Tag: Quality

My Article for Quality Digest About #Lean Falsehoods; “QDL” Show on Friday

My Article for Quality Digest About #Lean Falsehoods; “QDL” Show on Friday

We’ll probably also talk about this article that was published yesterday on QualityDigest.com: “Lean Is About Quality, Not Just Speed or Efficiency… in Factories or in Hospitals” It might ruffle some feathers, but oh well.

GM’s CEO Roger Smith Thought Toyota Had Magic, But This Was the “Secret”

GM’s CEO Roger Smith Thought Toyota Had Magic, But This Was the “Secret”

Thanks to this post by Bruce Hamilton (aka “Toast Guy” or “Old Lean Dude”), I was reminded of the old General Motors effort, spearheaded by then-CEO Roger Smith (of “Roger & Me” fame), to fully automate car factories. Their concept was the “lights-out factory” that could run without people (other than a security guard). read […]

Stuff I’m Reading May 2016: Bad Patient Experiences, Bad Workplaces & Burnout, Lean Sigma in the VA

Stuff I’m Reading May 2016: Bad Patient Experiences, Bad Workplaces & Burnout, Lean Sigma in the VA

As is often the case, I have too many open browser tabs full of articles that I was going to potentially blog about. This slows down my Mac (thanks, Chrome!). So, it’s time for me to clear out my backlog and a little mental overhead… to share some articles I’ve been reading with some quick notes, […]

#FrontierFail & Frontier Lies… Why Competence is Required Before Lean

#FrontierFail & Frontier Lies… Why Competence is Required Before Lean

I think I’m done complaining about Frontier Communications on Twitter. It’s been a very frustrating week, as I’m on day 6 of a complete internet outage. You can read my long rant about it here on LinkedIn: How Frontier Communications Uses Twitter as Just One More Way to Chase a Customer Away read more

From a Patient Safety Tragedy to Lean & Baldrige Success in a Small Texas Hospital

From a Patient Safety Tragedy to Lean & Baldrige Success in a Small Texas Hospital

As Patient Safety Awareness Week continues, thanks to all of you who shared this PBS News Hour story with me via email or Twitter. If you ever see something you think might be of interest, please let me know. On March 9, this story aired on PBS: After tragic mistake, rural hospital transforms into model of […]

Podcast #245 – Dr. Tom Evans, Improving Healthcare Quality in Iowa

Podcast #245 – Dr. Tom Evans, Improving Healthcare Quality in Iowa

Today is the first of two episodes that I’ll post here during Patient Safety Awareness Week. I agree with the National Patient Safety Foundation that every day should be patient safety day. I’m sure my guest for episode #245 would agree with that. He is Tom Evans, MD, FAAFP, the President and CEO of the Iowa Healthcare […]

Doctors Get Upset With Being Pushed, Bad Leadership, Clumsy Incentives; Try to Unionize

Doctors Get Upset With Being Pushed, Bad Leadership, Clumsy Incentives; Try to Unionize

A few weeks back, a number of you sent me this article from the New York Times: “Doctors Unionize to Resist the Medical Machine“ The article describes a physician who is trying to take the amount of time – the right amount of time – that he thinks is required to get a proper diagnosis […]

By February 15, 2016 14 Comments Read More →
Where Do Hospitals Get the Idea that Lean is Only About Cost Reduction?

Where Do Hospitals Get the Idea that Lean is Only About Cost Reduction?

It’s very frustrating when I hear people in healthcare complain that their hospital or health system has equated Lean with cost savings — only focusing on cost reduction or primarily focusing on it…

By January 12, 2016 22 Comments Read More →
Podcast #238 – Kevin Cahill, on his Grandfather, W. Edwards Deming

Podcast #238 – Kevin Cahill, on his Grandfather, W. Edwards Deming

Episode #238 is a conversation with somebody I’ve wanted to talk with for a long time, Kevin Cahill. He is the executive director of the W. Edwards Deming Institute. He’s also a grandson of Dr. Deming! …

By January 11, 2016 2 Comments Read More →
Simple Mixups & How Blaming Workers Doesn’t Explain or Prevent Them

Simple Mixups & How Blaming Workers Doesn’t Explain or Prevent Them

When we see a simple error, even in something as silly as sports memorabilia, we would ask “why?” or “how?” instead of “who?” Blaming individuals doesn’t help…

By January 4, 2016 3 Comments Read More →
Famed NBC Video with Dr. Deming from 1980 Now Available: “If Japan Can, Why Can’t We?”

Famed NBC Video with Dr. Deming from 1980 Now Available: “If Japan Can, Why Can’t We?”

The W. Edwards Deming Institute and Dr. Deming’s grandson Kevin Cahill worked with NBC to make the 1980 program available, giving the institute perpetual rights to it (see their blog post). To the institute’s credit, they’ve made this freely available on YouTube.

By November 22, 2015 10 Comments Read More →
The First Ever Instance of “Lean Doesn’t Apply to Us?”

The First Ever Instance of “Lean Doesn’t Apply to Us?”

Lean is, of course, not about a better way to build cars. It’s a transferrable philosophy, management system, and methodology that is being applied in many different settings and industries, including healthcare. I’m often told (sometimes by somebody who is being sort of huffy): “Patients are not cars.” […]

By November 11, 2015 3 Comments Read More →
It’s Not #Lean to Have Dysfunctional Efficiency Targets

It’s Not #Lean to Have Dysfunctional Efficiency Targets

Lean healthcare really is a global movement. Last year, when I went to Japan, we had people in the group from all across Asia, Denmark, Canada, the U.S., and Saudi Arabia. Health systems all around the world need to improve quality and patient safety, reduce waste and create better work environments, reduce waiting times, and […]

By November 10, 2015 0 Comments Read More →
Throwback Thursday: Why Do We Need to Ask Patients to be Vigilant?

Throwback Thursday: Why Do We Need to Ask Patients to be Vigilant?

Here’s a “Throwback Thursday” post from this date back in 2008. The post is titled, “Why Do Hospitals Have to Rely on Vigilant Patients and Families?” I think it’s still an important and relevant post, here in 2015. Why do we ask patients and families to be vigilant and inspect the work being done…

By November 5, 2015 0 Comments Read More →
Captain Jack’s Cannonball Polish – Buy One, Get Two Free!

Captain Jack’s Cannonball Polish – Buy One, Get Two Free!

Mark’s note: Today’s post is by Paul Critchley and he raises important questions that I’ve seen in both factories and hospitals. Here’s his post… As I’ve moved through my career and Lean journey, I’ve been blessed to have met and worked with some really fantastic people…

By September 30, 2015 0 Comments Read More →
Throwback Thursday: This Hospital CEO Was Never Going to Get Lean

Throwback Thursday: This Hospital CEO Was Never Going to Get Lean

It’s tempting to visit a place like ThedaCare and then mandate “everybody must have huddle boards.” Then, a bunch of huddle boards get purchased and installed… and maybe not used. It’s another thing for executives to realize that they have to change the way they manage. There’s a great quote that ThedaCare folks readily share, including Kim Barnas in her book Beyond Heroes:

By September 24, 2015 2 Comments Read More →
Podcast #229 – John Dyer, Reflections on Deming, Six Sigma, and More

Podcast #229 – John Dyer, Reflections on Deming, Six Sigma, and More

My guest for episode #229 is John Dyer, president of his consulting firm, JD&A, Inc., and a contributor for IndustryWeek.com. John started his career at General Electric and later moved to Ingersoll-Rand, where he was VP of Operations for their Security and Safety sector. John had the good fortune to learn directly from W. Edwards […]

By September 8, 2015 0 Comments Read More →
Throwback Thursday: Inc. Writes About Dr. Deming in 1987

Throwback Thursday: Inc. Writes About Dr. Deming in 1987

I stumbled across an article from the Inc. magazine archives from 1987, so it’s today’s “Throwback Thursday.” In 1987, I was starting high school and that was probably right about the time when my dad, an engineer for General Motors, was able to attend one of Deming’s famed four-day seminars. Hearing about that was my […]

By August 27, 2015 1 Comments Read More →