Tag: LAME

Is it Lean’s Fault or the Old Management System’s?

Is it Lean’s Fault or the Old Management System’s?

It’s easy for an organization to say they are “doing Lean” or they have “started a Lean transformation.” They might hire a consultant or put out a press release… or maybe there’s an optimistic (but premature) news article about how the hospital or health system is going to turn around with Lean. read more photo […]

A Little Knowledge is a Dangerous Thing – 5S & #Lean

A Little Knowledge is a Dangerous Thing – 5S & #Lean

I read this valid complaint from somebody on a LinkedIn group…. it led to a “facepalm” that I managed to catch on camera: I interviewed with a medium sized company for a quality Manager position a while back. They were convinced that 5S is lean. They referred to 5S as the “five pillars” of lean. A […]

By January 17, 2014 22 Comments Read More →
More “Lean Office” Silliness

More “Lean Office” Silliness

An old friend of mine (whose name and company remains confidential) recently saw me reference an old blog post on Facebook. I had posted a link to this old post about Kyocera’s “Lean Office” initiative that focused on neatness and, among other things, said employees could not hang sweaters on the back of their office […]

Can’t Always Believe Somebody Saying “Toyota Would Tell You To…”

Can’t Always Believe Somebody Saying “Toyota Would Tell You To…”

From my experience, you have to be cautious when somebody says either, “Lean says you should….” or “Toyota would tell you to…” because those statements, even if stated authoritatively, can be wrong. At a recent speaking engagement (I won’t disclose where), a professor (one who teaches about Lean) made a curious comment that I’d put […]

April Fool: Announcing my Next #Lean Book Project – Baby’s First Lean Book

April Fool: Announcing my Next #Lean Book Project – Baby’s First Lean Book

After the nice response to Lean Hospitals and  Healthcare Kaizen, I often get asked, “So, what’s your next book going to be?” (other than the upcoming  Executive Guide to Healthcare Kaizen, that is). I’ve had people suggest writing something about Lean in ambulatory care and outpatient clinic settings. Or maybe an introductory Lean book for […]

Lean is Patient, Lean is Kind

Lean is Patient, Lean is Kind

Today I’m linking to a guest post that I wrote for my friend Marc Rouppe van der Voort who works at St. Elisabeth Hospital (Tilburg, Netherlands) and has a blog in Dutch (with auto Google translation). Marc used to maintain a separate blog in English  (which he stopped because Google does such a good job he […]

The 9th Type of #Lean Waste – Tape?

The 9th Type of #Lean Waste – Tape?

I was preparing for the Gemba Academy webinar that I’m doing next Tuesday (you can still sign up) on  Stories about the Eight Types of Waste in Healthcare. I found this fun picture from about 2008 that I decided to incorporate into my talk. I was leading some 5S work in an X-ray area, where […]

What I’m Reading: Paul Levy’s Blog

What I’m Reading: Paul Levy’s Blog

I sometimes do a “What I’m Reading” post where I share links to good stuff I’ve read recently. Today, I’m dedicating such a post to some recent missives from my friend Paul Levy and his excellent blog, “Not Running a Hospital” (he’s a former hospital CEO). Paul is currently at the IHI National Forum and […]

By December 11, 2012 0 Comments Read More →
Just Call it “5S Six Sigma” Instead of “Lean Sigma,” Please

Just Call it “5S Six Sigma” Instead of “Lean Sigma,” Please

My whole career, I have worked with the Lean methodology (aka the Toyota Production System). I’ve just really never done much with Six Sigma. I’ve read about Six Sigma and I took a Green Belt course when I worked at Dell in the late 90s. I’ve studied and used statistical methods (especially what I learned […]

By October 22, 2012 23 Comments Read More →
“L.A.M.E.” in the News; These Three Articles Get Lean Wrong

“L.A.M.E.” in the News; These Three Articles Get Lean Wrong

As the creator of the admittedly awkward L.A.M.E. acronym (meaning Lean As Mistakenly Explained or Lean As Misguidedly Executed), one burden is that I often get emails tipping me off to L.A.M.E. sightings. In a nutshell, it’s L.A.M.E. when a company does something awful that’s not at all in line with accepted Lean or “Toyota […]

By September 14, 2012 13 Comments Read More →
What’s Wrong with “What’s Wrong With the Lean Start-up”

What’s Wrong with “What’s Wrong With the Lean Start-up”

A few years back, I coined a really bad acronym: L.A.M.E. One of the things it can mean is “Lean As Mistakenly Explained.” It’s inevitable to see articles about the Lean Startup methodology that fit into this category (or maybe L.S.A.M.E.???). The Inc. article “What’s Wrong With the Lean Start-up” has a number of flaws […]

A Video Showing Office 5S Gone Wrong

A Video Showing Office 5S Gone Wrong

You might also have seen the first video animation that I did last week about the waste of getting new recycling bins. I’ve created a new video that shows what a “bad office 5S” scene might look like… something that’s “L.A.M.E.” not Lean.

My Essay in Naida Grunden’s New Book on Lean Design – Be Lean not L.A.M.E.

My Essay in Naida Grunden’s New Book on Lean Design – Be Lean not L.A.M.E.

I’m in Las Vegas, speaking today to close the Lean Healthcare PowerDay event. There are many great speakers, including Dr. Richard Shannon, Dr. David Munch, and my good friend and fellow author, Naida Grunden. Click on their names to listen to my prior podcasts with them. I’ll be doing another podcast with Naida and her […]

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? read more

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. read more

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 […]