Tag: Layoffs

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 […]

The Scripps Health CEO is Right About No-Layoffs Policies

The Scripps Health CEO is Right About No-Layoffs Policies

In manufacturing, the term Lean has far too often been synonymous with layoffs. Doing so is more L.A.M.E. than Lean. People get anxious and throw around an acronym LEAN – Less Employees Are Needed. Ironically, Toyota (the inspiration or model for Lean) doesn’t rely on layoffs as a form of cost cutting the way GM and the […]

Key Tweets from @MarkGraban – Week of April 13, 2015

Key Tweets from @MarkGraban – Week of April 13, 2015

Three things are inevitable these days… death, taxes… and tweets. Here’s the latest installment of “Key Tweets,” a post that summarizes some of my tweets (or retweets) from the week. Follow me @MarkGraban and join the fun and the conversation. See the previous installments of Key Tweets here. If you’re reading this via email or RSS, you […]

10 Ways that Lean Respects & Supports Healthcare Staff

10 Ways that Lean Respects & Supports Healthcare Staff

One of the two main pillars of the Toyota Way management system is “respect for people.” I’ve blogged about that often over the past ten years, including this post. “Respect for people” is a critically important (and necessary) component of a Lean transformation effort. Toyota has referred to “respect for people” and “continuous improvement” as the “equally important […]

Reflections on Almost 10 Years in Lean Healthcare

Reflections on Almost 10 Years in Lean Healthcare

I often get asked, “How did you get into healthcare?” I was working on a chapter for a Lean healthcare compilation book that’s being published in Holland and I wrote the following material that wasn’t the right fit for that chapter, but I wanted to share below: It has now been just about ten years […]

By September 15, 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 5 Comments Read More →
My Thoughts on “10 Ideas That Hospital and Health System CEOs Need to Ditch,” Including Blame

My Thoughts on “10 Ideas That Hospital and Health System CEOs Need to Ditch,” Including Blame

I saw this piece by Bob Herman at Becker’s Hospital Review and ended up writing a blog post here instead of writing a long comment there. The piece is: 10 Ideas That Hospital and Health System CEOs Need to Ditch I was happy to see ThedaCare’s CEO Dr. Dean Gruner quoted – listen to my podcasts […]

Live Blogging Day 1: Lean Healthcare Transformation Summit 2014

Live Blogging Day 1: Lean Healthcare Transformation Summit 2014

Today is the first day of the 5th annual Lean Healthcare Transformation Summit. Follow along on Twitter with hashtag #HCSummit14 to see my tweets and thoughts from others. I will be adding updates to this post during the day, as well. These are not meant to be complete notes or a transcript… but quotable and interesting thoughts or comments […]

#Lean *IS* about Doing More with Less, But Be Careful Saying That

#Lean *IS* about Doing More with Less, But Be Careful Saying That

It’s often said that Lean is about “doing more with less.” Historically, and practically speaking, it’s true. But, it’s a phrase that we should be careful about, for a number of reasons. Looking back at the origins of the term “Lean” as “Lean Production” 25 years ago (read more here). Generally speaking, the term “lean” […]

AME Spring Conference: Art Byrne

AME Spring Conference: Art Byrne

Like yesterday’s “live blog” post about the Autoliv talk, I also wrote this post as Art Byrne talked, but held it for publication today. He is author of the book The Lean Turnaround: How Business Leaders Use Lean Principles to Create Value and Transform Their Company  and was my guest for episode #158 of my […]

Some Recent Interviews on Lean Healthcare & Kaizen

Some Recent Interviews on Lean Healthcare & Kaizen

I was fortunate to have three interviews published in the past week, where I was talking about Lean Healthcare and Kaizen, so I thought I’d share them here. Cutting Waste is More Important Than Ever: An Interview with Lean Healthcare Expert Mark Graban Mary Pat  Whaley asked me 10 questions about Lean Healthcare and published […]

What is Your Health System Doing to Reduce Costs? Process Improvement or Layoffs?

What is Your Health System Doing to Reduce Costs? Process Improvement or Layoffs?

While Lean is not primarily a cost-cutting methodology (or, we could say it’s not focused ONLY on costs), cost reduction is a common end result of improving safety, quality, flow, and other factors. Since 60 to 70% of a hospital’s costs are labor, typically, it’s tempting for hospitals to slash headcount when things get tight […]

Guest Post: 11 Common Misconceptions About Lean

Guest Post: 11 Common Misconceptions About Lean

Mark’s note: Here’s another great vacation guest post by Jeff Hajek: By Jeff Hajek Despite having been fairly main stream for going on three decades now, there are a surprising number of misconceptions about Lean. Here is a list of 11 of the top things people misunderstand about continuous improvement.   Lean means getting rid […]

By October 8, 2012 4 Comments Read More →
My Article: “Lean as an Alternative to Mass Layoffs in Healthcare”

My Article: “Lean as an Alternative to Mass Layoffs in Healthcare”

Almost two years ago, I wrote an article for FierceHealthcare.com called “How lean management helped hospitals avoid layoffs.” Here in 2012, I see headlines daily about a hospital somewhere in the U.S. who is “forced” to lay off staff (or they say they “have to” or they “have no choice”) in an attempt to cut […]

By September 7, 2012 1 Comments Read More →

Lean at the Peterborough (Ontario) Regional Medical Centre

Ontario’s Peterborough Regional Medical Centre is about 18 months into their Lean transformation. They are being featured in a series of four articles in their local newspaper, the first two of which are already out. Article one: LEAN machine at PRHC Article two: New RX remedy About LeanBlog.org: Mark Graban’s passion is creating a better, […]

Reader Question: “No layoffs due to Lean” extends to “no demotions?”

In the Lean movement, organizations are often wise to have some variation on a “no layoffs due to Lean” policy, as I’ve written about before. Many healthcare organizations, including ThedaCare, have made this  commitment  quite publicly. Since Lean is about engaging everybody in system redesign and process improvement, it’s understandable that people won’t participate if […]

By February 7, 2012 19 Comments Read More →

My Article in “Hospital & Health Networks” on Waste in Healthcare

After last week’s piece on “putting the continuous back into continuous improvement,” I had another article published this past week. This new article was published in the publication “Hospitals & Health Networks,” co-authored with Rob Harding, and it’s called “Cut Costs by Reducing Redundant or Inefficient Activity.” I’m not totally crazy about the use of […]

By August 19, 2011 1 Comments Read More →