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 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. Anonymous says

    Wow would have been sweet if you google-ized it instead of using the screen shots for the maps….

  2. Mark Graban says

    How do I do that? I think I get a screenshot from my stats provider…

  3. Mark Graban says

    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…

    1. Akis Voudigaris says

      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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