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 S in SPEAKUP stands for Speak Up pic.twitter.com/OES6ey1LSJ
— Mark Graban (@MarkGraban) May 22, 2018
An experiment: #Lean Blog posts read by Amazon Polly automated speech synthesis. https://t.co/YRVkfOLmjd
— Mark Graban (@MarkGraban) May 19, 2018
This page has links to the RSS feed and Apple Podcasts feed for the “#Lean Blog Polly” experiment. https://t.co/S6FWBnEjrb
— Mark Graban (@MarkGraban) May 19, 2018
Almost to 1000 subscribers on YouTube. Please help push me over that threshold. https://t.co/T2CiGNM9re
— Mark Graban (@MarkGraban) May 19, 2018
Interesting experiment that flies in the face of "the way we've always done it."
“rather than the traditional approach of deploying a starting pitcher… manager Kevin Cash decided to play matchup baseball right from the first inning” https://t.co/3LttXIrYzB
— Mark Graban (@MarkGraban) May 20, 2018
Applies to some hospital executives and #Lean?
"Every time business executives were asked about agile, they had a limited understanding and simply referred to it as 'that project the technology team is trying to implement–we know nothing about it. ” https://t.co/5UMymMKIGt
— Mark Graban (@MarkGraban) May 21, 2018
Happens in healthcare too: “"In hockey, people have not wanted to go beyond their experience to find new solutions,"
Analytics, not statistics, driving NHL evolution https://t.co/tC5CbKS4cD
— Mark Graban (@MarkGraban) May 21, 2018
We are excited to announce that we are recruiting for a Director of Lean Transformation at UCSF Health. Come join an amazing Lean team and an organization at the forefront of innovative problem solving! https://t.co/lgjSPvk4DA #JoinUCSFLean pic.twitter.com/ZO1aKwws1a
— UCSF Lean (@UCSFLean) May 21, 2018
Curious to find out what “applying #lean” means https://t.co/Gn6toBnmF4
— Mark Graban (@MarkGraban) May 21, 2018
No surprise at all: “A majority of hospitals have adopted #Lean-based transformational performance improvement approaches but with **wide variance in the degree of implementation**. ” https://t.co/rpMp4DMkXX
— Mark Graban (@MarkGraban) May 21, 2018
Also no surprises: “It takes time for #Lean to gain traction. The length of time doing Lean is positively associated with implementation progress and reported positive performance impacts. ” https://t.co/rpMp4DMkXX
— Mark Graban (@MarkGraban) May 21, 2018
“US birthrates hit "another record low" in 2017, according to a report released Thursday by the National Center for Health Statistics.”
Fertility rates (births/woman) were about the same in the mid 1970s, then increased, then down, if you #plotthedots
— Mark Graban (@MarkGraban) May 21, 2018
Parallel: Hospital “received multiple safety complaints before” bad event that could have been anticipated and prevented
https://t.co/UKrUB1umkt— Mark Graban (@MarkGraban) May 21, 2018
Pure evil: “He also sent a text to a nurse that said, "You need to make this patient go bye-bye," according to an affidavit.” https://t.co/CXNqGYMyYv
— Mark Graban (@MarkGraban) May 21, 2018
Hope to see you at the 2018 #Lean Healthcare Transformation Summit… it's a great event… and I'll be doing a pre-Summit workshop on Wednesday: "Better Metrics" https://t.co/IMYxf9NeVi
— Mark Graban (@MarkGraban) May 22, 2018
Our June 22nd IEX Webinar features @MarkGraban who will discuss "Measures of Success" which is also the title of his latest book. Learn more about "Understanding and Managing Variation" by attending this free webinar: https://t.co/dF6ttXDAmJ https://t.co/t759hSTfWI
— InstForEntEx(IEX) (@InstEnteX) May 22, 2018
“The result [of the Apple III and not having a shortage of resources] was “feature creep.” A project that should have lasted 10 months stretched out for a couple of years” https://t.co/MEIdd9RMqX
— Mark Graban (@MarkGraban) May 22, 2018
Ghost of Steve Jobs says you're using it wrong… should be using it in a cleanroom.
“the suit claims the [latest MacBook Pro] design is such that small amounts of dust or debris impede normal switch behavior, causing keystrokes to go unregistered.” https://t.co/t1kLKEe5Lv
— Mark Graban (@MarkGraban) May 22, 2018
“Moneyball" wasn't about advanced statistics, or even really about money; it was about thinking differently, asking questions, and never being satisfied with doing things the way they have always been done.”https://t.co/tC5CbKS4cD
— Mark Graban (@MarkGraban) May 23, 2018
.@FairviewHealth CEO on tiered huddles – "Making health care work better for everyone doesn’t happen by accident. One way we’re working to improve is by establishing systems that help us be our best every day and unleash the power of our 32,000 employees to solve problems." https://t.co/ZL6TJleakd
— Value Capture LLC (@ValueCapture1) May 23, 2018
A profound quote from @donberwick as to why joy in work is such a critical principle for people who work in health and care. Thanks @orlasmith51 @TheIHI pic.twitter.com/Aq0rOhJMlp
— Helen Bevan (@helenbevan) May 22, 2018
#SixSigma Master Black Belt says "I lost weight using DMAIC. You can't use #Lean to solve a problem like that."
My response: https://t.co/LOLfpdEDfV …
That shows MANY examples of people using #Lean & A3 problem solving to solve that problem.
The belt's ignorance of Lean…
— Mark Graban (@MarkGraban) May 23, 2018
Except real #Lean is not a code word for cuts or privatization.
“This is not a time to be talking about “lean” or “efficiencies” or “transformation” or any other code words for cuts and privatization. ” https://t.co/tccdmTsTx3
— Mark Graban (@MarkGraban) May 23, 2018
“Known by the acronym NUMMI, this Fremont, California-based plant (part of which is now owned by Tesla) was a way for General Motors to gain insights into Toyota’s “#lean manufacturing” methods that promised higher vehicle output and better quality.” https://t.co/lHdADaNznF
— Mark Graban (@MarkGraban) May 23, 2018
Published an updated and slightly expanded "in-progress book" — Measures of Success by Mark Graban [@Leanpub PDF/iPad/Kindle] #PlotTheDots https://t.co/LfPCP2vxcb
— Mark Graban (@MarkGraban) May 23, 2018
“we remain keenly focused on nurturing and protecting the health of all our patients and delivering the high-quality care we have provided ”
Except for the ones who were harmed by violations bad enough that CMS might cut off payments… #patientsafety https://t.co/6FuN0itgK0
— Mark Graban (@MarkGraban) May 23, 2018
Food for thought for healthcare leaders too:
“These leaders must expect to hear more than “yes, chef” in the kitchen, ensuring that staff is properly trained, feels comfortable offering input and is capable of making important decisions.” https://t.co/DQLDgMWAkJ
— Mark Graban (@MarkGraban) May 23, 2018
Read & commented –> “Just in time isn't foolproof” — OK, whoever said it was? Or said that JIT was perfect? It's the worst system, except for all the others… #Lean https://t.co/hy1lUmN0Rp
— Mark Graban (@MarkGraban) May 24, 2018
From my crankier blog: "#Lean Can't Solve "Non Process" Problems?" https://t.co/DLlLoN1Oa4
— Mark Graban (@MarkGraban) May 24, 2018
I still think a simple two-bin kanban system would work and would prevent running out of hand sanitizer in any location… added a comment with a new photo.
An Invention to Prevent Empty Gel or Foam Sanitizer Dispensers in a Hospital – #Lean Blog https://t.co/tew0UNQFTQ pic.twitter.com/ahNoBgD8AQ
— Mark Graban (@MarkGraban) May 24, 2018
He’s now the CEO of Lowe’s:
J.C. Penney's CEO on Listening to Front-Line Employees – #Lean Blog https://t.co/mP3k6ik5dJ
— Mark Graban (@MarkGraban) May 24, 2018
Could be said with Toyota. Or the other type of organization that says they are copying Toyota but then insists on cherry picking limited tools to copy instead of thinking about an integrated system, copied or not. https://t.co/0JVy7IjU9X
— Mark Graban (@MarkGraban) May 25, 2018
Jeff Hunter holding the first copy of his new book: Patient Centered Strategy. A book that describes how to focus on customer needs to create relevant healthcare system strategy and deliver better patient care. pic.twitter.com/3sds5hf8re
— John Toussaint (@JohnToussaintMD) May 24, 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.