Here's the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow me @MarkGraban and join the fun and the conversation. See the previous installments of Key Tweets here.
This past week, I attended the Society for Health Systems (SHS) conference, where I facilitated the Deming Red Bead game and saw speakers including Dr. Denis Cortese (former president & CEO of Mayo Clinic).
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#LeanValentine greetings to warm one's overly efficient heart https://t.co/9PI5GJgc8S pic.twitter.com/8ooGHfbXIT
— Mark Graban (@MarkGraban) February 14, 2016
This meme was popular 4 years ago – #Lean pic.twitter.com/S719ru31D4
— Mark Graban (@MarkGraban) February 15, 2016
Funny how a quality professional can be so adamant, yet so wrong. #Lean isn't just efficiency. pic.twitter.com/tm7pkz6WKR
— Mark Graban (@MarkGraban) February 15, 2016
@markgraban More patients per day. Maximise resource efficiency. You didn’t care about patient waiting time did you? https://t.co/3Sw4y2HMGh
— Martin Burns (@MartinBurnsSCO) February 15, 2016
Efficiency (outputs / inputs) is not primary goal of #Lean. Flow & quality are main pillars of TPS. Flow sometimes requires lower efficiency
— Mark Graban (@MarkGraban) February 15, 2016
The only time a suggestion box is appropriate is for customers, can't implement ideas. Employees, use #kaizen model. pic.twitter.com/49FJiJ6OQR
— Mark Graban (@MarkGraban) February 15, 2016
When MD says "#Lean doesn't work in healthcare," do they mean that focusing on the patient & engaging everybody in improvement doesn't work?
— Mark Graban (@MarkGraban) February 15, 2016
About 10 years ago, a hospital CEO warned about misusing #Kaizen events in #Lean, wise words pic.twitter.com/NNbehV98vu
— Mark Graban (@MarkGraban) February 16, 2016
One of the earliest "visual #kaizen boards" that I helped a hospital adopt in 2007. Still active today! #Lean pic.twitter.com/DEaEwCoCoW
— Mark Graban (@MarkGraban) February 16, 2016
Suggestion boxes should all state how long your idea is going to rot in there. Weeks? Months? #Pointless pic.twitter.com/MEduNpu1wX
— Mark Graban (@MarkGraban) February 16, 2016
5S (and #Lean) is only effective when you teach people to improve their own workspaces & work. Can't force change. pic.twitter.com/hsSgPFI8Fa
— Mark Graban (@MarkGraban) February 16, 2016
Improving the Patient Experience with an Inspirational #Kaizen https://t.co/7wtWt1gyQa by @markgraban #lean pic.twitter.com/1tKqNPU6d6
— Gregory Jacobson (@GregHJacobson) February 16, 2016
Definition of #Lean that our J&J team used in hospitals, 2007. Pretty accurate, some things lacking pic.twitter.com/EQ1D03dD8y
— Mark Graban (@MarkGraban) February 16, 2016
The people I would call "Sensei" (teacher) would never, ever, in a million years describe themselves as a "#Lean Sensei."
— Mark Graban (@MarkGraban) February 16, 2016
“every two minutes a patient dies in a U.S. hospital because of a medical error” https://t.co/iLhoZmmvqF #patientsafety
— Mark Graban (@MarkGraban) February 16, 2016
So it's come to this in Sask? #Lean has been such a politicized mess, it seems https://t.co/chrVCDpPEm
— Mark Graban (@MarkGraban) February 17, 2016
Current focus: deploying a #Lean management system based on #Kata principles & built on @KaiNexus for a 19-hospital health system. Learning!
— Michael Lombard (@MikeLombard) February 17, 2016
“Expressions such as “We’re holding you accountable” are often seen as code” for blame… https://t.co/Rs3vCaiqST #Lean
— Mark Graban (@MarkGraban) February 17, 2016
Overheard: "#Lean tools are like crack. You can get some initial results, but you really need culture change." #SHS2016
— Mark Graban (@MarkGraban) February 17, 2016
He managed a 5-star Healthgrades ratting – Teen poses as physician again, this time at his own fake medical office https://t.co/ATAM3GUoaI
— Mark Graban (@MarkGraban) February 18, 2016
"We need to build a Learning Health Care System", Dr. Denis Cortese @SHSinfo #SHS2016 pic.twitter.com/gv0eZ5v9xr
— Eddie Perez-Ruberte (@eperezruberte) February 18, 2016
Cortese: MDs respond better to "science of healthcare delivery" over terms like #Lean #SHS2016
— Mark Graban (@MarkGraban) February 18, 2016
Cortese: MDs respond better to "science of healthcare delivery" over terms like #Lean #SHS2016
— Mark Graban (@MarkGraban) February 18, 2016
Cortese: "People have said for a long time, you can't measure quality" in healthcare. Says it IS measurable though. #SHS2016
— Mark Graban (@MarkGraban) February 18, 2016
Cortese: "If somebody says value's not measurable in healthcare, it's because they don't want to measure it." #SHS2016
— Mark Graban (@MarkGraban) February 18, 2016
Cortese: Replicating processes from other organizations isn't enough to change outcomes. Culture, vision, alignment, etc. matter. #SHS2016
— Mark Graban (@MarkGraban) February 18, 2016
Cortese: "Just telling people to do something will not get them to do it. You have to give them a reason to do it!" @SHSinfo #SHS2016
— Eddie Perez-Ruberte (@eperezruberte) February 18, 2016
Dr. Cortese: "I'm not interested in ratios, I want to see zero" patient infections. Don't say we can't get to zero #SHS2016 #patientsafety
— Mark Graban (@MarkGraban) February 18, 2016
Cortese: When you improve quality, you need to share that with all of your other departments. #SHS2016 That's what @KaiNexus customers do.
— Mark Graban (@MarkGraban) February 18, 2016
Cortese: Fee for service doesn't work, because government cuts price, providers just increase volume of procedures. #SHS2016
— Mark Graban (@MarkGraban) February 18, 2016
Cortese: Transplants have been paid through "bundled payments for long time." Cost down, results are better than 25 yrs ago. #SHS2016
— Mark Graban (@MarkGraban) February 18, 2016
Lean is too often misunderstood and implemented as a cost-cutting measure. It behooves us to eliminate this misconception! @SHSinfo #SHS2016
— Eddie Perez-Ruberte (@eperezruberte) February 18, 2016
Leitner: "The best #Lean organizations in the world treat labor as a FIXED Cost. Treating labor as variable cost is dangerous." #SHS2016
— Mark Graban (@MarkGraban) February 18, 2016
Quality slogans or bogus goals do not improve quality! Fixing broken processes DOES! @MarkGraban @SHSinfo #SHS2016 pic.twitter.com/SmQzvN7SRR
— Eddie Perez-Ruberte (@eperezruberte) February 18, 2016
Have a blast with Edwards Deming's Red Bead Experiment at @MarkGraban presentation! #SHS2016 pic.twitter.com/boU3NKjYhK
— Bianca Garcia (@BGarcia003) February 18, 2016
#SHS2016 – Come see a culture of continuous improvement at Franciscan St. Francis this April pic.twitter.com/4GvOkIxR86
— Mark Graban (@MarkGraban) February 18, 2016
Our @KaiNexus customers @LauraSilvoy & @JMBykowski of @ArrayArch presenting at #SHS2016 pic.twitter.com/ZfBNEpIEGy
— Mark Graban (@MarkGraban) February 18, 2016
Continuous improvement board with idea cards @IsaacMitchell at #SHS2016 pic.twitter.com/OWdIweWkEo
— Amanda Mewborn (@amandame1101) February 18, 2016
#Lean design discussed at #SHS2016 pic.twitter.com/2VtEH9J7FU
— Mark Graban (@MarkGraban) February 18, 2016
#Lean done properly creates a better workplace environment #SHS2016 pic.twitter.com/FkwNYj5rSS
— Mark Graban (@MarkGraban) February 19, 2016
"What looks like improvement to [#lean people]," looks to MD like indictment of old way & past effort level, says @Jim_Rawson_MD #SHS2016
— Mark Graban (@MarkGraban) February 19, 2016
The SHS is the best kept secret in healthcare says @Jim_Rawson_MD #SHS2016 @SHSinfo. Learned of it via Twitter – via me & @IsaacMitchell
— Mark Graban (@MarkGraban) February 19, 2016
"We have collectively failed to improve healthcare at a national level," says @Jim_Rawson_MD at #SHS2016. Need more teamwork, new thinking
— Mark Graban (@MarkGraban) February 19, 2016
Happy Friday! #leanmemes https://t.co/Zl3bJAmJP8 pic.twitter.com/7P54fhThdl
— Gemba Academy (@GembaAcademy) February 19, 2016
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