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.
— Mark Graban (@MarkGraban) February 3, 2018
TMMK Plant Manager: “It is important for me to be part of a company that has a strong set of values. At Toyota, we build great products while following two main principles: respect for people and continuous improvement.” – #Lean https://t.co/1EgtfYjD7c
— Mark Graban (@MarkGraban) January 29, 2018
From 2014: Another PDSA: Please Don't… – #Lean Blog https://t.co/uxWQR791w5 pic.twitter.com/KpAqgViVfv
— Mark Graban (@MarkGraban) January 29, 2018
Jim Womack: “I recently asked a supplier serving most of the world’s OEMs who their worst customer was and got the answer: “Tesla by a wide margin.”https://t.co/PS0Erf6g7y
— Mark Graban (@MarkGraban) January 29, 2018
It’s interesting to me that the Fitbit app shows one time series as a line chart (which I prefer) and one as a column chart. Why the inconsistency? Different developers? #plotthedots pic.twitter.com/vYXnIliNxl
— Mark Graban (@MarkGraban) January 29, 2018
As patients, how are we supposed to know based on symptoms? This is hindsight decision making on the part of Anthem. Ugh.
“Anthem tells patients: “save the ER for emergencies — or you’ll be responsible for the cost!” https://t.co/aazX30K39e
— Mark Graban (@MarkGraban) January 29, 2018
“Trying to predict a return on investment (ROI) can be smart business, but when it’s tied to innovation, there’s no way of knowing what it will be.” Same is true with continuous improvement ideas. https://t.co/DaxNYIAfkP
— Mark Graban (@MarkGraban) January 29, 2018
This is not what a “#lean” culture or management approach in healthcare is supposed to represent. pic.twitter.com/foa6k9s8sf
— Mark Graban (@MarkGraban) January 30, 2018
— Basis (@BasisAgile) January 29, 2018
How my blog, https://t.co/V1KoMImrby, looked in 2005: pic.twitter.com/jiBX8VXd29
— Mark Graban (@MarkGraban) January 30, 2018
“The ballooning costs of health care act as a hungry tapeworm on the American economy,” said Buffett https://t.co/bLNgLDtNIc
— Mark Graban (@MarkGraban) January 30, 2018
Webinar Preview in this Podcast Episode – #lean
Register at https://t.co/toJpfqPohW
How to Use A3 Thinking in Everyday Life
February 8 from 1:00 – 2:00 pm EThttps://t.co/GmpX3dBMrk
— Mark Graban (@MarkGraban) January 30, 2018
“"A lot of doctors say, 'Look, you can always be dead later. Don't take a course that's irreversible,' " explains Dr. Kenneth Goodman” https://t.co/BTBD2hSb7C pic.twitter.com/JrvfXsLYGw
— Mark Graban (@MarkGraban) January 30, 2018
“Vern Miyagi, administrator of the state emergency management agency, resigned Tuesday.
Miyagi accepted full responsibility for the incident and the actions of his employees,”
The "button pusher" was also fired.https://t.co/jfiygbXfZ3
— Mark Graban (@MarkGraban) January 31, 2018
“ "Tesla is going to see serious competition from automakers… This does not mean Tesla will fail, but it will no longer be a unique proposition and its competitive landscape will shift dramatically."” https://t.co/0BklHvFLKc
— Mark Graban (@MarkGraban) January 31, 2018
“Yet Medicaid offers cheap access to astronomical quantities of pills that can be resold on the black market. For as low as a $1 co-pay Medicaid beneficiaries can get up to 240 oxycodone pills that can be resold for $4,000.”https://t.co/PHrC7H8MZK
— Mark Graban (@MarkGraban) January 31, 2018
“#Kaizen offers the possibility that through small acts of kindness, and even small moments of compassion and curiosity, we can change ourselves – and eventually, humanity.” – #Lean https://t.co/gYTKR7FE5t
— Mark Graban (@MarkGraban) January 31, 2018
Lean Healthcare is not yet here. Far too many health systems have a limited view of Lean as just an improvement methodology. Lean is a culture. @MarkGraban https://t.co/uauLbk7hkJ pic.twitter.com/ir7VR9Jvqo
— Tristan Kromer (@TriKro) January 31, 2018
New CEO “received a professional certification in #lean healthcare management — simplifying the healthcare process for patients — from the University of Michigan" (Lean also simplifies the process for healthcare staff, I'd add) https://t.co/CjaNxqsM9J
— Mark Graban (@MarkGraban) January 31, 2018
Adventures in publishing… when the author has to proof read the publisher’s work. pic.twitter.com/Rwoch4QyOz
— Mark Graban (@MarkGraban) January 31, 2018
“Tens of thousands of women were over-treated, they got surgery they didn’t need, they got radiation they didn’t need, and they got chemotherapy they didn’t need,” says Steven Katz, a professor of medicine at the University of Michigan”
— Mark Graban (@MarkGraban) February 1, 2018
Except ThedaCare has always used #lean as an improvement method and management system. They have never used formal #SixSigma. New CEO Andrabi misspoke or doesn’t know the difference between #lean and #leansigma. pic.twitter.com/Lwgz9itpCn
— Mark Graban (@MarkGraban) February 1, 2018
The overprescription of pills can be deadly. Some MDs now prescribe 10 pills instead of 30 or 50. Can be good to challenge “how we’ve always done it.”
How Many Opioid Pills Do You Need After Surgery? https://t.co/OBCqtyzgtL
— Mark Graban (@MarkGraban) February 1, 2018
Walking the walk of #ContinuousImprovement, and bringing even more expertise to our impactful team, we are very pleased to partner with @MarkGraban. #PatientSafety #LeanHealthcare https://t.co/98F2IMVlAt pic.twitter.com/niNivphQsR
— Value Capture LLC (@ValueCapture1) February 1, 2018
Saying "Hey everyone, we need to cut costs!" doesn't work nearly as well as "Let's make our work easier!" Cost is the end result ~@MarkGraban
— Woody Zuill (@WoodyZuill) February 1, 2018
Wozniak is a bit skeptical about Elon Musk and Tesla. https://t.co/ltSNJLG5E3
— CNET News (@CNETNews) January 30, 2018
Webinar Preview: How to Use A3 Thinking in Everyday Life https://t.co/UqlDPxvyEO
— KaiNexus (@KaiNexus) February 1, 2018
I’ve long said that data is to be used for improvement, not for punishment.
'Seeing someone cry at work is becoming normal': Employees say Whole Foods is using 'scorecards' to punish them https://t.co/W0QvM4yORL
— Mark Graban (@MarkGraban) February 1, 2018
2016: “ThedaCare has been on their “#Lean journey” for about 14 years now. The program has become, pretty much, “the way they do things” and it survived the transition from one CEO (Dr. John Toussaint) to another (Dr. Dean Gruner).”https://t.co/sMY1qQo9sc
— Mark Graban (@MarkGraban) February 1, 2018
Barf. No company has "otherworldly flawlessness."
“He became the highest-profile evangelist for Six Sigma, a management philosophy based on the systematic pursuit of otherworldly flawlessness.” https://t.co/AvYnZCGTEi
— Mark Graban (@MarkGraban) February 2, 2018
“As someone who has spent the last 10 years in the trenches of healthcare delivery as an RN, I have witnessed firsthand the detrimental effects on patient outcomes caused by our current autocratic, bureaucratic and outdated healthcare management system.” https://t.co/lxmn3iOObu
— Mark Graban (@MarkGraban) February 2, 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. 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.