Lean Healthcare Around the World


Hello from Connecticut…. it's always fascinating to me to see the spread of Lean healthcare around the world. When I attended the Lean Enterprise Institute global summit on Lean Healthcare in the UK in 2007, they had attendees from 20 countries in North America, Europe, Africa, and Asia. There are great examples of Lean improvement in England, Australia, New Zealand, and nearly everywhere in between.

I've received many emails from people around the world. One hospital in Sweden was buying nearly 100 copies to distribute to staff members who were going to use the book to study Lean. 

I recently pulled up a map that shows where the most recent visitors to my Lean Hospitals book's website came from:

The list, leaving off a few countries with just one visitor: (click on any of these for a larger view):

Here is a close up of the European map:

And the U.S.:

Isn't it great that this “Japanese” system is a global movement in health care? To quote a nursing student who was visiting one of my client sites recently, “This makes sense… why aren't more hospitals doing this?”

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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. According to Google Analytics, my blog has received

    20,042 visits came from 121 countries/territories

    Not sure how to share that info in an interactive way…

    • It’s sad that no Greek has ever visited your website. There’s so much potential to turn our NHS around if only we utilized lean and six sigma. Great website, phenomenal work and keep up the good work!


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