Tag: Government

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 […]

Less Margin, No Mission?

Less Margin, No Mission?

I’ve re-read this article a number of times: “Cancer clinics are turning away thousands of Medicare patients. Blame the sequester.” It’s a sad situation – the federal government, via Medicare, has cut the reimbursement to cancer clinics for chemotherapy treatment as a result of the across-the-board “sequestration” budget cuts. Root cause here? Lack of leadership […]

The Folly of Visual Inspection and the TSA

The Folly of Visual Inspection and the TSA

I’ve never been a big fan of the TSA or any form of visual inspection. I wasn’t a fan, either, of the automated x-ray technology that was used in (and then removed from) American airports while being banned in Europe over safety concerns. Relying on 100% human visual inspection doesn’t work because, well, we’re human. […]

Louisiana’s Online Suggestion Box Will Fail; Connecticut Lean Efforts Might Not

Louisiana’s Online Suggestion Box Will Fail; Connecticut Lean Efforts Might Not

I’m a critic of traditional suggestion boxes, since they are usually garbage cans for ideas. Boxes collect anonymous complaints (not good) and managers often ignore what’s in the box (not good either). I thought I had heard it all in terms of bad suggestion box practices, but here’s a new one. As described here, Louisiana […]

U.S. Presidential Limo Breaks Down Due to Fuel Filling Error in Israel

U.S. Presidential Limo Breaks Down Due to Fuel Filling Error in Israel

From today’s news: “Backup presidential limo on its way for Obama in Israel after fuel filling failure.” U.S. President Barack Obama’s trip to Israel was tripped up by a preventable error – the Presidential  limousine  was mistakenly filled with diesel fuel instead of gasoline / petrol. One of the limousines in  Barack Obama’s fleet has […]

Stuff I’m Reading, February 21, 2013: Transparent Errors, Hidden Gorillas, Gaming of Systems

Stuff I’m Reading, February 21, 2013: Transparent Errors, Hidden Gorillas, Gaming of Systems

It’s time again for a regular feature I call “Stuff I’m Reading.” I have too many browser tabs open and my Mac is bogging down (root cause of this?), so it’s time to share some links that I may or may not blog about more fully in the future. The president should make medical errors […]

By February 21, 2013 3 Comments Read More →
Please Don’t Steal THIS Idea – Paying a % Bonus for Cost Savings

Please Don’t Steal THIS Idea – Paying a % Bonus for Cost Savings

In the Kaizen approach, stealing the ideas of others isn’t a negative thing. If somebody else implemented an idea and you can use that idea in your area, a Kaizen organization ENCOURAGES the borrowing, stealing, adoption, and adaptation of ideas. There’s no shame in that. This idea was being preached at one hospital I visited […]

By February 15, 2013 5 Comments Read More →
A Lean Governor Inaugurated in Washington (State)

A Lean Governor Inaugurated in Washington (State)

Following up on my post from September on the Washington gubernatorial race (“Lean Management” Debated in the Washington Gubernatorial Race), the winner of the election, Jay Inslee, was inaugurated. His  inaugural  speech (full text in PDF) referenced the application of Lean to state government. From the speech: Today we begin a multi-year effort to bring […]

By January 22, 2013 9 Comments Read More →
Some Videos from the 2012 #LeanStartup Conference

Some Videos from the 2012 #LeanStartup Conference

It’s awesome that Eric Ries puts the video content from The Lean Startup Conference online each year. He’s just uploaded some videos to his YouTube channel, with more to come (including video of my “Ignite” session talk on Lean Healthcare Design). Here is the playlist with all of the 2012 talks. It’s all worth checking […]

By December 19, 2012 1 Comments Read More →
The Newtown Tragedy – Our National Response and Problem Solving

The Newtown Tragedy – Our National Response and Problem Solving

As are many people across the United States and around the world, I’m saddened by the violence that claimed so many lives Friday in Newtown, Connecticut at Sandy Hook Elementary School. The mass shootings that plague our country are incredibly upsetting. My friend Bob Emiliani created the graphic that’s shown at left, that represents our […]

By December 17, 2012 30 Comments Read More →

Lies, Damn Lies, and Vanity Metrics – in Policing and Healthcare

I arrived in San Francisco yesterday for the Lean Startup conference, where I gave my 5-minute Ignite format talk on the parallels between Lean hospital design and Lean startups – Lean is Lean. There will be video available of the talk online and I’ll share it when I can. Follow the #LeanStartup hashtag or @LeanStartup […]

By December 3, 2012 5 Comments Read More →
Stuff I’m Reading: The Good, The Bad, and the Ugly in Healthcare

Stuff I’m Reading: The Good, The Bad, and the Ugly in Healthcare

The list of stuff I’ve read and wanted to blog about has grown… that inventory becomes a post like this.  Here are links to some varied articles I’ve read recently that might be of interest on a number of Lean related topics, a grab bag of topics related to healthcare design, leadership, quality, and IT. […]

By October 17, 2012 2 Comments Read More →
Guest Post: Lean for Local Government – Pursuing Service Excellence

Guest Post: Lean for Local Government – Pursuing Service Excellence

Mark’s note: Thanks to all of the wonderful guest bloggers  who contributed to this space over the past two weeks. Today’s post is by Richard Steel, the COO of Kaizen Institute New Zealand and  Mijo Katavic, lean & innovation manager at the Rotorua District Council. By Richard Steel, with Mijo Katavic: One of the recurring […]

By October 12, 2012 2 Comments Read More →