Dr. John Toussaint Video Lecture on Healthcare Quality & Lean


Here is an hour-long lecture given by John Toussaint, MD – shared by the ThedaCare Center for Healthcare Value. There isn't a lot of context given on the YouTube page for the video, but it seems like a video from maybe 2008 or so and it seems that he's talking to a class of medical school students. Those who know John's history might place where he is. The talk is still incredibly relevant today, of course.

In the video, John discusses the poor state of healthcare quality, the Collaborative Care model, the important of measurement (do you know how you're doing) and Lean leadership.


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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. John Toussaint says

    Mark, this lecture was taped at the University of Iowa College of Medicine during an address to the medical school and public health school faculty and students in 2008. I am a graduate of the School of Medicine at Iowa.

    1. Mark Graban says

      It’s a great talk, John, and a message that more people out in the healthcare world need to hear…

    2. Anna Riegle says

      Watched you video and I would love to have the formula you use to change percentage to defects. Our healthcare facility is looking to improve and I think translating performance to defects will help drive the message home. We have a long way to go we are where you were in 2002. The staff think being average is good enough and we can’t get to zero. Thank you.

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