Here's the latest installment of “Key Tweets,” a post that summarizes some of my tweets (or retweets) from the week. Follow me @MarkGraban. See the previous installments here.
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This week, I'm focusing on tweets from the recent Society for Health Systems conference (an outstanding event that I recommend highly).
#KimBarnas – "We didn't do belts." They trained people and, more importantly, got them taking action through improvement events. #SHS2015
— Mark Graban (@MarkGraban) February 19, 2015
#KimBarnas – the "business performance (management) system"- I wish we hadn't called it anything," just the way we lead #SHS2015
— Mark Graban (@MarkGraban) February 19, 2015
#KimBarnas – we had to teach people A3 thinking, teaching them to solve problems. Then try to do that every day. #SHS2015
— Mark Graban (@MarkGraban) February 19, 2015
#KimBarnas respect people first then move to tools #shs2015
— Karl Kraebber, DSHS (@KarlKraebber) February 19, 2015
How do we create a culture of #lean thinking? Answer: Leadership (See slide) #SHS2015 @SHSinfo @HCValue pic.twitter.com/CrcPi5nK0d
— Eddie Perez-Ruberte (@eperezruberte) February 19, 2015
Kim: "Nurses don't like the word 'defect,' they don't produce defects." My thought – I think we need to come to terms with reality #SHS2015
— Mark Graban (@MarkGraban) February 19, 2015
#SHS2015 Kim Barnas describes "just do it" as initiatives that can be done in 3 steps, 3 days, and with 3 people or less.
— Amanda Mewborn (@amandame1101) February 19, 2015
In a #lean mgmt system, ppl need to feel safe. "It's not about catching someone doing something wrong". Kim Barnas #SHS2015 @SHSinfo
— Eddie Perez-Ruberte (@eperezruberte) February 19, 2015
Generate great improvement ideas: "What, if it was changed today, would improve the #patient experience? @HCValue #SHS2015
— Brittany Hagedorn (@hagedornb) February 19, 2015
I'm reminded of #Deming quote on copying from Japan. People want to copy ThedaCare, but they don't know what to copy! #SHS2015
— Mark Graban (@MarkGraban) February 19, 2015
#Lean management is not about "rolling out boards." Stop focusing on the board. It's about developing people & improving results.
— Mark Graban (@MarkGraban) February 19, 2015
"Leadership: Convince people to do things they didn't think they could do." #SHS2015
— Mark Graban (@MarkGraban) February 19, 2015
#Lean is also data (and fact) driven & also affects patient safety & quality. Not just #sixsigma. pic.twitter.com/XRclWQqOeu
— Mark Graban (@MarkGraban) February 19, 2015
It's great to see people start with a problem description, not just an idea or suggestion. #shs2015 #lean pic.twitter.com/905qtqrgoD
— Mark Graban (@MarkGraban) February 19, 2015
From our talk, why #Kaizen coaching matters – #SHS2015 w @JoeKaizeneer pic.twitter.com/sWpgMGZzLF
— Mark Graban (@MarkGraban) February 19, 2015
5 coaching fundamentals joe Swartz #shs2015 @HCValue think simple pic.twitter.com/pXA4cNSTFG
— Michael Stoecklein (@MikeStoecklein) February 19, 2015
Learning from joe Schwartz & @MarkGraban about #kaizen coaching #shs2015 @HCValue pic.twitter.com/kuYTX6TAeA
— Michael Stoecklein (@MikeStoecklein) February 19, 2015
Nice run chart showing significant reduction in nuc med patient time #SHS2015 pic.twitter.com/yC0r66Qov0
— Mark Graban (@MarkGraban) February 19, 2015
Last night's wine after #SHS2015 – w @MikeStoecklein @IsaacMitchell @JoeKaizeneer – #SixSigma Winery pic.twitter.com/EeyA9JMd4L
— Mark Graban (@MarkGraban) February 20, 2015
Proof that @MarkGraban likes six sigma with @MikeStoecklein @JoeKaizeneer pic.twitter.com/lGzH5h3ADU
— Isaac B. Mitchell (@IsaacMitchell) February 20, 2015
Goal is not just waste reduction, but also reducing unevenness & overburden — says @KarlKraebber, great #Lean thinking at #SHS2015
— Mark Graban (@MarkGraban) February 20, 2015
Value stream mapping is tough when team members arrive with pre-determined solutions, says @arcrofton #SHS2015
— Mark Graban (@MarkGraban) February 20, 2015
When VSM teams are frustrated & have pre-determined solutions, that's a symptom of the leaders not listening & not doing #Kaizen. #SHS2015
— Mark Graban (@MarkGraban) February 20, 2015
Duke Rohe is probably the most energetic & creative person I know at #SHS2015. He has props. Classic. pic.twitter.com/3Y0lnhO8tT
— Mark Graban (@MarkGraban) February 20, 2015
How many have been affected by medical harm personally, friend, or family? Most of the #shs2015 room stands. pic.twitter.com/V7wT3YVH8d
— Mark Graban (@MarkGraban) February 20, 2015
If nurses or others aren't excited about #Lean, don't blame them… that's our fault as facilitators/teachers, says @IsaacMitchell #SHS2015
— Mark Graban (@MarkGraban) February 20, 2015
"The hypothesis we were trying to test…" is a very apt way to start a #Lean presentation. @Jim_Rawson_MD #SHS2015
— Mark Graban (@MarkGraban) February 20, 2015
An initial #kaizen improvement in radiology saved $100,000 a year through a small purchasing change. Gave them hope for #Lean – #SHS2015
— Mark Graban (@MarkGraban) February 20, 2015
Increased capacity and volumes in radiology through lean projects. @Jim_Rawson_MD at #SHS2015 pic.twitter.com/3fciqOslvz
— Amanda Mewborn (@amandame1101) February 20, 2015
James Hereford at #shs2015 pic.twitter.com/7Wix3KFYKt
— Mark Graban (@MarkGraban) February 20, 2015
The power of strategic deployment in #lean. James Hereford #shs2015 pic.twitter.com/TKve9cOc1o
— Mark Graban (@MarkGraban) February 20, 2015
"Senior leaders have a privileged existence & normally don't have to explain themselves." #lean changes that. Hereford at #SHS2015
— Mark Graban (@MarkGraban) February 20, 2015
Hereford: standard work is the way all agree to do something. #lean #shs2015
— Mark Graban (@MarkGraban) February 20, 2015
Hereford: the typical QI process relying on past data is too slow. #lean uses visual management to see problems NOW. #SHS2015
— Mark Graban (@MarkGraban) February 20, 2015
Hereford drops #Deming on the #shs2015 crowd. Constancy of purpose prevents the cycle of insanity. pic.twitter.com/P3LV7zeFB7
— Mark Graban (@MarkGraban) February 20, 2015
Doctors, clinics & hospitals didn't start scheduling patient appointments until the 1950s. Before was just show up & wait. #SHS2015
— Mark Graban (@MarkGraban) February 20, 2015
To those who attended our #SHS2015 talk, come see a #Kaizen culture first hand at Joe's health system: https://t.co/nHejtKlPcq
— Mark Graban (@MarkGraban) February 20, 2015
Why 100% utilization of MD is really bad for patient waiting times. #shs2015 queuing theory pic.twitter.com/2xzW01lCqD
— Mark Graban (@MarkGraban) February 20, 2015
20 months without a pressure ulcer. Baseline would have been 24 ulcers in that timeframe, before #lean – #SHS2015
— Mark Graban (@MarkGraban) February 20, 2015
Mark Graban
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.