Here's the latest installment of “Key Tweets,” a (usually) weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other interesting stuff.
You can follow me @MarkGraban and join the fun and the conversation, but you don't need a Twitter account to view any of this. See the previous installments of Key Tweets.
The original Build-Measure-Learn cycle via Dr #Deming. #lean #LeanStartup pic.twitter.com/KridGCg7UX
— Mark Graban (@MarkGraban) September 17, 2017
Sounds like some complaints I hear about EMR/EHR systems. And this is from a 1986 #Deming book. pic.twitter.com/SYRcJXIO9q
— Mark Graban (@MarkGraban) September 17, 2017
Contrast: I was reading a book about #Deming. Guy next to me was reviewing corporate dashboard metrics with red/yellow/green zones.
— Mark Graban (@MarkGraban) September 18, 2017
Read this – applies quite broadly. Also underscores why you can’t coach someone in something you’ve never done yourself. https://t.co/VTU5EUPDkU
— Chris R. Chapman (@DerailleurAgile) September 18, 2017
Food Bank volunteer helped by Toyota: “If you have a good system, the work takes care of itself.” #Lean
— Mark Graban (@MarkGraban) September 18, 2017
What’s the plan? “Change Management.” Oh, you mean better managing change… I thought you meant something else 🤓
— Mark Graban (@MarkGraban) September 18, 2017
Today's control chart (process behavior chart) from #Deming's "Red Bead Experiment" – always a stable, predictable system pic.twitter.com/DMtF8Fh8ry
— Mark Graban (@MarkGraban) September 18, 2017
"Now that I'm going to 'gemba' as a leader, I can't imagine not doing it." #Lean
— Mark Graban (@MarkGraban) September 18, 2017
"When I was new to practicing #Lean leadership behaviors, I had to become comfortable being uncomfortable."
— Mark Graban (@MarkGraban) September 18, 2017
“it was possible to access an Equifax-operated employee portal in Argentina [with login of] “admin/admin.”” https://t.co/zYCoUgFe17
— Mark Graban (@MarkGraban) September 19, 2017
By what method? – (96%) of [healthcare] execs identified cost reduction as "significant" or "very significant" need https://t.co/zQ8ffqOuqx
— Mark Graban (@MarkGraban) September 19, 2017
Toussaint: “If leaders will take time to work on their own shortcomings… they will see dramatic improvements…” https://t.co/Hwx6OrIqol
— Mark Graban (@MarkGraban) September 19, 2017
Contrast: Facilitating the #Deming "Red Bead Experiment" at an organization with many "Quality is Everybody's Responsibility" posters
— Mark Graban (@MarkGraban) September 19, 2017
For example, doing a “root cause analysis” on every single below average data point https://t.co/dlXhh64bq5
— Mark Graban (@MarkGraban) September 19, 2017
Change is not easy. Art seems to imply that people who resist change are a problem for management to push through. Not sure about that. https://t.co/EQ1FbcyAmB
— Mark Graban (@MarkGraban) September 19, 2017
Dr #Deming can be tough to summarize in a single tweet – @DemingInstitute pic.twitter.com/DZiYv7gjzL
— Mark Graban (@MarkGraban) September 19, 2017
My wife said “Patients should look up the Joint Commission reports on the hospitals.” No, that’s not how it works, I had to say. 🤔
— Mark Graban (@MarkGraban) September 19, 2017
Not just efficiency or cost though… “#Lean #SixSigma is a managerial approach focused on efficiency, she said. ” https://t.co/S677vCD0cr
— Mark Graban (@MarkGraban) September 19, 2017
I still don’t think labeling other people as “resistant” is an effective strategy for sustainable change or Improvement.
— Mark Graban (@MarkGraban) September 19, 2017
It’s irony when somebody decries “command-and-control” leadership and then complains that people didn’t follow his #Lean direction.
— Mark Graban (@MarkGraban) September 19, 2017
“Rearrange the machines” might be the right technical solution, but top down mandate to get on board doesn’t seem like social side of #Lean
— Mark Graban (@MarkGraban) September 19, 2017
Is this what “bending the cost curve” looks like???? pic.twitter.com/SS69vCmCvl
— Mark Graban (@MarkGraban) September 20, 2017
Friday October 6 is Agile Day Chicago! Great event: speakers include @jeffpatton, @MarkGraban (and I snuck in too) https://t.co/G6jW2Z1R52
— Chris Powers (@chrisjpowers) September 20, 2017
Would you open a board meeting w/ a graphic showing the names of patients recently harmed at your institution? https://t.co/3gxafNjDQT #WIHI pic.twitter.com/sjTgVqT3Zf
— IHI (@TheIHI) September 20, 2017
Verma says patients need incentives to be cost conscious. But I’d add good luck in getting price & quality datahttps://t.co/uko2m77Ab4
— Mark Graban (@MarkGraban) September 20, 2017
— banksy (@thereaIbanksy) September 20, 2017
“When this [#Deming] theory manifests in a straight-jacketed fad du jour, people tend to lose sight…” https://t.co/csHsLrqXjR
— Mark Graban (@MarkGraban) September 20, 2017
MD comment: “With EHR the system is intolerable. Just what the lawyers who designed the system wanted.” https://t.co/uJogbWA2oa)
— Mark Graban (@MarkGraban) September 20, 2017
Cutting corners and reducing costs are not the same thing. https://t.co/SN3Ahh41af
— Mark Graban (@MarkGraban) September 21, 2017
“The single greatest impediment to error prevention in [medicine] is that we punish people for making mistakes” https://t.co/sUaQaxtBeO
— Mark Graban (@MarkGraban) September 21, 2017
Inconsistent or have they changed their tune? "Joint Commission to assess rates of C-sections, punishment possible" https://t.co/JDpO96m8QR https://t.co/lpwfkBcJeR
— Mark Graban (@MarkGraban) September 21, 2017
“The perfection myth: If people try hard enough, they will not make any errors.” #patientsafety #lean https://t.co/sUaQaxtBeO
— Mark Graban (@MarkGraban) September 21, 2017
A factory that doesn’t listen to employees will be less profitable. A hospital that doesn’t listen to employees harms more paitients. #lean
— Mark Graban (@MarkGraban) September 21, 2017
It's great seeing a run chart in the news. But charting the rate of cost increase paints a different picture than charting actual cost. pic.twitter.com/zmUyeNjX6j
— Mark Graban (@MarkGraban) September 21, 2017
“Cost-cutting is easier said than done, however.” There ARE options other than layoffs, by the way… https://t.co/lNpo7TJ28k
— Mark Graban (@MarkGraban) September 21, 2017
A "process behavior" chart helps me & others @KaiNexus not overreact to "noise" in webinar registration data. #LeanStartup #Lean pic.twitter.com/pS1Q5KunlY
— Mark Graban (@MarkGraban) September 21, 2017
Data without context have no meaning. Is 138 good? Bad? Better than before? Compared to other countries? What’s the trend? pic.twitter.com/W7pCPy34BS
— Mark Graban (@MarkGraban) September 21, 2017
"…you have to persuade [your audience] to let go of their status quo. That may not be endearing to them." https://t.co/ddy0KJWQRG
— Mark Graban (@MarkGraban) September 21, 2017
I feel honored to be giving this talk at #LeanStartupWeek this year. Thanks to @ericries & the great @leanstartup team for the chance… pic.twitter.com/g27rPwQ4ig
— Mark Graban (@MarkGraban) September 22, 2017
MD: “shows accreditation is basically meaningless—it doesn’t mean a hospital is safe.” https://t.co/FEqr2mN8gy
— Mark Graban (@MarkGraban) September 22, 2017
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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.