Second Half of February 2019 — Key #Lean Tweets (and LinkedIn Posts) from @MarkGraban

By Mark Graban On Mar 9, 2019 Last updated Mar 9, 2019

Here's the latest installment of “Key Tweets,” a (usually) bi-monthly post that presents some of my tweets (or retweets), including pictures and other interesting stuff. I sometimes also re-share items that I've posted on LinkedIn.

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.

From LinkedIn:

From Twitter:

Last weekend’s book contained stories about a variety of lean journeys. An inspiring read for those that have been practicing #lean for a few years. @MarkGraban inspired me to pick up some more lean-centric books #whatimreading #bookshelf pic.twitter.com/VXfdr9VEmr
— Amberley Babbage (@AmberleyBabbage) February 16, 2019

When the URL is literally too long to fit on the badge. #DesignFail. Great show though! The URL ends 20182019. Thankfully that had been provided in an email. pic.twitter.com/Qtp8PsaFUO
— Mark Graban (@MarkGraban) February 17, 2019

“The Ottawa Hospital is installing black box-like technology in one of its operating rooms to record audio, video and patient vitals – all of which will be examined later."

As long as it helps "find areas of improvement" and not BLAME.

https://t.co/hvx0M63hwo
— Mark Graban (@MarkGraban) February 18, 2019

I would have guessed she worked in healthcare from this tweet. https://t.co/KKD9xB5kEw
— Mark Graban (@MarkGraban) February 18, 2019

My book sales had been fluctuating around an average, but now there are "signals" that the average daily sales has increased… #plotthedots

How Authors Can Stress Less Over Their Metrics [Webinar Recording] – #Lean Blog https://t.co/eew7p1jCmQ pic.twitter.com/ylT9cMklj1
— Mark Graban (@MarkGraban) February 18, 2019

#SystemsThinkingTO Reminders!

2.25.19 – @DavidFSkinner & @KarenSkinner on lean process improvements for law firms.https://t.co/jcI7SeEDxk

3.26.19 – @MarkGraban Process Behaviour Workshophttps://t.co/EONCrta6aH
— Chris R. Chapman (@DerailleurAgile) February 19, 2019

Released 20 years ago this week, ‘Office Space’ took on cult classic status by holding up a mirror to the depressing, cynical, and occasionally farcical nature of the modern office. @jakeks19: https://t.co/x1DWxMhOXN
— The Ringer (@ringer) February 19, 2019

Also inadvertently shared my “28 year challenge” from HS senior photo until today. https://t.co/5AtJGomSke
— Mark Graban (@MarkGraban) February 19, 2019

Learn, share, and connect at #HCSummit19. Learn more and register: https://t.co/rocFuQ1K2n pic.twitter.com/ch0lGH5k2m
— Catalysis (@HCValue) February 19, 2019

“That WiFi was so fast and that coach seat was soooo comfy” said no American Airlines passenger ever pic.twitter.com/VT1KUAoOm9
— Mark Graban (@MarkGraban) February 20, 2019

Starting off Day 1 of #HSPI2019 with @SHSinfo with Pre-Con Workshops with @MarkGraban & @iisenet Brian Galli pic.twitter.com/JRbujPHTHB
— Eddie Perez-Ruberte (@eperezruberte) February 20, 2019

Conference badge ribbons keep falling off? It’s nothing a few staples can’t fix. #HSPI2019 pic.twitter.com/QMSrtN2TT0
— Mark Graban (@MarkGraban) February 21, 2019

Seeing a run chart showing enough data points to see a statistically significant shift is so much better than 2 data points of “before and after.” #plotthedots #hspi2019 pic.twitter.com/rvojK0eyJf
— Mark Graban (@MarkGraban) February 21, 2019

Nike said in a statement. "The quality and performance of our products are of utmost importance. While this is an isolated occurrence, we are working to identify the issue." https://t.co/OJmjI3UO6o
— Mark Graban (@MarkGraban) February 21, 2019

Jordan Peck: “When I finished my PhD from MIT,” the health system I wanted a job at said “yeah but you don’t have a Black Belt.” 😂
— Mark Graban (@MarkGraban) February 21, 2019

Great challenge from @MarkGraban as we try to help teams improve: "Do you want to be right or be effective?" #hspi2019 @SHSinfo pic.twitter.com/8rJTCBVLL5
— Eddie Perez-Ruberte (@eperezruberte) February 22, 2019

Wisdom from @MarkGraban #HSPI2019 #lean pic.twitter.com/CcftGKiNQ2
— Jim Rawson MD (@Jim_Rawson_MD) February 22, 2019

@MarkGraban Management by emoji. Just a bunch of noise without real understanding of true signals. We need process behavior charts. #HSPI2019 pic.twitter.com/Oyrz4McQHJ
— Isaac B. Mitchell (@IsaacMitchell) February 22, 2019

New reader review: Measures of Success: React Less, Lead Better, Improve More https://t.co/BkHlDZy2Xf pic.twitter.com/5oRDJziWNn
— Mark Graban (@MarkGraban) February 22, 2019

“When I asked the former executive close to Holmes if she has come to regret what happened, the response surprised me. “Elizabeth sees herself as the victim,” this person said.” https://t.co/42dok0KwQA
— Mark Graban (@MarkGraban) February 23, 2019

“many of these former aides say she was not just demanding but often dehumanizing — not merely a tough boss in a capital full of them but the steward of a work environment colored by volatility, highhandedness and distrust.” https://t.co/CMiHrydsb4
— Mark Graban (@MarkGraban) February 22, 2019

Probably my #1 takeaway from #HSPI2019. We have to learn to not allow our desire as engineers to be right to outweigh our larger goal of being effective. Great talk this AM FROM @MarkGraban @SHSinfo https://t.co/ZotAZ33f1p
— Cody Hall (@RCodyHall) February 23, 2019

“One day after [Office Space] screen tests, they were like, “Ben Affleck wants $2 million and we’re not going to pay that.” Mike thought that was hilarious, like “Why didn’t you figure that out before you jerked me around?”” https://t.co/oyfApv5FCS
— Mark Graban (@MarkGraban) February 23, 2019

20 years after the release of Office Space, it seems to hold up well. But when Peter threatens to shoot up the office… yikes. 😬
— Mark Graban (@MarkGraban) February 24, 2019

My publisher reports ZERO Kindle sales for "Lean Hospitals" over a 6-month period. Seems unlikely. But maybe they also shouldn't price it at $37. They don't understand supply and demand. That's one reason I'm through with them.
— Mark Graban (@MarkGraban) February 25, 2019

Most embarrassing use of technology in 2019?
— Mark Graban (@MarkGraban) February 25, 2019

“Leaders need courage to say that there should be porters with their feet up drinking coffee rather than surgical teams standing waiting for a patient.” pic.twitter.com/f9QXMw7SJA
— Mark Graban (@MarkGraban) February 25, 2019

Different IS scary.

““Different isn’t always embraced as good," she told the Free Press. "Different can be wrong. Different can be scary.” https://t.co/yG2E2lMldh
— Mark Graban (@MarkGraban) February 25, 2019

Yes! “Rather than criminalize individual employees, hospital administrators across the country should examine their processes to ensure errors never happen.” https://t.co/yStyPOTu7B
— Mark Graban (@MarkGraban) February 26, 2019

Initial analysis says Oscars TV viewers and ratings are up over 2018. But, for context, the ratings were down in 2018. Instead of reacting to each new data point, look at trends over time using "run charts" or "process behavior charts" (as I created). https://t.co/LIeTvh2Aou pic.twitter.com/3qEDJld1XH
— Mark Graban (@MarkGraban) February 26, 2019

100 mistakes is not a staff problem. That’s a system problem.

“Baylor St. Luke's Medical Center staff made more than 100 mistakes in the labeling of blood during a four-month period reviewed by federal inspectors, according to a report released Tuesday.” https://t.co/GSOq1HkIHC
— Mark Graban (@MarkGraban) February 27, 2019

There’s no more important goal than working toward zero harm. It’s not easy but the journey toward zero makes a huge difference. It’s about leadership. ⁦Says @meghanmscanlon⁩ ⁦of @ValueCapture1⁩ in her @kainexus webinar. Data from Alcoa: pic.twitter.com/3yJ6p81gU0
— Mark Graban (@MarkGraban) February 27, 2019

"It's not any one individual. It's not any one system or provider," she says. "The whole system is messed up. … There's no recourse for me except to just keep making phone calls." https://t.co/IVhLckyPK1
— Mark Graban (@MarkGraban) February 28, 2019

Management by Objective, Management by Results, Fear, Extrinsic Motivation.

This isn’t a failure of agile, but the prevailing style of management working as intended.

And it’s why “agile” won’t make a damn difference unless a new theory is adopted by leadership.#deming https://t.co/wzoI5YeLy3
— Chris R. Chapman (@DerailleurAgile) February 28, 2019

After her "zero harm" webinar yesterday, it's nice to be with @meghanmscanlon at a health system today that places the elimination of harm as the primary goal of #Lean and improvement efforts. @ValueCapture1
— Mark Graban (@MarkGraban) February 28, 2019

Just to be clear, @Marshall_Allen is an investigative journalist, not a doctor. And yet, the woman on the phone said his peers had nominated him and his patients had reviewed him as one of America’s “top doctors.”

This is quite the read. https://t.co/vhk8OZnx2w
— ProPublica (@ProPublica) March 1, 2019

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About
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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.

Second Half of February 2019 — Key #Lean Tweets (and LinkedIn Posts) from @MarkGraban

From LinkedIn:

From Twitter:

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