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Tag: Gemba

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 →
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 21 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 […]