Here's the latest installment of “Key Tweets,” a (usually) weekly post that presents 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 third edition of my book “#Lean Hospitals,” translated into Chinese. All 3 editions have been translated. I enjoyed my visits to some Chinese hospitals last year. pic.twitter.com/nOnyOaY8DF
— Mark Graban (@MarkGraban) December 22, 2017
As I go on vacation for a week, will stashing apps in a folder help me minimize time spent in these apps? Should I do this after vacation? pic.twitter.com/zysdpLw4ST
— Mark Graban (@MarkGraban) December 9, 2017
“I hopped in a white van to spend a day with one [Amazon] driver and experience first-hand the intolerable pressures they face from “impossible” schedules.”https://t.co/FzTPtUhjyU
— Mark Graban (@MarkGraban) December 11, 2017
“Susan Elkington is the new plant president, taking over from Wil James, who is retiring following a 30-year Toyota career that included 10 years leading the Georgetown operations.”https://t.co/gULvctlPxj
— Mark Graban (@MarkGraban) December 11, 2017
“Dual-CEO structures engender complexity, confusion and unnecessary expense, problems Advocate and Aurora don't need as they try to meld two large hospital chains while adapting to cost pressures and other changes in a turbulent industry. ” https://t.co/2FYzzXIxyi
— Mark Graban (@MarkGraban) December 11, 2017
I assume the “Kaizen II” knife is an incrementally Improved version of the “Kaizen I?” #Lean pic.twitter.com/nHvWCSmg5H
— Mark Graban (@MarkGraban) December 11, 2017
“you can simply start by rounding on employees to ask questions like, “Do you have the tools and resources you feel you need to do your job?” and “Is there anything else I can do as a leader to support you?”” https://t.co/fxbbRLAM0I
— Mark Graban (@MarkGraban) December 12, 2017
Most everyone is already using “software” in Kaizen efforts. That could be email, excel, shared drives, or a system built to do those jobs better. https://t.co/Wa0UZ60GUY
— Mark Graban (@MarkGraban) December 12, 2017
Epic Progress – “As we prepared for go live, we expected to identify 50,000 – 100,000 problems in the first two months.” Is that normal?https://t.co/kudPNq618h
— Mark Graban (@MarkGraban) December 12, 2017
It's so simple… but hard to copy and emulate — #Lean or the NBA:
“They’ve created a culture in which teams have tried to emulate around the league, tried to take specific plays, but at the end of the day, there’s no one like the Spurs,” https://t.co/vy38Iqwk5A— Mark Graban (@MarkGraban) December 12, 2017
Good use of a control chart. Far more compelling than a simple before-and-after comparison https://t.co/VAwEgsTZFm
— Mark Graban (@MarkGraban) December 13, 2017
Hospitals around the world always say “measures are put in place” – after an error. I hope that doesn’t mean ineffective efforts at “retraining” and such. pic.twitter.com/os6SsC1Cad
— Mark Graban (@MarkGraban) December 13, 2017
My #Lean post for the @kainexus blog: What to do After a Kaizen Event so Improvement Doesn’t End https://t.co/K4SdQJDhvu
— Mark Graban (@MarkGraban) December 14, 2017
“Fifty-three percent of [Scotland NHS] nurses fear the quality of care patients receive is suffering because they cannot do everything they need to do during their shift, according to a survey of 30,000 nurses”https://t.co/PeJPwEpQFK
— Mark Graban (@MarkGraban) December 14, 2017
“One of my goals [as hospital CEO visiting our sites] was to identify obstacles that can hinder efforts by employees to deliver the care patients expect. ” https://t.co/uOjxXC7l20
— Mark Graban (@MarkGraban) December 15, 2017
“Tesla's manufacturing weakness is glaring and baffling, and that's why Tesla watchers are spending so much time drilling down on Model 3 production.”https://t.co/u5IJITAiu5
— Mark Graban (@MarkGraban) December 15, 2017
“report by The Boston Globe that alleges the federally qualified community health center knowingly allowed a physician accused of sexual harassment and employee bullying to remain on staff for years.” https://t.co/yMdc3f7vOw
— Mark Graban (@MarkGraban) December 18, 2017
CEO said sexual harassment at Ford was unacceptable. A female employee was skeptical. “That’s not the reality,” she said. “They don’t even go on the floor, so they don’t know what goes on.” https://t.co/238cPKvdy2
— Mark Graban (@MarkGraban) December 19, 2017
Conflict of interest or good corporate citizen?
“[EPA Administrator Scott Pruitt] wants to hire Toyota Motor North America's nonprofit consulting arm to help improve administrative efficiency.” – #Lean
— Mark Graban (@MarkGraban) December 20, 2017
"Using the #lean concepts developed in the Toyota Production System (TPS), lean healthcare works to eliminate waste, improve flow and add value, all from the from patient’s perspective." https://t.co/5iQT6kkpwC
— Mark Graban (@MarkGraban) December 20, 2017
Meet Norman Bodek, the Oregon-based early #LEAN champion#LeanInTheNewshttps://t.co/Baw6pwCAbP
— Brad Miller (@LeanKaizen) December 20, 2017
If this number from @AmericanAir doesn't include my 9 hours of flying this week, that's 240 hours or 10 days in the air (or 2.7% of my time this year). pic.twitter.com/lsFngdtGXI
— Mark Graban (@MarkGraban) December 21, 2017
“He would be a holy terror some days,” some-one familiar with Bowman said. “He would just talk down to people. He was often yelling. Just disre-spectful.” https://t.co/hBiSY6TxHi
— Mark Graban (@MarkGraban) December 22, 2017
“The thing I love about LeBron is that he’s a lifelong learner,” said Duke coach Mike Krzyzewski, his Team USA coach at the Olympics. “He continues to want to learn about his craft.”https://t.co/Dw02tivUTV
— Mark Graban (@MarkGraban) December 22, 2017
Waste: “The train you have to ride from gates to the street is unnecessary and costs over $4 million a year to run.”https://t.co/pwD4s12SOe
— Mark Graban (@MarkGraban) December 22, 2017
“Arizona State Hopsital CEO Dr. Aaron Bowen interjected by saying, “I can’t have folks calling my CMO a sexual predator in public,” according to audio of the meeting obtained by ABC15.”https://t.co/Ojd27nvFml
— Mark Graban (@MarkGraban) December 23, 2017
ESPN announcer after bad bowl game punt: “That’s frustrating because these kickers, these punters, they get paid to punt, not to shank.” Except they don’t get paid. He did correct himself and say “get scholarships.”
— Mark Graban (@MarkGraban) December 23, 2017
Leadership: The Army coach getting input from his players about what play they should try. That is, if Mack Brown was lip reading properly. pic.twitter.com/nH2TgT7gNJ
— Mark Graban (@MarkGraban) December 23, 2017
The power of a run chart. Why was there a drop in the ‘97-‘98 season? https://t.co/gTdA6PZWO5 pic.twitter.com/Lq2gP0JEik
— Mark Graban (@MarkGraban) December 26, 2017
“…active input from front-line workers. That's the secret sauce of the much-lauded Toyota production system and its spinoff "#lean"” https://t.co/fj1wlhuLpn
— Mark Graban (@MarkGraban) December 27, 2017
It’s a shame if the NFL doesn’t want players who can think and speak up: “the NFL doesn’t want players to be questioning too many things” https://t.co/WveMCwfzRU
— Mark Graban (@MarkGraban) December 27, 2017
This is awful. I recently flew in coach and had a fever. An @americanair first class passenger gave me a blanket. No incident. Shame that these passengers were treated badly. https://t.co/yrbSbqjM10
— Mark Graban (@MarkGraban) December 27, 2017
This style of “management” requires no skill — “If the managers noticed a few minutes of inactivity, they would ping him on workplace messaging tool Slack to ask why he wasn’t working.”https://t.co/V9t1KPGMMx
— Mark Graban (@MarkGraban) December 28, 2017
Does your org do a better job of ID-ing talent? “Mayfield is the latest example of a strange phenomenon: Football isn’t very good at identifying the most tal-ented quarterbacks.” https://t.co/nf0tLvK7mL
— Mark Graban (@MarkGraban) December 29, 2017
At least he’s up front about it? “I want people who sleep in the office,” says Mr. Alabbar, the founder of the now three-month-old startup. “Want to go walk your dog in the afternoon and all that? I’m not the guy you work for.”https://t.co/26PbUBiJPG
— Mark Graban (@MarkGraban) December 29, 2017
“The lesson Mencken drew was that most people will embrace as fact what’s appealing, not necessarily what’s accurate.”https://t.co/Ukcb1EWpk9
— Mark Graban (@MarkGraban) December 29, 2017
“The more a state taxes its hospitals and then gives them money back, the more federal funds it can obtain.” https://t.co/6nD1i50kc8
— Mark Graban (@MarkGraban) December 30, 2017
“The company has never produced a fraction of the cars it needs to deliver, and it has never made a profit while selling far more expensive vehicles. Producing more cars won’t solve the problem without quantum leaps in production efficiency.” https://t.co/VzTyeNFyYb
— Mark Graban (@MarkGraban) December 30, 2017
Love this: “Magical thinking won’t improve our health care system.” Having been in several industries, I remain stunned by the degree to which health policy is dominated by faddism and fuzzy thinking. https://t.co/sSfELABxN0
— Paul Levy (@Paulflevy) December 28, 2017
“We were a team that didn’t care about each other,” Griffin remembers. “It wasn’t a team at all; it was a bunch of different groups and a bunch of different individuals who were worried about themselves.” https://t.co/gce1wgP0fa
— Mark Graban (@MarkGraban) January 1, 2018
@MarkGraban I am LOVING your text. So inspiring. Thank you for such a great resource. #LeanSixSigma #hospitaladministration #healthcare pic.twitter.com/F0KBMp4ho8
— 💖Ｃｏｕｒｔｅｎａｙ (@CocosLittleLife) January 1, 2018
A video created by John Shook for the #Lean Turkey Summit 2017, with Slides. John was the first American to work for Toyota in Japan, was involved in NUMMI, & led @leandotorg as CEO until recently. The video: https://t.co/hHgv1Yrjuo
— Mark Graban (@MarkGraban) January 2, 2018
“The interviews in total paint Matthews as a tyrant liable to fly off the handle at the slightest mistake, who was eager to objectify women and made inappropriate sexual comments appear to be a matter of course for someone in his position.” https://t.co/XpfasF0yIt
— Mark Graban (@MarkGraban) January 2, 2018
The chart shows an undeniable trend. Would be better visually as a line chart though. https://t.co/2OlOcqC9mc pic.twitter.com/5M2DPLLoAY
— Mark Graban (@MarkGraban) January 2, 2018
Targets distort behaviour https://t.co/MuEeezsmLm
— BrianSJ (@BrianSJ3) January 2, 2018
"You can't stop consenting adults from being stupid," Marler said. "But, we should at least try."
https://t.co/Ri58a8lBhM pic.twitter.com/6plsfXbj3s
— Mark Graban (@MarkGraban) January 3, 2018
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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. 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.