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Tag: Healthcare

Managing With Red/Green Charts is Like Driving By Looking at the Rear-View Mirror

Managing With Red/Green Charts is Like Driving By Looking at the Rear-View Mirror

There’s an expression that was used by Dr. W. Edwards Deming, and also by Dr. Don Wheeler, that says managing through metrics (and comparisons to targets) is like driving by looking in the rear-view mirror. Deming said: Taking action on the basis of results without theory of knowledge, without theory of variation, without knowledge about […]

By September 2, 2014 6 Comments Read More →
It’s Easy to See Why Labor Would be Upset with This Hospital CEO

It’s Easy to See Why Labor Would be Upset with This Hospital CEO

Monday is Labor Day, a holiday here in the United States. Some nursing unions support Lean in healthcare, while others are in opposition. My stance is been that the unions should love Lean (since it  improves the workplace for their members), but they are right to criticize practices like layoffs and other things that aren’t really […]

By August 29, 2014 1 Comments Read More →
Why “More Nurses” Isn’t the Best Way to Solve What Ails Healthcare

Why “More Nurses” Isn’t the Best Way to Solve What Ails Healthcare

There are certainly many serious problems in healthcare. Let’s look at nursing, in particular. It’s a rewarding job, but it’s far more frustrating for nurses than it needs to be. Nurses often don’t have enough time in the day (or in a given hour) to do all of their work the right way in the […]

A “Healthcare Kaizen” Workshop for Michiganders

A “Healthcare Kaizen” Workshop for Michiganders

I’m happy to be partnering up with the Michigan Lean Consortium to do a half-day class on “Healthcare Kaizen” the afternoon before their upcoming healthcare symposium meeting. Michigan is my home state, so it’s great to be able to come back and teach and participate. It’s being held in Muskegon on October 9. Click here to […]

By August 20, 2014 0 Comments Read More →
Teaching Up in the Organization?

Teaching Up in the Organization?

People often talk about the need for senior leadership support for Lean. If we’re going to really transform our culture, workplace, and performance, “quality starts in the boardroom,” as Dr. Deming said. Lean is not about “fixing” the employees — it’s about changing the way we think and lead at all levels. If executives and […]

By August 20, 2014 3 Comments Read More →
What They’re Saying Now about Lean Healthcare in Saskatchewan

What They’re Saying Now about Lean Healthcare in Saskatchewan

There have been plenty of headlines and updates since I first blogged about the controversy over Lean healthcare in the Canadian province of Saskatchewan (see my previous posts here). From my outside perspective, there are some good things happening. I admire their adoption of a “patient safety alert system” and a blame-free culture (see Saskatoon […]

Read What This Hospital CEO Says on His Blog About Lean and Kaizen

Read What This Hospital CEO Says on His Blog About Lean and Kaizen

Hospital CEOs are busy people, to say the least, but a big part of their leadership role includes communication with employees, physicians, and the community. That’s one reason I am always excited to see CEOs reach out directly to people via blogging. The most recent of those is Eric Dickson, MD, MHCM, the President and CEO of UMass […]

By August 13, 2014 1 Comments Read More →
Why Every Patient Deserves the Care & Caution that Surrounds the American Ebola Patients

Why Every Patient Deserves the Care & Caution that Surrounds the American Ebola Patients

Today’s post a link to my article written for the LinkedIn “Influencers” series: Why Every Patient Deserves the Care & Caution that Surrounds the American Ebola Patients Part of my article: “But, it makes me think… if hospitals CAN be extra cautious and make sure people are following protocols in situations like this, why aren’t […]

This Date in Lean Blog History: August 6

This Date in Lean Blog History: August 6

My blog will turn 10 years old in February, 2015. You’re probably either thinking, “Wow, that’s awesome!” or “Get a life, dude.” :-) Here’s a look back at some of the posts from August 6 in past years… what was I writing about? 2013: Podcast #183 – Scott Sambucci, Lean Startup Ideas for Sales 2012: Dr. Donald […]

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), […]

Updated: Why Toyota is Eliminating the Andon Cord from its Factories

Updated: Why Toyota is Eliminating the Andon Cord from its Factories

If you clicked on my intentionally attention grabbing headline (or what might be a parody of those)… no, Toyota isn’t killing their famed and much-copied Andon process. Toyota is just changing the mechanics of the Andon system - or perhaps improving it… in the spirit of Kaizen, or continuous improvement. If you’d like more background on Andon […]

Podcast #205 – Joe Schnur, Hand Hygiene & Patient Safety

Podcast #205 – Joe Schnur, Hand Hygiene & Patient Safety

MP3 File (run time 32:43) Episode #205 is a conversation with Joe Schnur, VP Business Development at Intelligent M, a company that “designs data-driven hand hygiene compliance  improvement solutions for hospitals that dramatically reduce healthcare-acquired infections and their associated costs.” Joe and I share a passion for improving patient safety and we’ve had a number of […]

A Survey Would Show 83% of Surveys about Lean Healthcare are Dubious?

A Survey Would Show 83% of Surveys about Lean Healthcare are Dubious?

Last month, I saw a headline flying around Twitter about a survey that says a majority of hospital pharmacies are embracing Lean. A statement like that, of course, begs the question of what “embracing” means and we might also ask what “Lean” means in this concept. Hooray, they are doing 5S? Here is the web […]

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, […]

Podcast #204 – Paul Plsek, Lean & Innovation at Virginia Mason

Podcast #204 – Paul Plsek, Lean & Innovation at Virginia Mason

MP3 File (run time 34:37) Joining me today for Episode #204 is Paul Plsek (@PaulPlsek) and we’re talking about his excellent book (a Shingo Research Award recipient this year) titled Accelerating Health Care Transformation with Lean and Innovation: The Virginia Mason Experience. Virginia Mason, of course, is Virginia Mason Medical Center, the outstanding Lean organization […]

Picking on the PICK Chart

Picking on the PICK Chart

The so-called “PICK chart” has become a pretty common sight in healthcare as a way of visualizing and prioritizing Lean or Kaizen improvement ideas. The concept was supposedly invented at Lockheed Martin, but it’s a pretty common-sensical approach that’s used to sort and rank ideas based on two dimensions: Impact the idea would have (low […]

It’s Awful When the Person Teaching #Lean Doesn’t Get the Bad 5S Joke

It’s Awful When the Person Teaching #Lean Doesn’t Get the Bad 5S Joke

Long-time readers might remember this post of mine from February 2007: Bad Lean/5S Hits the UK Media Please check out that post. It’s a classic example of what I shortly thereafter started (in March 2007) calling “L.A.M.E.” or Lean As Misguidedly Explained. In that post, I shared a picture from the UK news article that typifies […]

What Does #Lean Flow Look Like in Healthcare? Check Out These Two Videos

What Does #Lean Flow Look Like in Healthcare? Check Out These Two Videos

It’s easy for people to think that Lean is about cost-cutting. That would be wrong, but many people associate Lean with cost cutting. Cost cutting is the old mindset. The old hack and slash approach, which focuses on layoffs or “everybody cut your budget by x%” mandates, dies hard. It’s easy for people to think […]