Tag: Virginia Mason

Key Points About Kaizen from Japanese Hospitals, Going Back in December

Key Points About Kaizen from Japanese Hospitals, Going Back in December

I’ve gone to Japan twice now with Kaizen Institute to study Lean with healthcare professionals from around the world. I first went in 2012, as a paid attendee, and I went back in 2014 as a partner and co-facilitator to teach and lead discussions during the trip. Both trips were fantastic experiences, and I’ve not only seen Japan […]

Reader Question from an MD: One Shot to Talk to the Hospital CEO About #Lean

Reader Question from an MD: One Shot to Talk to the Hospital CEO About #Lean

Before I head out on vacation, here is a reader question that I am sharing for your input.I’m sharing this with permission and I’m obscuring a few details at their request. Please read and leave a comment below the post. My approval of comments might be a bit slow after Tuesday evening as I start […]

Throwback Thursday: Be Lean, not L.A.M.E.

Throwback Thursday: Be Lean, not L.A.M.E.

Today’s post is a throwback to an essay that I originally wrote for the excellent book Lean-Led Hospital Design: Creating the Efficient Hospital of the Future, where it appears in an appendix with some other contributed essays. You can listen to my podcast with the authors, Charles Hagood and Naida Grunden. Reminder — check out the […]

Podcast #221 – @JacobStoller, “The #Lean CEO”

Podcast #221 – @JacobStoller, “The #Lean CEO”

My guest for episode #221 is Jacob Stoller, author of a book that was just released: The Lean CEO: Leading the Way to World-Class Excellence. It’s available now through Amazon or you can learn more through his book’s website. As Jacob explains, he’s a journalist, not a Lean practitioner, and he interviewed CEOs across different industries to […]

Lean Factories and Lean Hospitals Are Safer and They’re Better Listeners

Lean Factories and Lean Hospitals Are Safer and They’re Better Listeners

When we introduce the idea of Lean to healthcare organizations, it’s very common for somebody (often a senior physician) to say something like, “But we don’t want assembly line medicine.” The implication is that assembly lines and factories are cold, rigid, uncaring places that focus on ruthless efficiency and making the numbers at the expense […]

Looking back at the Toyota Tsutsumi plant tour, part 2

Looking back at the Toyota Tsutsumi plant tour, part 2

Last week, I wrote a post (part 1) looking back  at our visit to the Toyota Tsutsumi factory that was part of our Japan tour that took place two months ago now. See previous posts in this series. I’m going to try to do one post a week on this topic. If you’re in San Francisco, I’m giving […]

By January 27, 2015 0 Comments Read More →
Lessons from the  Football Coaching and Leadership Styles of the Oregon Ducks and Ohio State Buckeyes

Lessons from the Football Coaching and Leadership Styles of the Oregon Ducks and Ohio State Buckeyes

Note: Today is the fifth anniversary of the Haiti earthquake. Russell Maroni’s journal from his volunteer work there, including some Lean concepts he employed, is still available. You can download a free PDF and I hope you’ll consider making a charitable contribution. Now on to today’s somewhat trivial, by comparison, topic. Tonight is the inaugural […]

By January 12, 2015 1 Comments Read More →
A Hotel, Time Quotas, Systemic Problems, and Employees Not Having the Right Tools

A Hotel, Time Quotas, Systemic Problems, and Employees Not Having the Right Tools

I travel a lot and, thanks to my work, I’m pretty well attuned to the idea of not blaming individuals for systemic problems in an organization. Or, at least I try to be good about this. I’m human, so I slip up sometimes… like the time I wrongly blamed a bartender for a bad attitude, […]

By December 9, 2014 7 Comments Read More →
Good Ideas, Lean Ideas, Keep Crossing the Pacific

Good Ideas, Lean Ideas, Keep Crossing the Pacific

The ideas, principles, and methods that we’d recognize as “Lean” aren’t exclusively of Japanese origin. Many of us, myself included, draw inspiration from Toyota, reading books about them and visiting their factories. For me, I’ve had a chance to visit Toyota plants in Japan, California, and Texas, and the story is very consistent. As Masaaki […]

By December 8, 2014 5 Comments Read More →
Words vs. Simple Visuals; A Secret About Japanese Hospitals

Words vs. Simple Visuals; A Secret About Japanese Hospitals

This tweet and photo made me chuckle the other day… If it’s “your right” or “your left” as you’re going up or down the stairs, collisions are going to happen if everybody followed these instructions: No, it won't. pic.twitter.com/2iJ3POnrDB — Nille af Ekenstam (@nilrod) November 27, 2014 In Japan, during our recent tour, I saw […]

By December 3, 2014 2 Comments Read More →
#Ebola – The Glaring Gap Between Staff Education and Proper, Effective Training

#Ebola – The Glaring Gap Between Staff Education and Proper, Effective Training

I saw this headline the other day: “U.S. Soldiers Get Just Four Hours of Ebola Training” The phrase “just four hours” implies that it wasn’t enough. How do we know? Maybe four hours of training, done properly, is all that’s needed. It might also be four hours MORE than the amount of training given to […]

By October 18, 2014 14 Comments Read More →
Why “More Nurses” Isn’t the Best Way to Solve What Ails Healthcare

Why “More Nurses” Isn’t the Best Way to Solve What Ails Healthcare

There are certainly many serious problems in healthcare. Let’s look at nursing, in particular. It’s a rewarding job, but it’s far more frustrating for nurses than it needs to be. Nurses often don’t have enough time in the day (or in a given hour) to do all of their work the right way in the […]

What They’re Saying Now about Lean Healthcare in Saskatchewan

What They’re Saying Now about Lean Healthcare in Saskatchewan

There have been plenty of headlines and updates since I first blogged about the controversy over Lean healthcare in the Canadian province of Saskatchewan (see my previous posts here). From my outside perspective, there are some good things happening. I admire their adoption of a “patient safety alert system” and a blame-free culture (see Saskatoon […]

Updated: Why Toyota is Eliminating the Andon Cord from its Factories

Updated: Why Toyota is Eliminating the Andon Cord from its Factories

If you clicked on my intentionally attention grabbing headline (or what might be a parody of those)… no, Toyota isn’t killing their famed and much-copied Andon process. Toyota is just changing the mechanics of the Andon system – or perhaps improving it… in the spirit of Kaizen, or continuous improvement. If you’d like more background on Andon […]

Report to President Obama Endorses Lean & Systems Engineering in Healthcare

Report to President Obama Endorses Lean & Systems Engineering in Healthcare

I recently saw a tweet that referenced a May 2014 that was sent to President Obama and his administration: “Report to the President – Better HealthCare and Lower Costs: Accelerating Improvement Through Systems Engineering.” The report was written by the “President’s Council of Advisors on Science and Technology,” or PCAST, and a working group that includes professors, […]

Podcast #204 – Paul Plsek, Lean & Innovation at Virginia Mason

Podcast #204 – Paul Plsek, Lean & Innovation at Virginia Mason

MP3 File (run time 34:37) Joining me today for Episode #204 is Paul Plsek (@PaulPlsek) and we’re talking about his excellent book (a Shingo Research Award recipient this year) titled Accelerating Health Care Transformation with Lean and Innovation: The Virginia Mason Experience. Virginia Mason, of course, is Virginia Mason Medical Center, the outstanding Lean organization […]

Podcast #202 – Patrick Graupp, TWI in Healthcare

Podcast #202 – Patrick Graupp, TWI in Healthcare

MP3 File (run time 34:56) My guest today for Episode 202 is Patrick Graupp, co-author of the excellent book Getting to Standard Work in Health Care: Using TWI to Create a Foundation for Quality Care, co-authored with Martha Purrier from Virginia Mason Medical Center. If you’re brand new to the Training Within Industry (TWI) model, […]

Article about Lean in Two Sioux Falls Health Systems

Article about Lean in Two Sioux Falls Health Systems

I recently saw an article about Avera Medical Group and Sanford Clinic in Sioux Falls, South Dakota: “Health systems learn to be lean.” Avera McKennan Hospital, in Sioux Falls, was featured in the 2nd edition of my book Lean Hospitals.  A physician describes how, with Lean, they are spending MORE time with each patient AND get to […]