People in the Middle


This is my version of a Toyota diagram (click on it for a larger view) showing the “integrated system” of the Toyota Production System. Notice how “Human Development” is put in the middle, no surprise there.

The three balancing sides of the triangle are instructive, “People,” “Technology,” and “Process.” All three have to work in balance, being supportive of each other. All of this together creates the Organizational Culture.

Have you used this diagram in your Lean efforts? What do you take away from it? Has it helped you?

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Mark Graban is an internationally-recognized consultant, author, and professional speaker who has worked in healthcare, manufacturing, and startups. His latest book is Measures of Success: React Less, Lead Better, Improve More. He is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as The Executive Guide to Healthcare Kaizen. He also published the anthology Practicing Lean that benefits the Louise H. Batz Patient Safety Foundation, where Mark is a board member. Mark is also a Senior Advisor to the technology company KaiNexus.

1 Comment
  1. Osvaldo Spadano says

    You can look at it as a burger; with the two slices of bread representing Technology and Process, and the meat representing the People.

    Now, what makes a good burger?
    Furthermore, a burger without a slice of bread is not a burger.

    I just find it easy to remember and constantly keep it in mind.


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