Toyota Assembly Line Inspires Improvements at Hospital


    Washington Post (via MSNBC):

    Another example of the waste-filled health care system adopting TPS methods and approaches:

    “In adopting the Toyota mind-set, Kaplan said, the 350-bed hospital has saved $6 million in planned capital investment, freed 13,000 square feet of space, cut inventory costs by $360,000, reduced staff walking by 34 miles a day, shortened bill-collection times, slashed infection rates, spun off a new business and, perhaps most important, improved patient satisfaction.”

    But, with some downside?

    “Such a radical new management style did not come without strains. A few top executives have left, and many physicians have balked at what they consider threats to their autonomy. Sending teams to Japan and hiring consultants cost about $1.5 million. And as in car production, there are safety risks in too much streamlining.

    I don't understand what they mean by safety risks…. I can't imagine a TPS approach or consultant encouraging anyone to focus on anything but safety first (employee and customer/patient safety). I hope this is just a case of the reporter not understanding.

    This columnist, from Minnesota, takes a somewhat cynical view of adopting Toyota methods to hospitals. As “lean healthcare” becomes more common, we'll have to work to fight uninformed “people aren't like cars” perceptions that miss the point.

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    Mark Graban
    Mark Graban is an internationally-recognized consultant, author, and professional speaker, and podcaster with experience in healthcare, manufacturing, and startups. Mark's new book is The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation. He is also the author of Measures of Success: React Less, Lead Better, Improve More, the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, and the anthology Practicing Lean. Mark is also a Senior Advisor to the technology company KaiNexus.


    1. Also, I disagree with the Washington Post article that Dell Computer has copied the Toyota method. Dell has, for better or for worse, developed their own model. I didn’t see a whole lot that was inspired by Toyota and I know that it wasn’t Michael Dell’s initial inspiration.


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