Tag: Gemba

Reader Question: Pros & Cons of Observing in the Workplace

Reader Question: Pros & Cons of Observing in the Workplace

I was asked a question by a Twitter follower over the weekend: “What are the pros & cons of using direct observations in hospital environment to identify value & none value adding activities?”  It’s a short question, but I didn’t think I could answer it in 140 characters. So here goes (and please add your […]

By February 3, 2014 4 Comments Read More →
Fantastic Mixed Media Online Presentation about Lean in Healthcare

Fantastic Mixed Media Online Presentation about Lean in Healthcare

I recently stumbled across a very interesting and well-produced mixed-media presentation that starts with the sounds of snow crackling under a pair a boots… a video clip that illustrates Delvecchio Finley, the CEO of Harbor-UCLA Medical Center, making a snowy trip to ThedaCare, in Appleton, Wisconsin to learn about Lean and healthcare improvement. Check out the […]

By January 8, 2014 0 Comments Read More →
Lean For Thought

Lean For Thought

Mark’s Note: I’m just getting back from vacation, so we’re wrapping up the guest posts. Today’s post is by Christina Kach and you can read her previous guest posts here. Check out her updated bio at the bottom of the post. I’m sure there will be a lot of good discussion on this post, so […]

Parallels and Learning Between Aircraft Engine MRO and Human Healthcare

Parallels and Learning Between Aircraft Engine MRO and Human Healthcare

My wife is a leader in a business (not GE) that does aircraft engine “MRO” work – maintenance, repair, and overhaul. I’ve been able to visit her shop floor (her “gemba”) and we noticed similar parallels between their work (bring engines back to prime “health”) and what’s done in healthcare. This parallel was also explored […]

Don’t Let Looking at Data Blind You From Seeing Reality

Don’t Let Looking at Data Blind You From Seeing Reality

I recently read an article (a case study) about “Lean Six Sigma” in a publication. It’s not online, so I can’t link to it, nor do I really want to call them out by name. I didn’t like the article, in part, because it used the old, tired (and wrong) idea that “Six Sigma is […]

By September 10, 2013 18 Comments Read More →
Weekend Fun: An Example of Poor Problem Solving

Weekend Fun: An Example of Poor Problem Solving

Here’s a funny ESPN commercial featuring golfer Rickie Fowler. Fowler is pouring coffee, yet he makes some bad assumptions about which coffee is decaf and about the “milk” being bad (compounded by the joke that he’s supposedly color blind). I guess if there’s any Lean lesson, it’s that we can be at the “gemba” and […]

By August 30, 2013 7 Comments Read More →
Gemba Wine: Variation in Wine Seals and Variation in Customer Needs

Gemba Wine: Variation in Wine Seals and Variation in Customer Needs

My wife and I just got back from four days in Napa and Sonoma counties doing, ahem, “gemba walks” at a number of wineries, both large and small. As tourists, we like doing winery visits where you get to walk the process, from grapes on the vine, through production, and into the glass. I tweeted […]

By August 21, 2013 5 Comments Read More →
Data vs. Facts – Bridge Wait Times & Hourly Rounding

Data vs. Facts – Bridge Wait Times & Hourly Rounding

There’s a great Taaichi Ohno quote that I was reminded of last week (see a previous post from 2010 on this). “Data is of course important in manufacturing, but I place the greatest emphasis on facts.” I was in northern Ontario and was going to be driving back across the border on Friday afternoon to […]

Have Staff Really Lost Sight of the Patient Experience?

Have Staff Really Lost Sight of the Patient Experience?

Dr. Delos (“Toby”) Cosgrove, President and CEO of the famed Cleveland Clinic, wrote an article on LinkedIn recently: “Patient Experience: Time for Hospitals to Look Under the Bed.” Cosgrove described his process of going to visit patients after heart surgery (good, which sounds like the Lean practice of “going to the gemba” to see what’s […]

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 →