Lean Healthcare Design Video Series – Part 3, Working Together for Results


Here is Part 3 of our video discussion series about Lean Healthcare Design, featuring Miguel Burbano, an architect and Senior Vice President with The Neenan Company, and Dr. Randall Huss, President of the St. John's Clinic – Rolla (MO).

neenan stjohns 500x126 Lean Healthcare Design Video Series - Part 2, Open Workspaces and Care Teams lean

Here, we talk about how they worked with staff members and physicians to help changes processes and workflow along with the layout and design. How did they use communication to reduce anxiety and fear? How did Dr. Huss, as the champion for this, help get the physicians onboard with these changes?

You can view  Parts 1 & 2 and the rest of the series by tracking this page.

Here is Part 3, it runs about 10 minutes:

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Your host is Mark Graban, author of the book “Lean Hospitals: Improving Quality, Patient Safety, and Employee Satisfaction” and the founder of LeanBlog.org.

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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. Thanks Mark for all the effort; it will take time to change the old mindset but there should be a starting point somewhere. Miguel went back in time learning from automotive industry and I believe that is the way to go.

    I attended a guest speaker session a couple of years ago at university. An architect from a well known Detroit based company talked about the “new” trend in hospital design. He made efforts not to leave the impression that was Lean thinking, presenting the “new” concepts as his company’s know-how. I had the feeling that they were wasting more time trying to twist the language and justify differently the approach than really coming up with feasible solutions.

    It would have been just easier and more effective to openly go back to the history of Lean transformation in automotive and adapt the lessons learned to his hospital design.

    Reinventing the wheel doesn’t make sense to me. Taking all we have and make it better or even only adapt it to new environments should be the way to go. Thanks again for the video series.


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