Tag: LEI

Online Lean Healthcare Class through LEI, More Upcoming Kaizen Classes

Online Lean Healthcare Class through LEI, More Upcoming Kaizen Classes

In addition to the Healthcare Kaizen class that Joe Swartz and I are doing in Detroit on January 22 (with a 10% reader discount), we might also do a class in Orlando, immediately before or after the Society for Health Systems conference where Joe and I are presenting. Let me know if you’re interested in that.

I also have a few new things to announce, including an online class… The Lean Enterprise Institute has been experimenting with online webinar-based education (including a class by my friend Dan Markovitz). I’m happy to be doing an online “Key Concepts of Lean in Healthcare” class with them this February. I’ll be teaching the class in four 2-hour segments across two weeks, with homework to be done in between the classes. Click here or on the image below to learn more and to sign up. (UPDATE 1/30/14 THE CLASS HAS BEEN CANCELED FOR A NUMBER OF REASONS)

Screen Shot 2013-12-17 at 9.36.03 AM

By December 17, 2013 0 Comments Read More →
John Shook – #Lean Production Meets #LeanStartup

John Shook – #Lean Production Meets #LeanStartup

After their recent recorded conversation, it was great to see John Shook, CEO of LEI, and Eric Ries, Author of  The Lean Startup together on stage at Day 2 of The Lean Startup Conference in SF.

Some in the software-dominated Lean Startup movement need to be reminded that Lean concepts have their origins in the auto industry (although Eric does a great job of reminding everyone about this as often as possible, including in his book).  I think it was really important for John to speak to the Lean Startup crowd… the important thing wasn’t the NUMMI history, per se, but rather the core message of Lean Culture that can be so powerful in factories, hospitals, or startups.

By December 11, 2013 10 Comments Read More →
PDF of “Triumph of the Lean Production System” is Finally Available

PDF of “Triumph of the Lean Production System” is Finally Available

TRIUMPHWhen I wrote the post  The Term “Lean Production” is 25 Years Old – Some Thoughts on the Original John Krafcik Article back in September, I was frustrated that this groundbreaking article was NOT available for viewing or even purchase through MIT Sloan Management Review.

The Lean Enterprise Institute has now made the article available as a free PDF download on their site.

Read my thoughts on the article here. John Krafcik and Jim Womack have published their reflections on the 25th anniversary as a new essay in Gemba Walks Expanded 2nd Edition, available now. I’m hoping LEI will make that essay available on lean.org.

By November 11, 2013 0 Comments Read More →
Management Improvement Carnival #197: Lean & Deming

Management Improvement Carnival #197: Lean & Deming

whirling people machineAgain, I’m very happy to host the Carnival for  John Hunter  and his  Curious Cat management improvement blog. My job here is to share some noteworthy and thought provoking posts from the past few weeks from the blogs I try to keep up with regularly. I hope you’ll discover a new blog or two (or new idea) in the process. See past blog carnivals that I have hosted  and the rest from John’s site.

Here are the featured posts:

Upcoming Events: Denver, Chicago, Appleton, Quebec, Finland, & Orlando

Upcoming Events: Denver, Chicago, Appleton, Quebec, Finland, & Orlando

I’ve got a number of upcoming events where I’ll be speaking or attending. You’re welcome attend, depending on where you live or the size of your travel budget. Pardon my batching, but I’m going to put them all in this one post. I hope to see you at one of these events. I’ll also be volunteering at the AME Southwest Region Conference  here in San Antonio next month.

Denver – April 11 & 12

I am running a public registration workshop the afternoon of April 11 on “Healthcare Kaizen” – space is still available. I am also helping a friend by being on a Lean Healthcare panel the morning of April 12 at this CHSM event. The panel also includes Dr. David Munch (a podcast guest  of mine) and Dr. Arthur Gonzalez, the CEO of Denver Health. Register for my workshop (with a 15% discount)  or the CHSM event.

Updated: Save the Date – Lean Healthcare Transformation Summit 2013

Updated: Save the Date – Lean Healthcare Transformation Summit 2013

The dates have been announced for the 4th annual Lean Healthcare Transformation Summit. It will be held  June 5-6, 2013. Co-hosted by the Lean Enterprise Institute and the ThedaCare Center for Healthcare Value, this has always been a great event.

By November 7, 2012 0 Comments Read More →

Video: Kaizen vs. the Suggestion Box

Thanks to the Lean Enterprise Institute for recording this short video when we were at the recent Northeast Shingo Prize conference. In this video, I talk about one of the concepts in my book  Healthcare Kaizen: Engaging Front-Line Staff in Sustainable Continuous Improvements – namely, a few of the ways a Kaizen approach to improvement is different from a suggestion box.

By October 29, 2012 1 Comments Read More →

Lean Healthcare Transformation Summit 2012, Day 2

Following up on my notes from Day 1, here are some notes and key points from Day 2 of the Lean Healthcare Transformation Summit. It was great to meet and get reacquainted with so many blog and book readers. It’s such a collaborative and helpful community that meets at the LEI Summits. As the days progressed, I realized that the focus had shifted from the 1st Summit in 2010 (a focus on LEAN HEALTHCARE) to the broader focus on the big picture in 2012 (focus on HEALTHCARE TRANSFORMATION – with Lean being a big piece of the puzzle).

CEO Panel

For the third straight year, I was honored to moderate the CEO Panel discussion (grainy pic here), with four healthcare CEOs: Dr. Michel Tetrault (St. Boniface, Winnipeg), Rachelle Shultz (Winona Health, Minnesota), Paul DeChant (Sutter Gould Medical Foundation, California), and Joan Magrude (Missouri Baptist). Since I was triaging and asking questions from the audience, I’m going to post notes taken from Twitter (giving credit as appropriate).

Lean Healthcare Transformation Summit 2012, Day 1

Here are some notes and key points from Day 1 of the Lean Healthcare Transformation Summit. There are over 500 people here from North America and around the world (including a group, again, of about 40 from different hospitals and one insurance company in The Netherlands). You can see my tweets and notes from others on Twitter at hashtag #HCsummit12. Follow us all day Thursday.

John Toussaint

John talked about the big picture of healthcare and global health systems, including concepts from his new book Potent Medicine.

He started his talk by emphasizing that “all around the world, costs are out of control and quality is not increasing fast enough” – healthcare is “on an unsustainable path.”

Healthcare Kaizen Update – Events, Galleys & Early Copies

Healthcare Kaizen Update – Events, Galleys & Early Copies

I’m really looking forward to next week’s Lean Healthcare Transformation Summit in Minneapolis. Who else is going? I’ll be blogging about it Wednesday through Friday – and tweeting at the hashtag #HCSummit12. Say hi if you are there or follow along online.

We are getting closer to the release date for my upcoming book Healthcare Kaizen. I will have a “galley copy” with me and a few print-on-demand versions that Productivity Press is getting to me before the full release on June 27.

Registration Open for 2012 Lean Healthcare Transformation Summit

Registration Open for 2012 Lean Healthcare Transformation Summit

For the third year, my good friends at the Lean Enterprise Institute, the ThedaCare Center for Healthcare Value, and the Healthcare Value Network are collaborating to produce the Lean Healthcare Transformation Summit. This year, it is being held in Minneapolis, Minnesota, June 6 to 7, 2012. Click here to learn more and to register.

Many of the attendees come from the Healthcare Value Network organizations, but registration is open to the public. Last year, the event sold out VERY early (months in advance). My understanding is that this year’s event will have a bigger capacity, but it will still be small enough to facilitate effective networking and collaboration.

“On the Mend” Wins Shingo Award

“On the Mend” Wins Shingo Award

Congratulations to Dr. John Toussaint and Roger Gerard, co-authors of the outstanding book,  On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry, for being one of this year’s recipients of the Shingo Research and Professional Publication Award  (as announced by LEI). Congrats also go to whole team of people who were involved from ThedaCare and the Lean Enterprise Institute.

Conflict of interest disclosure: I played a small role in reviewing  and giving feedback on drafts when I was employed by LEI, but I receive no financial compensation for this work.

By February 26, 2012 1 Comments Read More →
Podcast #137 – Jerry Bussell, Jacksonville Lean Consortium

Podcast #137 – Jerry Bussell, Jacksonville Lean Consortium

MP3 File (run time 25:27)

Episode #137 is a chat with Jerry Bussell, founder of the Jacksonville Lean Consortium. I’ve met and talked with Jerry many times through LEI, so I’m thrilled to finally get him on the podcast. Jerry is a retired Medtronic executive (leading Lean efforts in a unit that won the Shingo Prize), he’s now doing work with healthcare quality improvement, he’s writing a new book, and he’s speaking at the Lean Transformation Summit next month in Jacksonville.

Jerry is also friends with Sami Bahri, DDS – and he’s also a patient of the “World’s First Lean Dentist” (click here for my podcasts with Sami, episodes 29, 69, and 82).

For a link to this episode, refer people to  www.leanblog.org/137.

For earlier episodes, visit the  main Podcast page, w

By February 2, 2012 0 Comments Read More →
Collected Quality & Cost Results from Healthcare Value Network Members

Collected Quality & Cost Results from Healthcare Value Network Members

Fireworks NYE2005

I was at the ThedaCare Center for Healthcare Value office a few months ago when Dr. John Toussaint reported that he had gotten a call from Dr. Don Berwick, the head of Medicare and Medicaid. Dr. Berwick wanted a collection of results from healthcare organizations that are improving quality and reducing costs, through approaches like Lean management.

We scurried and collected results from a number of Healthcare Value Network member organizations and sent the data to D.C.  Toussaint posted that collection of data on his website and I’m happy to share highlights here.

Be Careful When Going to the Gemba

Be Careful When Going to the Gemba

Salon LumineuxThis is always a tongue-in-cheek warning, but there are times when I warn hospital leaders that they have to be careful when going to the “gemba” (gemba being a Japanese word used in Lean to describe the place where the work is actually done – the front lines, such as the point of patient care).

Lean Thinkers might wonder “what is bad about going to the gemba?” Well, going to the gemba could be a bad idea and could make things worse if leaders exhibit the wrong kind of behaviors.

This old urban legend helps articulate that in a cheeky way:

Beware Your Leadership Shadow

Beware Your Leadership Shadow

My ShadowsLast week, at the 2nd annual Lean Healthcare Transformation Summit, I moderated the CEO Panel discussion that featured four excellent Lean leaders: Jim FitzPatrick of Mercy Medical Center (North Iowa), Scott Armstrong (Group Health), Alan Gleghorn (Christie Clinic), and Dr. Gary Kaplan (Virginia Mason).

The CEOs shared a lot of insights, but one theme that came up was the idea, introduced by FitzPatrick, of a leader’s long shadow and how you have to be careful with where it lands.

Mark Graban: Announcement on My Future Professional Direction

Mark Graban: Announcement on My Future Professional Direction

East is the New NorthToday, I’m announcing an evolution of my work life: doing less with the Lean Enterprise Institute, doing more consulting and speaking, and starting to help build an exciting startup company, KaiNexus.

The first 16 years of my career has been an interesting journey: General Motors, Dell, Honeywell and a total of 10 years in the “lean manufacturing” world, with a transition in 2005 to “lean healthcare” consulting and writing. From 2001 to 2004, I had a detour through a lean-focused startup company, Factory Logic, and I’ve always enjoyed the small organization setting and the opportunity to build new things, like the Healthcare Value Network that I’ve helped build over the last two years.

So, please forgive me for writing a blog post about myself. Since I often get asked, usually in a friendly way, “So, um, what exactly do you do?”, this blog post is a chance to talk about that…

Summit 2011: Lean Transformation Videos from St. Boniface Hospital

Summit 2011: Lean Transformation Videos from St. Boniface Hospital

We had a great first day at our Lean Healthcare Transformation Summit in Seattle (with lots of tweets from attendees you can follow along with). The Summit concludes with Day 2 today.

One of the plenary presenters was Dr. Michel  Tétreault, President & CEO of St. Boniface General Hospital in Winnipeg. In his talk, some of the key themes were the dual purpose of using Lean to help create perfect patient care AND a better workplace environment for their staff and employees.