We had a great group and had a number of people who had a good amount of Lean healthcare experience. To help baseline the room, after introductions I had the group do table discussions and then report out on the high level question of “What is Lean?” and “What is Lean NOT?” The groups did a really nice job with the exercise…
Here is the easel pad summary of what the attendees came up with. It's not necessarily all-inclusive, but it's very correct:
The group didn't say them in order, but they got both elements of the Toyota Production System (Just-in-Time/Flow and Jidoka/Quality) and both aspects of the Toyota Way (continuous improvement and “respect for people.”) The attendees had been studying up!
One thing that's hard to read (my bad handwriting) is “process not the people” meaning be hard on the process, not on the people (similar to a “no blame” culture).
What would you have added to the discussion?
Below is the picture for the “Not Lean” side (or what I'd call “L.A.M.E.“):
The group great points that Lean is not meant to be restrictive, nor is “standardized work” overly rigidly specific, nor is it driven top down. It's certainly not a “shut off your brain” approach to anything.
Lean's not just projects, not just tools… this list set up a really good two-day discussion about Lean management methods, Lean culture, and Lean tools that support those mindsets.
What would you add to the “NOT” list (or either list)? Do you agree with what the group came up with?
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