just over a week and I’m sure the trip will give me plenty to share and blog about here. This will be my first trip to Japan, as a tourist or […]

By October 30, 2012 15 Comments Read More →

Labor Day Reflections for a Safer Week (and Years) Ahead

I didn’t have a post yesterday because it was the Labor Day holiday here in the U.S. While I’m not a “worker,” in the sense of an hourly employee or union worker anymore, I still enjoyed the day off with family. Managers and consultants and white-collar professionals are certainly hard working… but the spirit of […]

By September 4, 2012 5 Comments Read More →

A Kidney Accidentally Trashed – More Questions Than Answers

Many of you have emailed me about this horribly sad story: “Toledo hospital nurse accidentally throws away healthy donor kidney during transplant surgery.” As a blogger, I wish I could go to the “gemba” to really help investigate and find the root cause that answers the question “why did a kidney mistakenly get thrown in […]

By August 29, 2012 5 Comments Read More →
Videos: Lean in Daily Work at the University of Michigan Health System

Videos: Lean in Daily Work at the University of Michigan Health System

If your organization blocks access to YouTube… shame on them. The videos I’m sharing here are two reasons you should insist they open access to the world of Lean healthcare education that exists there. Today, I’m sharing two videos produced by the University of Michigan Health System about “Lean in Daily Work.” Their approach builds […]

By August 28, 2012 0 Comments Read More →
“Living Lean” Vignette – Good Illustration or a Bit of a Stretch?

“Living Lean” Vignette – Good Illustration or a Bit of a Stretch?

Hat tip to Bob Emiliani (a Lean Blog sponsor) for pointing out this article a while back: “Case in Point: Avoiding martial-arts moves by ‘pulling the Andon cord‘” that was in the Washington Post, of all places. The piece, written by a duo of a professor and a consultant, attempts (I think) to make Lean […]

Notes from Meeting Masaaki Imai

Notes from Meeting Masaaki Imai

What a great time on Thursday with Masaaki Imai! We were hosted by a non-profit organization, SightLife, that has used Lean to improve the way they collect, process, and ship corneas to transplant patients around the world. It’s a bit of a cliche’ to say that Lean allows us to see the world through “new […]

A Lean Guy Listens to NPR – Waste & Problems in Healthcare

A Lean Guy Listens to NPR – Waste & Problems in Healthcare

Coming this week — blog posts and tweets (follow me or hashtag  #HCsummit12) from the 2012 Lean Healthcare Transformation Summit on Wednesday and Thursday. If you are going to be there, please say hello!’ Looking back a week… the weekend of Memorial Day weekend, the NPR “most emailed stories” email that arrives each Sunday featured […]

You (One of You) Might be Searching for Waste Wrong  :-)

You (One of You) Might be Searching for Waste Wrong :-)

So  I was checking out the server logs for the website for my upcoming book Healthcare Kaizen  (because, yes, my life is just that boring). Somebody reached the site because they searched Yahoo (??) for “find kaizen opportunities”. As we might say on the internet: 404 error, waste not found. OK, so somebody wasn’t literally […]

Quotes from Lean Healthcare PowerDay

Quotes from Lean Healthcare PowerDay

Hello from Las Vegas, where I participated in a wonderful event yesterday, the Lean Healthcare PowerDay. Here are a few key quotes: “That cry for more is really a cry to fix our processes.”  - Naida Grunden, co-author of the new book  Lean-Led Hospital Design: Creating the Efficient Hospital of the Future, as she referred […]