web analytics

Tag: Virginia Mason

#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 6 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 […]

Toyota’s Blog on Pillars of the Toyota Production System & Lean

Toyota’s Blog on Pillars of the Toyota Production System & Lean

I didn’t know , until yesterday, that Toyota has an official company blog (at least for Toyota UK). Even though I’ve learned from Toyota people and many books and classes (and I’ve written books of my own), I always encourage people to get Toyota Production System knowledge directly from the source whenever possible – including […]

More on Lean in Saskatchewan

More on Lean in Saskatchewan

Since the healthcare improvement work I do is apolitical and non-partisan, I’m generally not one to butt into the political affairs of Canada or other countries. But, when I hear complaints about Lean or when it’s being called a “scam” and a “cult” by some in Saskatchewan (read here), my ears perked up and I […]

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

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

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 […]

Fantastic Mixed Media Online Presentation about Lean in Healthcare

Fantastic Mixed Media Online Presentation about Lean in Healthcare

I recently stumbled across a very interesting and well-produced mixed-media presentation that starts with the sounds of snow crackling under a pair a boots… a video clip that illustrates Delvecchio Finley, the CEO of Harbor-UCLA Medical Center, making a snowy trip to ThedaCare, in Appleton, Wisconsin to learn about Lean and healthcare improvement. Check out the […]

By January 8, 2014 0 Comments Read More →
SF General Adopts Lean, Faces a Big Test with a “Never Event”

SF General Adopts Lean, Faces a Big Test with a “Never Event”

They just started a year ago (better late than never?), but San Francisco General Hospital had its Lean efforts highlighted in the San Francisco Chronicle last week: “S.F. General following ‘Toyota Way’ to efficiency.” On the very same day, another headline flew past about a patient who had wandered off and gotten lost in the […]

By October 14, 2013 0 Comments Read More →
Brilliant 1981 Article: “Why Japanese factories work” – Relevant for Healthcare in 2013

Brilliant 1981 Article: “Why Japanese factories work” – Relevant for Healthcare in 2013

The year is 1981. A Major League Baseball strike interrupts the season. We’re in the midst of the Cold War. President Reagan is shot. Kim Carnes’ (not to be confused with ThedaCare’s Kim Barnas) tops the charts for the year with “Bette Davis Eyes.” And, Toyota has zero manufacturing presence in the United States… yet. […]

By September 3, 2013 6 Comments Read More →
Dr. Gary Kaplan’s Introduction to “The Executive Guide to Healthcare Kaizen”

Dr. Gary Kaplan’s Introduction to “The Executive Guide to Healthcare Kaizen”

It’s been just over five years since the first edition of my book  Lean Hospitals was released and just over a year since  Healthcare Kaizen was released. Joe Swartz and I are happy to say that  The Executive Guide to Healthcare Kaizen should be available in the next week or so (via in paperback via […]

By August 23, 2013 1 Comments Read More →
Highlights & Notes from “The Essential #Deming”

Highlights & Notes from “The Essential #Deming”

I was fortunate to be exposed to the writings of W. Edwards Deming before I even learned about Lean. While I sometimes get tired of reading new books on Lean and Toyota, I never tire of revisiting books  by or videos featuring Dr. Deming. A few years back, I again re-read big chunks of “Out […]

Stuff I’m Reading – June 14, 2013: Sleepy Banker, Concerned Workers, Cost Diversity, Conference Diversity

Stuff I’m Reading – June 14, 2013: Sleepy Banker, Concerned Workers, Cost Diversity, Conference Diversity

It’s again time to close some browser tabs and clear out the backlog of articles I’ve wanted to share but maybe don’t merit an entire blog post… It’s time again for “Stuff I’m Reading”… Click on any header for the article I’m referencing. Banker falls asleep on keyboard and costs bank $293 million after accidentally […]

Notes and References from my #LKNA13 Talk on Lean Healthcare

Notes and References from my #LKNA13 Talk on Lean Healthcare

I had a chance to attend the Lean Kanban North America conference this week. It was a different “tribe” to be a part of, as the topics focused on software and IT settings, including agile development, “kanban” project management, and broader lean management topics. I gave a talk on “lean healthcare,” which is always an […]