Tag: Lean Design

Lean as Redesign and Continuous Improvement, for Organizations or a Blog

Lean as Redesign and Continuous Improvement, for Organizations or a Blog

Lean sometimes gets, I think, an unfair rap that it’s only a method for incremental improvement. See this article, for example: “Limits of Lean — Transformative Care Redesign Must Go Beyond Typical Lean-Based Improvements.”

By January 30, 2017 0 Comments Read More →
Lean is Not Just Process Improvement

Lean is Not Just Process Improvement

In my travels, I often meet people or visit organizations that say something like: "We're doing Lean... we just call it Process Improvement." They have a "Process Improvement" (PI) department...

By January 16, 2017 7 Comments Read More →
Podcast #271 – @IsaacMitchell, #Lean Design in Healthcare

Podcast #271 – @IsaacMitchell, #Lean Design in Healthcare

Joining me for Episode #271 is Isaac Mitchell (@IsaacMitchell), talking about Lean Design for healthcare, the Society for Health Systems, and more.

Isaac is a full-time lean practitioner at East Tennessee Children’s Hospital, a lecturer at the University of Tennessee’s Department of Industrial and Systems Engineering, and an instructor for the Institute of Industrial and Systems Engineers.

By January 11, 2017 3 Comments Read More →
Visiting the Gemba & Seeing a Growing Culture of Continuous Improvement at Mary Greeley Medical Center

Visiting the Gemba & Seeing a Growing Culture of Continuous Improvement at Mary Greeley Medical Center

Recently, I wrote about an on-site event that I helped the Iowa Lean Consortium and Mary Greeley Medical Center (MGMC) organize… here is my first post about the morning of that event, if you missed it:

By November 11, 2016 3 Comments Read More →
Podcast #265 – Bernita Beikmann on Lean for Hospital Architecture & Design

Podcast #265 – Bernita Beikmann on Lean for Hospital Architecture & Design

Joining me for Episode #265 of the podcast is Bernita Beikmann, AIA, EDAC, LSSBB, a Principal and Director of Lean Strategy at HKS, an international architecture firm.

Bernita is originally from Kansas and has a Bachelor of Architecture from Kansas State University and a Certificate in Regional and Community Planning. She moved to Dallas in 1996 and has been employed by HKS, Inc in Dallas since that time.

By October 12, 2016 0 Comments Read More →
1% Improvement Here and There Can Make a Big Difference in Wine Making?

1% Improvement Here and There Can Make a Big Difference in Wine Making?

I was fortunate to take a nearly two-week vacation recently, a trip that included a week in France.

My wife and I had a chance to, I guess, do a number of “gemba visits” at some wineries in the Burgundy, Chablis, Champagne, and Alsace regions of the country last week.

By October 11, 2016 1 Comments Read More →
Part 3 of Day 1: #Lean Healthcare Trip to China: Visuals, Payment, Management, & Ties

Part 3 of Day 1: #Lean Healthcare Trip to China: Visuals, Payment, Management, & Ties

Continuing to go through my notes, picking up from my last post

Visuals

The presenter said something that’s certainly a familiar challenge with facilities here in the U.S.:

‘”Patients often get lost due a lack of good signs.”

I Moderated a #LeanStartup Webcast Today: “Speed as a Competitive Advantage” with @EricRies & GE

I Moderated a #LeanStartup Webcast Today: “Speed as a Competitive Advantage” with @EricRies & GE

I’ve been intrigued by the “Lean Startup” movement since I first saw Eric Ries speak at MIT back in late 2009. I’ve read his book The Lean Startup, have attended a bunch of the conferences (speaking at two of them – see video of one). I’ve interviewed Eric on my podcast series (listen here and here).

Cleaning out the Backlog: 3P in the NHS, “Secret” HAI Weapons, MRI $$$, and Fines for Medical Harm

Cleaning out the Backlog: 3P in the NHS, “Secret” HAI Weapons, MRI $$$, and Fines for Medical Harm

As I sometimes do, I’m going to close out a bunch of browser tabs (which makes my Mac run faster) and I’ll do that by sharing some articles that caught my eye but maybe don’t merit full blog posts of their own.

Lean Healthcare Success in Minnesota – And One Off Base Op-Ed

Lean Healthcare Success in Minnesota – And One Off Base Op-Ed

Here’s an article that summarizes the pocket of Lean healthcare activity in and around Winona and LaCrosse, Minnesota:

Waste reduction: Area health systems embrace lean practice

One hospital mentioned is Winona Health. You can listen to my earlier podcast with their CEO, Rachelle Schultz. I’m glad she’s one of the CEOs who realizes that Lean is a cost-cutting strategy (lower cost is the end result of doing everything else well).

By September 8, 2014 0 Comments Read More →
What Does #Lean Flow Look Like in Healthcare? Check Out These Two Videos

What Does #Lean Flow Look Like in Healthcare? Check Out These Two Videos

It’s easy for people to think that Lean is about cost-cutting. That would be wrong, but many people associate Lean with cost cutting.

Cost cutting is the old mindset. The old hack and slash approach, which focuses on layoffs or “everybody cut your budget by x%” mandates, dies hard.

Henry Ford & Hospitals, Nearly 100 Years Ago

Henry Ford & Hospitals, Nearly 100 Years Ago

My life and work takes me to interesting places. In late 2012, I was able to visit Japan for the first time, visiting the Toyota museum and a Toyota plant.

Yesterday, I was in Dearborn, Michigan for a meeting, in the shadow of the “Blue Oval” or Ford Motor Company world headquarters. Part of the day included a visit to a famed museum that I remember well from my childhood and school field trips –  The Henry Ford. The timing didn’t work to take the Ford Rouge Plant tour, unfortunately (although I had a chance to visit there long ago).

Below is a picture I took of a 1909 Ford Model T. Notice the color — RED!

“It’s Gotten Political” in Saskatchewan Lean Healthcare. Of Course.

“It’s Gotten Political” in Saskatchewan Lean Healthcare. Of Course.

"I disagree with you, but I'm pretty sure you're not Hitler"

After some supporters of the Saskatchewan Lean healthcare efforts reached out to me, I’ve been trying to follow everything that’s being said and written – which is hard to do (just try a Google news search). There are many facets to this story, some of which are discussed well by John Shook and Bill Waddell in their blog posts.

All of these blog posts about Lean healthcare in Saskatchewan on a single day? That’s more evidence that we’re just a “cult” and a “scam,” eh? What do I mean by that? Read on…

Somebody from Saskatchewan complained to me via email that “Lean’s gotten political.” Hmm… government-run healthcare system with elected politicians (and elected union officials to boot), it’s always political. The rooster crows when the sun comes up, the politician gets political. No surprise.

Like Lean: Hotels Involve Customers ala “Lean Design”

Like Lean: Hotels Involve Customers ala “Lean Design”

usa today

A few weeks back, USA Today published an article that made me think of some of the approaches being used by hospitals under the banner of “Lean Design.” In Lean Design efforts (see this great book), hospitals  involve customers (patients and families) to help iteratively design spaces that best suit their needs. Hotels are doing similar things:

Guests help design the hotel of the future

By December 3, 2013 2 Comments Read More →
Seattle Children’s Hospital New Tower – From Cardboard to Reality

Seattle Children’s Hospital New Tower – From Cardboard to Reality

seattle childrensA new tower opened at Seattle Children’s Hospital two days ago, built with “Lean Design” principles and methods, as this story describes:  Hospital design started with yarn, cardboard and duct tape.

They call their approach IFD, or Integrated Facility Design. I have no inside knowledge of their work, but the “Integrated” typically refers to the tight collaboration between facility (and staff), architects, and construction firm to have a highly iterative process that leads to space that’s more patient focused and better for the staff.

Some Recent Interviews on Lean Healthcare & Kaizen

Some Recent Interviews on Lean Healthcare & Kaizen

Mark GrabanI 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 it on her blog and on LinkedIn, where there were many comments and follow up questions.

Guest Post: The Time is Now for Lean-Led Hospital Design

Guest Post: The Time is Now for Lean-Led Hospital Design

naidaMark’s note: Here is a guest post by my good friend Naida Grunden, author of two great books on Lean Healthcare.

America’s 5000 hospitals face a perfect storm: aging facilities that need renovation, replacement, or seismic retrofit versus a vastly shrinking healthcare dollar. The 1946 Hill-Burton Act, which extended federal funding to build hospitals and improve healthcare access in rural and poor areas, set off a hospital building boom that lasted 40 years. The boom is over. Change is in the air.

The Patient Protection and Affordable Care Act asks us to look differently at the way care is delivered—no longer as a disconnected batch of cottage-industry services, but as a continuum of care. To compete on quality and safety in this new era, hospitals will have to provide consistently efficient and excellent care to every patient.

Show Instead of Tell – Lean Design for Factories or Hospitals

Last week, the New York Times published a piece called “Don’t Just Talk About Change. Show It,” written by Mick Wilz, an employee at  Sur-Seal, a family-owned business in Cincinnati.

As part of a Lean initiative (as evidenced by their manufacturing excellence award from AME), Mick was working on a new factory layout.

From the piece:

In 2009, as part of a strategic plan, we decided to change our factory layout, which involved moving around our work groups. Rather than simply tell our employees about the plan, I decided to show them. I brought in my children’s Lego blocks and figures and arranged them into a model of our current factory floor. I even matched each Lego figure to a worker. Then I started to change the arrangement to simulate the new design.

By January 3, 2013 1 Comments Read More →