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Tag: Government

What I’m Reading: Diner Muda, No Blame at Etsy, Toyota Treats Cancer Faster, etc.

What I’m Reading: Diner Muda, No Blame at Etsy, Toyota Treats Cancer Faster, etc.

In case you missed it, see Saturday’s post: “Why Toyota is Eliminating the Andon Cord from its Factories.” As I occasionally do, today’s post is one where I’m going to close out some open browser tabs and post links to articles that I’ve been reading that are worth sharing (as I often do on Twitter), […]

Report to President Obama Endorses Lean & Systems Engineering in Healthcare

Report to President Obama Endorses Lean & Systems Engineering in Healthcare

I recently saw a tweet that referenced a May 2014 that was sent to President Obama and his administration: “Report to the President - Better HealthCare and Lower Costs: Accelerating Improvement Through Systems Engineering.” The report was written by the “President’s Council of Advisors on Science and Technology,” or PCAST, and a working group that includes professors, […]

Secretary Shinseki Has Resigned; Will Things Change at the VA?

Secretary Shinseki Has Resigned; Will Things Change at the VA?

Following up on posts from Monday and Wednesday, we see this headline today: “Shinseki resigns after VA scandal.” As I wrote about on LinkedIn, instead of blaming “bad managers” or a “lack of integrity” at local VA sites, like Phoenix, we have to look at the system. Dr. W. Edwards Deming always said that senior […]

The Real #VAscandal is the Long Waiting Times & Bad Management, Not Gaming by Bad Apples

The Real #VAscandal is the Long Waiting Times & Bad Management, Not Gaming by Bad Apples

Look at the System, Not the Individuals I’ve been wanting to blog about the “VA Scandal,” but have avoided it because it is somewhat politicized (as tends to happen), the allegations and story are moving quickly, and the whole thing just makes me sad, so I stop writing. Building on Monday’s post… when the news first […]

Memorial Day – A Reminder to Provide Better Care for Living Veterans

Memorial Day – A Reminder to Provide Better Care for Living Veterans

Today is Memorial Day, a U.S. holiday. It’s a day to honor those who have given their lives in military service. Lately, the news has had many reminders about our need to provide better care to our living veterans through the overburdened Veterans Administration (VA) medical system. Thanks to medical advances, more of our wounded […]

Podcast #198 – Harry Kenworthy, #Lean in Government

Podcast #198 – Harry Kenworthy, #Lean in Government

MP3 File (run time 39:17) Episode #198 is a discussion with Harry Kenworthy about his work bringing Lean into local and state governments. We had a great conversation that touches on the influence of Dr. W. Edwards Deming and many other concepts that might be of interest even if you’re not interested in “Lean Government” […]

Weekend Fun: Skinny Cow Handling

Weekend Fun: Skinny Cow Handling

And, now to the lighter side of Lean for the weekend. Hat tip to my friend and author Naida Grunden for pointing out this funny news story… apparently the State of Washington has to translate their web pages into different languages… the Spanish translation turned “lean practices” into “skinny cow handling.” I don’t think this […]

By February 22, 2014 3 Comments Read More →
Preaching to the Choir: Lean Works Everywhere

Preaching to the Choir: Lean Works Everywhere

Some of you might have seen it, but I wrote a piece for the LinkedIn Influencers series about how the “Lean Manufacturing” principles are being used in various “knowledge work” settings – including healthcare, education, software, government, financial services, etc. Here it is: “Lean” is Not Just for Manufacturing – It Applies to Knowledge Work […]

By February 7, 2014 0 Comments Read More →
Podcast #188 – Daniel T. Jones on 25 Years of Lean & the Future of Lean

Podcast #188 – Daniel T. Jones on 25 Years of Lean & the Future of Lean

Please upgrade your browser MP3 File (run time 31:13) My guest for Episode 188 has been a leading voice in the Lean community for 25 years, Daniel T. Jones, founder and chairman of the Lean Enterprise Academy, based in the UK. Dan collaborated with Jim Womack on the books The Machine That Changed the World, […]

By December 18, 2013 0 Comments Read More →
Detroit Elects a Lean Thinking Mayor? Will it Make a Difference?

Detroit Elects a Lean Thinking Mayor? Will it Make a Difference?

I grew up just outside of Detroit, so I’m always pulling for the city to turn things around. The newly-elected mayor, Mike Duggan, is the former CEO of Detroit Medical Center. Back in 2009, I blogged about a radio commercial for DMC that featured Duggan talking about healthcare quality improvement. A hat tip goes to […]

By November 14, 2013 8 Comments Read More →
We STILL Need to Reduce Waiting Times for Veterans

We STILL Need to Reduce Waiting Times for Veterans

Today is Veterans Day in the U.S. and it’s also Remembrance Day in Canada, the UK, and the Commonwealth countries. The poppy  pin is worn as a symbol of Remembrance Day (as I wore, at left, last week while in Scotland and England on vacation). Thanks and an enormous debt of gratitude are owed to […]

By November 11, 2013 2 Comments Read More →
The Affordable Care Act – Good, Bad, or What’s the Difference?

The Affordable Care Act – Good, Bad, or What’s the Difference?

Mark’s Note: I’m away on vacation through November 6… there will be some guest posts in this post during that time. Today’s post is by Dean Bliss, a good friend of mine who has worked in Lean healthcare for a long time now, in many different capacities. In my work in Lean healthcare over the […]

By October 28, 2013 2 Comments Read More →
And Here’s Why I’m Cynical about “Lean Government”

And Here’s Why I’m Cynical about “Lean Government”

One  of the big arguments given for “Lean Government” efforts are the cost savings that are generated by various Lean projects at local, state, or federal levels. I’ve heard stories and rumors from people who have done Lean Government work… complaints that so-called “cost savings” never lead to budget reductions because one’s power is pretty […]

By October 17, 2013 9 Comments Read More →
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 →
How Often Does This Get Repeated? CMS and the Underpants Gnomes

How Often Does This Get Repeated? CMS and the Underpants Gnomes

I’ve recently heard of a scenario in healthcare that I suspect is pretty common, or at least it’s not the first time I’ve heard of this scenario. There have been stories in the news, but without naming names and without any inside information, here is what is reported to have happened in one of these […]

By September 5, 2013 9 Comments Read More →
Podcast #180 – Dan Florizone, Lean in Saskatchewan Healthcare

Podcast #180 – Dan Florizone, Lean in Saskatchewan Healthcare

Please upgrade your browser MP3 File (run time 34:14) Joining me for episode #180 of the Lean Blog Podcast is Dan Florizone (@DanDeputy), who served from 2008 until last month as  Deputy Minister of Health in the Canadian province of Saskatchewan. Dan has just recently transitioned into his new role as the Deputy Minister of […]

Snowden-Proofing the NSA

Snowden-Proofing the NSA

Regardless of whether you think the NSA leaks that Edward Snowden admitted to make him a hero or a traitor, it begs the question: How is the National SECURITY Agency so bad at securing its own information? They’re better at snooping than securing, I guess. This article has an explanation:  NSA leaker Ed Snowden used […]

What I’m Reading: Good News and Bad News on Patient Safety & Government Processes

What I’m Reading: Good News and Bad News on Patient Safety & Government Processes

Here’s the latest in my “What I’m Reading” series, where I clear out some of the inventory of articles I’ve read, but haven’t blogged about. NY crime lab improves efficiency with ‘Lean Six Sigma’ process It’s great to see Lean used to help improve government operations – productivity AND quality. If someone said you could […]