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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Mark Graban
Mark Graban is an internationally-recognized consultant, author, and professional speaker who has worked in healthcare, manufacturing, and startups. He is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as The Executive Guide to Healthcare Kaizen. His most recent book is 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. His latest book has been released as an "in-progress" book, titled Measures of Success.