Tag: Virginia Mason

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 […]

“Respect for People” in Healthcare

“Respect for People” in Healthcare

There’s an excellent blog post on the Virginia Mason Medical Center site: “Does respecting co-workers make patients safer?” As a leader in adopting and adapting Toyota management methods to healthcare, Virginia Mason understands that “respect for people” is a core part of this philosophy (as I’ve recently blogged about). Respectful behavior is an active choice […]

AME Spring Conference: Art Byrne

AME Spring Conference: Art Byrne

Like yesterday’s “live blog” post about the Autoliv talk, I also wrote this post as Art Byrne talked, but held it for publication today. He is author of the book The Lean Turnaround: How Business Leaders Use Lean Principles to Create Value and Transform Their Company  and was my guest for episode #158 of my […]

Lean Healthcare is About Quality – a Falsehood, a Wise CEO, and JAMA Data

Lean Healthcare is About Quality – a Falsehood, a Wise CEO, and JAMA Data

I  always get annoyed when people spread the false dichotomy of “Lean is about efficiency and Six Sigma is for quality.” Replace the word “efficiency” with “speed” or “flow” and it’s still wrong. Here is an example of this falsehood in a book from a major publisher… this author refers to Lean addressing the first […]

The Best Time to Start Kaizen is Today, Don’t Wait Until You’re “Ready”

The Best Time to Start Kaizen is Today, Don’t Wait Until You’re “Ready”

I’ve been talking to a lot of healthcare organizations about Kaizen and continuous improvement. There are many organizations embracing the methods that Joe Swartz and I wrote about in Healthcare Kaizen. I think there’s some momentum building out there for making sure that Lean isn’t only a bunch of projects — instead, having everybody engaged […]

By February 11, 2013 15 Comments Read More →
UK: Nurses Struggle to Get Their Work Done; Dissatisfaction Soars, Quality in Jeopardy?

UK: Nurses Struggle to Get Their Work Done; Dissatisfaction Soars, Quality in Jeopardy?

I recently saw this headline in the London Evening Standard: “Nurses struggle to ‘get the job done’ due to staff shortages and lack of time on 12 hour shifts.” The article starts with jumping to solutions (needing/wanting more staff), but the problem statement is what we should focus on – and it’s an important one: […]

By February 7, 2013 6 Comments Read More →
The IOM Asks “What’s Possible in Healthcare?”

The IOM Asks “What’s Possible in Healthcare?”

Last year, the Institute of Medicine released its latest report titled, “Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.” The report endorsed Lean as one strategy for improving the problems in our health care systems around the world. From the full report (available as a free PDF download, with […]

By January 27, 2013 1 Comments Read More →
Dr. Gary Kaplan’s Piece on Lean for the Institute of Medicine

Dr. Gary Kaplan’s Piece on Lean for the Institute of Medicine

Here is a commentary written by Gary S. Kaplan, MD, the CEO of Virginia Mason Medical Center: “The Lean Approach to Health Care: Safety, Quality, and Cost.” More than a decade ago, Kaplan and the team at VMMC realized they had to focus “on three things: 1) the safety of patients while in our care; […]

By November 28, 2012 4 Comments Read More →
Hospital Workers, Flu Shots & Standardized Work

Hospital Workers, Flu Shots & Standardized Work

While working in different environments and different industries, I’ve seen many work requirements that were deemed “non-negotiable” by management – and rightly so.  For example, wearing safety glasses in a factory or wearing gloves when handling specimens in a hospital lab. Generally speaking, “standardized work” (the way we do things) should be written by the […]

By November 26, 2012 47 Comments Read More →

Lean Healthcare & Virginia Mason Medical Center on the PBS News Hour

Yesterday’s PBS News Hour had a piece on the use of Lean and the Toyota Production System at Seattle’s Virginia Mason Medical Center: About LeanBlog.org: Mark Graban’s passion is creating a better, safer, more cost effective healthcare system for patients and better workplaces for all. Mark is a consultant, author, and speaker in the “Lean […]

By October 25, 2012 3 Comments Read More →
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