Mark Graban's - Lean Healthcare, Lean Hospitals, Healthcare Kaizen, Lean Thinking, Lean Manufacturing, Toyota Production System

Lean Lessons for Entrepreneurs – The "E-Myth"


I've been reading a well-known book about entrepreneurship and small business, The E-Myth Revisited: Why Most Small Businesses Don't Work and What to Do About It.

What continually amazes me about the book is that, written in 1995, it describes many lean principles, without using that context or background. I'm not sure if that is accidental and the author developed this philosophy in parallel with Toyota or if he learned early lean or “re-engineering” type lessons.

One recurring theme is the idea of standard work and kaizen, although the author does not use those terms. The author emphasizes that, in creating a small business, you need to be creating a system and a method for doing things, not just a creating a product or service.

One section says:

“There needs to be a way we do something. There needs to be a set routine. Because without it, there would be nothing to improve upon. And without improvement, there would be no reason to be. We would be machines. There would be the tyranny of routine.”

That is exactly the mindset of standard work and kaizen. Without standardization, there can be no improvement over a baseline method. With kaizen brings fulfillment and a sense of accomplishment (not to mention a more successful business). Inspiring notions!

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Mark Graban is an internationally-recognized consultant, author, and speaker who has worked in healthcare, manufacturing, and startups. He is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as The Executive Guide to Healthcare Kaizen. His most recent book is the anthology Practicing Lean that benefits the Louise H. Batz Patient Safety Foundation, where Mark is a board member. Mark is also the VP of Improvement & Innovation Services for the technology company KaiNexus. He is currently writing his next book, tentatively titled Measures of Success.

  1. Mark Graban says

    p.s. 3 pages later, the author did use the word “kaizen” in the context of listing practices like TQM, Re-engineering, etc. But he didn’t use the word “lean”.

  2. Michael Marx says

    I read the E-Myth Revisited just last year and was amazed as well by the author’s description of Business Systems. Particularly with a franchise it is not necessarily the product but the replication of the Business System that can make the business successful. From a Lean and Six Sigma perspective the book calls on entrepreneurs and business owners to design their businesses efficiently from the start. Lean methods and Six Sigma methods are perfect tools for doing just that.

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