Podcast #263 – Pascal Dennis, “Andy & Me and the Hospital”


Joining me for Episode #263 is another returning guest, Pascal Dennis (@AuthorPascal on Twitter). He was previously a guest on Episodes #96 and #239, talking about two of his previous books (see a full list here).

Today, we're talking about his most recent book, a business novel called Andy & Me and the Hospital: Further Adventures on the Lean Journey. I don't normally read much fiction, and I generally don't read business novels, but I really enjoyed this book and tore through it in a few days. It was really compelling and many of the scenarios felt quite familiar. I think this is a helpful book for painting a picture of what it could feel like to start a Lean journey in healthcare.

The book is, of course, a sequel to his earlier book Andy & Me, Second Edition: Crisis & Transformation on the Lean Journey.

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For a link to this episode, refer people to www.leanblog.org/263.

Topics & links for this episode:

  • Pascal's firm, Lean Pathways
  • Given Tom and Andy's background in manufacturing, how can they function in a major hospital? What have you found to be some of the biggest differences when working in healthcare?
  • One of the characters from the fictional Taylor Motors says something provocative: “The worst Taylor factory is better managed than the best hospital in America” (and maybe that extends to Canada and other countries)… what would be behind a statement like that?
  • Please talk about the concept of True North… how is that different than the “mission, vision, and values” that most organizations have? Why is it important to have a qualitative statement and not just metrics?
  • What's the difference between “empowerment” and “abandonment?”
  • How can we convince healthcare leaders that:
    • 1) Lean is not a layoffs or “cost cutting” strategy
    • 2) That they need to learn and practice Lean themselves, not just delegate it or train front line managers and staff?
  • How do you see staff-driven QnEK fitting in with the alignment that we're trying to get through Strategy Deployment? I heard one hospital say that staff “ONLY” work on things that fit into the SD framework and my fear is that they'll stifle participation that way… thoughts?

For earlier episodes of my podcast, visit the main Podcast page, which includes information on how to subscribe via RSS, through Android appsor via Apple Podcasts.  You can also subscribe and listen via Stitcher.

Thanks for listening!

Past Podcasts with Pascal Dennis:

Videos with Pascal Dennis:

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Mark Graban
Mark Graban is an internationally-recognized consultant, author, and professional speaker, and podcaster with experience in healthcare, manufacturing, and startups. Mark's new book is The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation. He is also the author of Measures of Success: React Less, Lead Better, Improve More, the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, and the anthology Practicing Lean. Mark is also a Senior Advisor to the technology company KaiNexus.



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