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Tag: LAME

Guest Post: Lean is Patient

Guest Post: Lean is Patient

Mark’s Note: Today is another excellent post by Christina Kach. She touches on many of the misunderstandings of miscommunications about Lean in this post and you might recognize much of what she’s identified as “L.A.M.E.”, not Lean. “Lean is patient and creates value for the customer; Lean does not have to be expensive to implement […]

The Positive Trend of “Lean Design” of Space & Processes in Healthcare

The Positive Trend of “Lean Design” of Space & Processes in Healthcare

It’s been nice to see the “lean design” approach taking hold in healthcare the past few years. I think the first book on the subject was a “manifesto” by an architect, David Chambers:  Efficient Healthcare – Overcoming Broken Paradigms My good friend Naida Grunden has a new book out next year called  Lean-Led Hospital Design: […]

By September 19, 2011 14 Comments Read More →
Lean Healthcare “Success” Without Benefits? What?

Lean Healthcare “Success” Without Benefits? What?

I saw the following in a submission for a session at the 2012 Society for Health Systems conference, where I’m the Lean track chair. One submission said the following: “Lean efforts often succeed but do not always provide meaningful benefits” What? If there are no meaningful benefits, how is that a success? About LeanBlog.org: Mark […]

By September 1, 2011 15 Comments Read More →
Dear “Lean Six Sigma” Crowd – Lean is About Quality, Too

Dear “Lean Six Sigma” Crowd – Lean is About Quality, Too

First off, I’m not trying to dredge up a “Lean vs. Six Sigma” battle here. I’m not “anti-Six Sigma.” I’m not a huge proponent of the methodology and I don’t practice Six Sigma personally, but I see a place for a structured statistical quality improvement methodology to help solve certain complex problems. What I *do* […]

Two Cases of Writers Misrepresenting Lean Manufacturing

Two Cases of Writers Misrepresenting Lean Manufacturing

One of the variations of my acronym L.A.M.E. is “Lean As Misguidedly Explained,” and I recently ran across two fresh instances of this (and, for once, neither is from the Wall Street Journal!). One example is a news writer who mistakenly equates Lean with the dumbing down of work at McDonald’s and the other piece […]

Links to Dilbert Cartoons on #Lean and/or #SixSigma

Links to Dilbert Cartoons on #Lean and/or #SixSigma

I’ve often blogged about Dilbert and “dilbert lean” is a fairly common search term, so I thought I’d do my best to compile all of the Lean or Six Sigma related strips that I could find into a single post, providing links to them:. If I’m missing anything, let me know. You can reach this […]

GM Blames Layoffs on the Japan Earthquake and JIT; Should Instead Look in Mirror

GM Blames Layoffs on the Japan Earthquake and JIT; Should Instead Look in Mirror

Let me give a big ole’ Texas-sized hat tip to Bob Emiliani for sending me this sad article with the headline“General Motors lays off workers at NY plant.” This is an addition to earlier Shreveport layoffs. The media will let GM off the hook as the parts shortages are the result of the tragic Japan […]

How to Make Oatmeal (or Lean)… Wrong

How to Make Oatmeal (or Lean)… Wrong

Is oatmeal good for you? It generally is…. well, unless it isn’t. Oatmeal can lower your cholesterol, is full of whole grains, and on its own isn’t sweet (it doesn’t HAVE to have tons of brown sugar added in). This New York Times article, “How to Make Oatmeal . . . Wrong” points out the […]

St. Louis Paper Features Lean at Barnes-Jewish Hospital

St. Louis Paper Features Lean at Barnes-Jewish Hospital

Just before the new year, the St. Louis Post-Dispatch featured the Lean efforts at Barnes-Jewish Hospital (“St. Louis hospital among handful using efficiency to aid patients“). I think it’s more than a “handful” of hospitals around the world using Lean (based on this map), but it’s nice to see them featured – you might remember […]

By January 5, 2011 2 Comments Read More →

Why Nurses Should Reject “LAME” and Demand Lean

There’s a long-standing argument that I’ve been dragged into with a group that calls itself “new systems thinkers.” They loudly criticize Lean as being altogether awful (with the alternative, predictably, being their services). One of them wrote a blog post about why nurses should reject lean – you can likely find it via this Google […]

By November 9, 2010 23 Comments Read More →
From Workshop Discussion at LEI – What Lean Is and What Lean Is Not

From Workshop Discussion at LEI – What Lean Is and What Lean Is Not

The last two days, I’ve been facilitating my LEI workshop called “Key Concepts of Lean in Healthcare.” We had a great group and had a number of people who had a good amount of Lean healthcare experience. To help baseline the room, after introductions I had the group do table discussions and then report out […]

By October 13, 2010 7 Comments Read More →
Depersonalized Workplaces are L.A.M.E., not Lean, Harming Productivity and People

Depersonalized Workplaces are L.A.M.E., not Lean, Harming Productivity and People

When I was traveling last week, a magazine caught my eye, one I don’t normally read: Scientific American Mind and the article  “Cubicle, Sweet Cubicle: The Best Ways to Make Office Spaces Not So Bad ( Preview )“. The whole article isn’t online, unfortunately, but it’s good reading if you want to buy it on […]

By September 29, 2010 12 Comments Read More →
Labor Day – Our Obligation for Worker Safety

Labor Day – Our Obligation for Worker Safety

Today is a federal holiday in the United States, Labor Day. I know that’s obvious to the 70% of you reading from the U.S., but it seemed worth pointing out to the international readers. Labor Day became a holiday in 1894, after tragic deaths of those in organized labor at the hand of the government. […]

By September 6, 2010 5 Comments Read More →
Lean Experience “A Plus” for Lean Healthcare Job?

Lean Experience “A Plus” for Lean Healthcare Job?

Via Google Alerts, I try to regularly scan and see where hospitals are posting jobs related to Lean. I found (OK, Google found) one posting last week that I shared on my “Move to Healthcare” networking site (free registration required to view and participate fully). You can also see the posting here on hotjobs. One […]

By August 17, 2010 5 Comments Read More →

WSJ Wrongly Blames Apple Inventory Problems on “Lean Manufacturing”

OK, so I’ll admit I had a case of “rabbit ears” when I took the WSJ to task for calling the doomed BP Deepwater Horizon rig a “lean” operation. They were using the colloquial everyday use of “lean,” a term that can get in the way of understanding the real “lean manufacturing” principles and approaches […]

Guest Post: What It Means

Mark’s Note: Here’s part 4 of a series by our guest blogger, Andy Wagner. Start reading with Part 1 here. “What lies behind us and what lies in front of us pales in comparison to what lies within us.” — Ralph Waldo Emerson Jamie Flinchbaugh recently hosted an interesting discussion on who is responsible for […]

Lean Healthcare Featured in Sunday’s NY Times Business Page

Lean Healthcare Featured in Sunday’s NY Times Business Page

Today’s New York Times has an outstanding article about Lean Healthcare and what Seattle Children’s Hospital calls C.P.I. or Continuous Performance Improvement. The article: “Factory Efficiency Comes to the Hospital” I wish the headline had also addressed quality, waiting time, and staff engagement, but the article body does, at least. The article highlights Seattle Children’s […]

Two Extreme Sides to Every Story in Politics *and* Lean??

Two Extreme Sides to Every Story in Politics *and* Lean??

This is going to seem like a political rant, but I promise this is mainly a post about Lean and healthcare, or at least it’s about dysfunctional parallels in both settings. It used to said that President Ronald Reagan and Speaker Tip O’Neill would actually go have a drink together at the end of the […]