Mark Graban Speaking Highlights Video; Story that Previews my 2nd Edition Book


I've posted a new video on YouTube, about 5 minutes of sections of a presentation I gave at the 2010 Shingo Prize Conference on Lean Healthcare.

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From the video snippets:

The discussion about needing to fix patient flow, not just providing insurance, is all about the question of “access” to care. If you don't have insurance, you can't really get into a doctor's appointment without huge charges, so people understandably go to the emergency room. But, if you HAVE insurance and can't get an appointment because of throughput problems in the doctors' offices, are you really any better off? When I was in Sweden in early 2010, they had long E.D. waits because people couldn't get timely or convenient primary care appointments, even though they all have “coverage.” Coverage does not necessarily equal access.

The story about the MRI room – I've fleshed this out into a new case study for the end of Chapter 6 of my 2nd revised edition of “Lean Hospitals” that will be out in October. When you see a case where poor systems, poor processes, and a daily management system that's lacking in structure could have resulted in patient harm – it's very powerful.


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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.

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