Tag: Healthcare

This Nurses Union is Wrong About Lean

This Nurses Union is Wrong About Lean

There’s a weeklong nursing strike going on at Allina Health in Minnesota: Seven-day nurses strike starts at five Twin Cities hospitals. The main issue is health insurance coverage for the nurses, it seems. One reason for higher health insurance costs is rising healthcare delivery costs… one reason hospital costs are higher than they’d otherwise need to be is […]

Free Excerpt from “Lean Hospitals” and “Practicing Lean” Now in Kindle Format

Free Excerpt from “Lean Hospitals” and “Practicing Lean” Now in Kindle Format

Thanks to those of you who pre-ordered the 3rd edition of my book Lean Hospitals. Click below to read a free preview from the book, the start of the chapter on leading and engaging employees (arguably, it’s all about leadership). Improving the Way We Manage [Preview of “Lean Hospitals” 3rd Ed.] And if you post a comment […]

Key Tweets from @MarkGraban – Week of June 13, 2016: Lean Healthcare Transformation Summit & More

Key Tweets from @MarkGraban – Week of June 13, 2016: Lean Healthcare Transformation Summit & More

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 […]

Lean Healthcare Transformation Summit Starts Today; Past Videos of Dr. John Toussaint

Lean Healthcare Transformation Summit Starts Today; Past Videos of Dr. John Toussaint

Today’s the first day of the two-day Lean Healthcare Transformation Summit, an annual event that’s being held this year near Miami. If you’re at the Summit, please find me to say hello. You can follow the event on Twitter using hashtag #HCSummit16. I’ll be tweeting and I’ll probably share some highlights next week. read more

Be Careful With “No Waiting Rooms” Just Like “Zero Inventories”

Be Careful With “No Waiting Rooms” Just Like “Zero Inventories”

For decades, manufacturers have been tripped up by the simplistic idea that Lean is about “zero inventories.” It probably didn’t help that one of the earliest and most prominent books about what many used to call “Japanese manufacturing practices” had that exact title: Zero Inventories. It was published in 1983, well before “Lean” was a term […]

Key Tweets from @MarkGraban – Week of June 6, 2016: Lean Hospitals, Ali, Patient Safety, GM & Toyota

Key Tweets from @MarkGraban – Week of June 6, 2016: Lean Hospitals, Ali, Patient Safety, GM & Toyota

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 […]

“The New Lean Hospitals Are Here!”

“The New Lean Hospitals Are Here!”

Yesterday was an exciting day for me, professionally and personally, as I received my first copies of the 3rd edition of my book Lean Hospitals (I’ll stop blogging about the book so much, I promise). This is the fifth time I’ve had this exciting day… for the first two editions of the book (in 2008 and 2011) […]

Podcast #252 – Jordan Peck, from MIT to the VA to Maine Health

Podcast #252 – Jordan Peck, from MIT to the VA to Maine Health

My guest for episode #252 is Jordan Peck, a Senior Director in the Center for Performance Improvement at MaineHealth and Maine Medical Center. Jordan and I first met when he was a graduate student at MIT and was involved with the Lean Advancement Initiative (and I was working basically across the street at the Lean Enterprise Institute). At […]

I Want to Send Your Hospital or Health System CEO My Book “Lean Hospitals”

I Want to Send Your Hospital or Health System CEO My Book “Lean Hospitals”

As the 3rd edition of my book Lean Hospitals is starting to ship, I’m having some great conversations with people about the “State of Lean Healthcare” in 2016 (as much as one can generalize). Two of those conversations about the book and Lean healthcare will released as podcast episodes through the Gemba Academy Podcast and the […]

This Doctor is Upset About Something, But It Doesn’t Really Sound Like Lean

This Doctor is Upset About Something, But It Doesn’t Really Sound Like Lean

Now, there’s a story written by an emergency medicine physician, Dr. Brad Cotton, that appears in a publication called “Emergency Medicine News” — FIRST PERSON: ‘We Fired Our Hospital’…

If Your Hospital Wants to “Implement #Lean,” You Need to Learn This Lesson from Toyota

If Your Hospital Wants to “Implement #Lean,” You Need to Learn This Lesson from Toyota

I’ve written before about the subject of hospitals “flexing” nurses and employees. I’ve criticized flexing (or the practice of sending employees home early because patient census is low) and I’ve pointed out that it’s not keeping with “Lean” principles to “save money” by sending people home early.

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 […]