Tag: LAME

Repeating the Same #Lean Mistakes Over and Over? Why?

Repeating the Same #Lean Mistakes Over and Over? Why?

Recently, when I posted a bit from the old 1984 NUMMI Team Member Handbook (more still to come on that), it allowed me to connect with Tom Wilson, a retired GM leader who spent time at NUMMI in the 1980s. In looking through his LinkedIn profile, I saw some slides he posted about lessons learned from […]

By October 26, 2016 3 Comments Read More →
#TBT: A Doctor’s Response to this Doctor Who Was Upset About Lean

#TBT: A Doctor’s Response to this Doctor Who Was Upset About Lean

You might remember my post from June about an emergency physician who wrote a journal article bashing “Lean” — but what he described didn’t sound like Lean at all. As I said then: “In the article, Dr. Cotton describes the poor treatment he’s received from a 40-something internal “Lean consultant” named Dean. read more

By October 13, 2016 0 Comments Read More →
Labor Day and Lean – Creating Better Workplaces, Not L.A.M.E. Ones

Labor Day and Lean – Creating Better Workplaces, Not L.A.M.E. Ones

Today is the Labor Day holiday in the United States (and in Canada, as I recently learned). It’s not just a day of rest or a celebration of people who work… it’s a also day to acknowledge unions and the labor movement. There’s currently a big “labor dispute” with the Alina health system in Minnesota. The […]

By September 5, 2016 3 Comments Read More →
My Article for Quality Digest About #Lean Falsehoods; “QDL” Show on Friday

My Article for Quality Digest About #Lean Falsehoods; “QDL” Show on Friday

We’ll probably also talk about this article that was published yesterday on QualityDigest.com: “Lean Is About Quality, Not Just Speed or Efficiency… in Factories or in Hospitals” It might ruffle some feathers, but oh well.

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 […]

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’…

Is This The One Question That Determines If You’re Truly a Lean-Thinking Hospital?

Is This The One Question That Determines If You’re Truly a Lean-Thinking Hospital?

I get asked a lot, “How do you know if a hospital is truly ‘Lean?’” Nobody is ever perfect or “fully Lean,” but you could ask, “How do you know if somebody is on a legitimate Lean transformation journey?” If you could only ask one question…

By February 3, 2016 8 Comments Read More →
Doctors Bash “Taylorism” and “Toyota Lean” in the New England Journal of Medicine

Doctors Bash “Taylorism” and “Toyota Lean” in the New England Journal of Medicine

In the article posted today, Pamela Hartzband, M.D., and Jerome Groopman, M.D. (the later the author of the popular book How Doctors Think), rant about all sorts of things… some of which have nothing to do with Lean…

By January 13, 2016 61 Comments Read More →
Where Do Hospitals Get the Idea that Lean is Only About Cost Reduction?

Where Do Hospitals Get the Idea that Lean is Only About Cost Reduction?

It’s very frustrating when I hear people in healthcare complain that their hospital or health system has equated Lean with cost savings — only focusing on cost reduction or primarily focusing on it…

By January 12, 2016 24 Comments Read More →
“If the Employees are Upset, it’s Not Really Lean”

“If the Employees are Upset, it’s Not Really Lean”

How is it that we have two realities out there in healthcare… in parallel, Lean is awesome and Lean is horrible. It depends on where you are, unfortunately. I had an amazing day yesterday with a major health system…

By December 10, 2015 5 Comments Read More →
Another Conversation About L.A.M.E. and Lean in Manufacturing and Healthcare

Another Conversation About L.A.M.E. and Lean in Manufacturing and Healthcare

It’s far too common to see somebody with just a little bit of understanding about Lean do things that really shouldn’t be described as Lean at all… in terms of the decisions they are making or the approaches they are taking. I saw an article about Lean in physician practices: “Lean Practice Management for Physicians.” […]

So-Called “Just in Time” Retail Staff Scheduling is not #Lean At All

So-Called “Just in Time” Retail Staff Scheduling is not #Lean At All

Stories like this have been in the news before, but this was circulating the past few days: “Why erratic schedules are one of the worst parts of low-wage work.” The story refers to so-called “just-in-time” scheduling techniques that jerk employees around and disrupt lives. read more

By August 21, 2015 8 Comments Read More →
Throwback Thursday: How My Blog Rant Helped Keep an Office 5S Initiative from Being “L.A.M.E.”

Throwback Thursday: How My Blog Rant Helped Keep an Office 5S Initiative from Being “L.A.M.E.”

It’s time for another Throwback Thursday where I revisit a blog post from the past. To the left, that’s a baby Mark Graban… probably not actually thinking about Lean. I referenced this post in my recent Keith Olber-Lean parody video… the post goes all the way back to 2007, the early days of Lean Blog: […]

Throwback Thursday: Be Lean, not L.A.M.E.

Throwback Thursday: Be Lean, not L.A.M.E.

Today’s post is a throwback to an essay that I originally wrote for the excellent book Lean-Led Hospital Design: Creating the Efficient Hospital of the Future, where it appears in an appendix with some other contributed essays. You can listen to my podcast with the authors, Charles Hagood and Naida Grunden. read more

Lean: Hit or Myth? Layoffs, Patient-Centered Care, and More

Lean: Hit or Myth? Layoffs, Patient-Centered Care, and More

It’s not uncommon to hear statements thrown around about Lean that are more of a myth than anything resembling reality. I remember the time a professor told a group that if Toyota ran a health clinic, a buzzer would go off at the end of the planned appointment time and the patient would be kicked […]

Why is Today “#WorldNoResourcesDay” and Why Do Words Matter?

Why is Today “#WorldNoResourcesDay” and Why Do Words Matter?

I learned about this the other today via Twitter (hat tip to @agile_memes), but today is “World No Resources Day” (see hashtag #WorldNoResourcesDay). See the small website at http://worldnoresourcesday.com/ and their thoughts on “why should I join in?” I’m not sure who is behind this. It’s probably not some Communist May Day thing. Maybe it is. Even if it […]

We Can’t Ignore “Lean Horror Stories” or That Cheeseburger Ain’t Healthy Eatin’

We Can’t Ignore “Lean Horror Stories” or That Cheeseburger Ain’t Healthy Eatin’

When people ask me why I do what I do, my first answers are: improving patient safety creating better workplaces for people It’s as simple as that. Those are the important problems that I’m passionate about (and have been able to help fix, at least in some local situations). At a more global scale, too […]

Key Tweets from @MarkGraban – Week of March 16, 2015

Key Tweets from @MarkGraban – Week of March 16, 2015

Here’s the latest installment of “Key Tweets,” a post that summarizes some of my tweets (or retweets) from the week. Follow me @MarkGraban. See the previous installments here. If you’re reading this via email or RSS, you might get a better experience by clicking through to view it on the website because it will display article link […]