Tag: Healthcare

What These Nurses Had to Say About “Lean Hospitals”; Free Gift with Pre-Order

What These Nurses Had to Say About “Lean Hospitals”; Free Gift with Pre-Order

I recently learned that a company called Anderson Continuing Education offers continuing education (CE) credits for nurses related to my book Lean Hospitals. See their page for my book. I am still trying to learn more, but they will sell the book or, if you already own the book, you can just buy a quiz (that can […]

Stuff I’m Reading May 2016: Bad Patient Experiences, Bad Workplaces & Burnout, Lean Sigma in the VA

Stuff I’m Reading May 2016: Bad Patient Experiences, Bad Workplaces & Burnout, Lean Sigma in the VA

As is often the case, I have too many open browser tabs full of articles that I was going to potentially blog about. This slows down my Mac (thanks, Chrome!). So, it’s time for me to clear out my backlog and a little mental overhead… to share some articles I’ve been reading with some quick notes, […]

Podcast #250 – Dr. Jack Billi & Mark Graban on #Lean in Healthcare

Podcast #250 – Dr. Jack Billi & Mark Graban on #Lean in Healthcare

Episode #250… a big round number. 250 podcasts in just under 10 years. Thanks again to Norman Bodek (my first guest and frequent guest) for the idea back in 2006. My goal with the podcasts has always been to showcase my guests. Occasionally, I take the stage or share the stage with audio of me. […]

NEJM Authors Double Down on Their Claim That #Lean & TPS = Taylorism

NEJM Authors Double Down on Their Claim That #Lean & TPS = Taylorism

You might remember the hubbub (and my earlier blog post) about this article that somehow appeared in the NEJM: “Medical Taylorism.” It’s sad and frustrating that people so often talk past each other in these different “debates” about Lean. Drs. Groopman and Hartzband seem unwilling to learn about Lean and TPS. They have just now doubled down on […]

Congratulations on Reducing Waiting Times, But Lean Isn’t Just About Flow or “Efficiency”

Congratulations on Reducing Waiting Times, But Lean Isn’t Just About Flow or “Efficiency”

I’m always happy to see success stories where healthcare organizations solve problems that matter through Lean concepts, practices, and principles. Today, I’m blogging about two articles I saw about this recently. One of the problems that needs to be solved in healthcare is long waiting times, whether that means waiting for care in the emergency […]

The Blame and Shame(ful) Culture of Healthcare

The Blame and Shame(ful) Culture of Healthcare

Mark’s Note: This is another guest post by Drew Locher (check out past posts and my podcast with him). There’s been a lot in the news about “medical error” arguably being the 3rd leading cause of death in the United States. But what about the errors that don’t cause death, but cause harm and/or annoyance? […]

Lean Hospitals: Thoughts from a Health System C.O.O. on Lean, Purpose, and Safety

Lean Hospitals: Thoughts from a Health System C.O.O. on Lean, Purpose, and Safety

In the previous editions of my book Lean Hospitals, I’ve included case examples from Avera McKennan Hospital and Avera Health. Fred Slunecka is the former president of Avera McKennan and he is now chief operating officer for the Avera system. I talked with Fred again for the updated and revised third edition (available for pre-order now, shipping […]

Podcast #249 – Steve Leuschel on “Lean Culture Change”

Podcast #249 – Steve Leuschel on “Lean Culture Change”

My guest for episode #249 of the podcast is Steve Leuschel, author of the book Lean Culture Change: Using a Daily Management System. You can find Steve on Twitter as @stevenleuschel. You might remember a post from January that included an excerpt from his book on “huddles.” In this episode, we discuss topics including his greatest influences, […]

Free  Chapter – Upcoming 3rd Edition of “#Lean Hospitals”

Free Chapter – Upcoming 3rd Edition of “#Lean Hospitals”

The revised, updated, and expanded third edition of my book Lean Hospitals has been sent to the printer and copies should start shipping by mid June. I’m happy to now be offering a free PDF of the revised first chapter. You can click here to download the PDF (newsletter registration required): read more

Seven Years Ago and a Week: A Patient Safety Story

Seven Years Ago and a Week: A Patient Safety Story

Mark’s note: Today’s post is written by Laura Townsend, the founder of the Louise H. Batz Patient Safety Foundation. I learned about the foundation when I moved to San Antonio four years ago and am honored to serve on their board. Laura and her family, like others in the patient safety movement, have found the […]

Why It’s OK That This Suggestion Box Was Full of Cobwebs

Why It’s OK That This Suggestion Box Was Full of Cobwebs

As I guy who started his career in manufacturing before moving to healthcare in 2005, I don’t get many opportunities to visit the “gemba” at a factory very often anymore. I get to occasionally visit a Toyota plant (in the U.S. or Japan). As I’m getting settled back into the Dallas / Fort Worth (DFW) […]

A Post-Mortem on a Different Hospital Lean Journey

A Post-Mortem on a Different Hospital Lean Journey

Today’s post is an addendum from Saturday’s post on the apparent death of a health system Lean program: “Why Would a New Healthcare CEO Kill a Lean Program?” If you read that post, there’s an interesting comment from a Presence Health employee that doesn’t shed too much more light on this: read more

Why Would a New Healthcare CEO Kill a Lean Program?

Why Would a New Healthcare CEO Kill a Lean Program?

Back in September 2015, I wrote a post (“Learning to be Lean” – An Inside Look at a Rapid Improvement Event“) that linked to a Modern Healthcare article about a Rapid Improvement Event at Presence Health in Illinois. The piece was written by journalist Sabriya Rice, who had been allowed to participate in the event. The […]

11 Ways You Can Get Ideas to Flow From Staff

11 Ways You Can Get Ideas to Flow From Staff

Mark’s note: Today’s guest post is by Duke Rohe of the Office of Performance Improvement at M.D. Anderson Cancer Center in Houston. I’ve met Duke many times at the annual Society for Health Systems conference and he’s always a pleasure to talk with. He shares quite a bit online through the online “Healthcare Management Engineers” […]

By April 28, 2016 0 Comments Read More →
A Radical Idea in Healthcare: Refunds for Dissatisfied Customers

A Radical Idea in Healthcare: Refunds for Dissatisfied Customers

I love stories of humility and customer focus in healthcare. Let me share two such stories with you today. Oh, and, I ended up sharing a story of mine that’s related and might just recount a few screw ups on my part… but I think I eventually did the right thing. Failing (?) the NorthBay […]

Key Tweets from @MarkGraban – Week of April 18, 2016: Frontier #FAIL, Plank Meetings, A Lean Learner on NPR

Key Tweets from @MarkGraban – Week of April 18, 2016: Frontier #FAIL, Plank Meetings, A Lean Learner on NPR

Here’s the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow [email protected] join the fun and the conversation. See the previous installments of Key Tweets here. If you’re reading this via email or RSS, you might get a better […]

Gemba Academy Visits Franciscan St. Francis Health to Learn #Lean & #Kaizen

Gemba Academy Visits Franciscan St. Francis Health to Learn #Lean & #Kaizen

Our friends at Gemba Academy produce some really nice online Lean education materials. It’s a subscription service, but you can see some free videos on YouTube. As part of their “Gemba Live” series, host Ron Pereira visited Franciscan St. Francis Health in Indianapolis. That’s the hospital, of course, of my Healthcare Kaizen co-author Joe Swartz. read more

XYZ Thinking: A Practical View of Scientific Thinking in Healthcare & Beyond

XYZ Thinking: A Practical View of Scientific Thinking in Healthcare & Beyond

Mark’s Note: Today’s guest post is by my good friend and fellow DFW-area resident Michael Lombard. Next week, on Tuesday April 19, I’m hosting a KaiNexus webinar where Michael will be presenting on the topic of A Lean Management System Supported By KaiNexus. Register for this free webinar today to attend live or view the recording. read […]