Tag: Waste

See How a British Psychiatrist is Using LEGO Videos to Explain Lean Healthcare

See How a British Psychiatrist is Using LEGO Videos to Explain Lean Healthcare

A collection of creative videos was recently brought to my attention and I’d like to share them here. They are created by Dr. Mark Harrison (@leanpsychiatry), a psychiatrist for an NHS Trust. He created the videos by taking photos of LEGO creations and adding voiceover. It’s amazing that we all have the technology required to […]

Healthcare Headlines in the UK are Mostly Similar to the US

Healthcare Headlines in the UK are Mostly Similar to the US

As I wrote about last month, I love newspapers, so I felt like I fit into the culture last week when I spent five days of my vacation in London, a city I really love. People in England seem to be avid readers, based on the number of newspapers on sale and the number of […]

A Tale of Two Clinics – What I Wish My Primary Care Could Be

A Tale of Two Clinics – What I Wish My Primary Care Could Be

In American healthcare, there’s a growing gap between hospitals and clinics that are being innovative and those who are stuck in the “way it’s always been done” mode. For example, innovative primary care clinics are using a combination of better processes and better technology to deliver a patient experience that I wish I could experience. […]

Lean in the Kitchen; Weekend Urgent Care

Lean in the Kitchen; Weekend Urgent Care

I hope y’all had a nice Memorial Day weekend here in the U.S. It’s a global audience for the blog, but I had the take the day off from Lean (other than this post for the holiday). I spent a lot of time over the weekend being lazy and resting as many people do – […]

Dr. Atul Gawande’s Article on Reducing the Waste of Unnecessary Healthcare

Dr. Atul Gawande’s Article on Reducing the Waste of Unnecessary Healthcare

I’ve been a big fan of Dr. Atul Gawande’s writing for a long time (see previous posts about him and his work). His latest article is out, which I was able to read last night. It just came out (or I first heard of it yesterday). Overkill: An avalanche of unnecessary medical care is harming patients […]

Are Hospitalists Ready to Get Serious About Reducing Waste and Improving Care?

Are Hospitalists Ready to Get Serious About Reducing Waste and Improving Care?

I was quoted in two articles that appeared in “Today’s Hospitalist”: “Discharging Mr. Wood: Time to get serious about waste” and “Standardized work: Improving quality by reducing practice variation.” Reducing Waste The author, David A. Frenz, MD, points out that it’s a “collective delusion” that the U.S. spending so much more on healthcare leads to safer […]

“Healthy Debate” About Lean in Healthcare & Emergency Departments

“Healthy Debate” About Lean in Healthcare & Emergency Departments

I was recently interviewed by one of the reporters who put together this web article in Canada: “From the factory floor to the emergency department: Hospitals explore Lean method” The article highlights Lean success stories and it also raises some interesting challenges and data that question the approach. My friends at St. Boniface General Hospital […]

By September 22, 2014 5 Comments Read More →
Lean is Not About Cutting Costs; 2 Data Point Comparisons in EDs & the NFL

Lean is Not About Cutting Costs; 2 Data Point Comparisons in EDs & the NFL

Two pet peeves of mine are hearing people say things like “Lean is all about reducing waste” and or “Lean is all about cost cutting” (and thankfully others are also trying to dispel that myth). Another pet peeve is people drawing conclusions off of two data points, but we’ll come back to that later in […]

By September 17, 2014 3 Comments Read More →
Turning “Waste” Into a Clever Acronym

Turning “Waste” Into a Clever Acronym

I wrote about Kaizen the other day on LinkedIn and the first comment was from Dr. Leke Agbejule, BPharm, MSc, PharmD, from South Florida: Very well said. As a Lean Six Sigma practitioner I live & consult by the “Kaizen” philosophy. I like the mantra of Patrick Davidson which says “Eliminate Waste & Create Flow” My definition of […]

By September 4, 2014 0 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 […]

Read What This Hospital CEO Says on His Blog About Lean and Kaizen

Read What This Hospital CEO Says on His Blog About Lean and Kaizen

Hospital CEOs are busy people, to say the least, but a big part of their leadership role includes communication with employees, physicians, and the community. That’s one reason I am always excited to see CEOs reach out directly to people via blogging. The most recent of those is Eric Dickson, MD, MHCM, the President and CEO of UMass […]

By August 13, 2014 1 Comments Read More →
Video: Toyota Helps Harbor-UCLA Medical Center and Their Eye Clinic

Video: Toyota Helps Harbor-UCLA Medical Center and Their Eye Clinic

California week on the blog continues after yesterday’s post about Lean at San Francisco General Hospital. Today, I’m flying to Los Angeles to attend the 5th annual Lean Healthcare Transformation Summit. I will be, as usual, moderating the CEO panel and I will be, for the first time, moderating the Q&A session at the end […]

Debate about Lean at SF General Hospital – Hire a Consultant or More RNs?

Debate about Lean at SF General Hospital – Hire a Consultant or More RNs?

Happy June, everybody! Summer is here. We’ve actually had a delightfully long spring here in San Antonio, which means the temperature hasn’t really been above 90 yet, which counts as cool (and comfortable for us). I’m headed off to Los Angeles tomorrow for the 5th annual Lean Healthcare Transformation Summit. Let me know if you’ll […]

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 […]

Misplaced Milkshake Blenders & Unclear Water Dispensers

Misplaced Milkshake Blenders & Unclear Water Dispensers

Last week was the annual LEI Lean Transformation Summit (see my notes here). There were many inspiring stories, but are always reminders that it’s not always a Lean world around us. Tom Ehrenfeld (who blogged about the two days of the Summit here and here) shared a crazy story from his trip to the airport on […]

Reducing Wasted Motion at a Conference: Collaborative Note Taking

Reducing Wasted Motion at a Conference: Collaborative Note Taking

I hope many of you will be attending either (or both) of the upcoming LEI summits with me, either the Lean Transformation Summit in early March or the Lean Healthcare Transformation Summit in June. See you there? Today’s post is something I wrote that’s being hosted on the LEI “Lean Post” today:  Reducing Wasted Motion at […]

By February 12, 2014 3 Comments Read More →
Process Problem: #NFL #SuperBowl #CoinToss, A Defect & Rework

Process Problem: #NFL #SuperBowl #CoinToss, A Defect & Rework

For the coin toss of the Super Bowl 48 (or XLVIII), the referee Terry McAulay handed the coin to Joe Namath to toss it… it appeared that McAulay realized when the coin was in mid air that he had possibly forgotten to ask the Seahawks to call it. Oops! Failing to stop Namath, McAulay caught the […]

By February 2, 2014 8 Comments Read More →
Before Asking Others to Do Kaizen, First Do Kaizen Yourself

Before Asking Others to Do Kaizen, First Do Kaizen Yourself

Today, Joe Swartz and I are leading a workshop about “Healthcare Kaizen” in Farmington Hills. A “core Kaizen concept,” as Joe says, is that leaders who want their employees to participate in Kaizen should first make an improvement to their own work. It’s a way of leading by setting a good example. If I can do it, […]

By January 22, 2014 3 Comments Read More →