Last week at the Lean Healthcare Transformation Summit, I really enjoyed the presentation by Jamie Bonini, General Manager of the Toyota Production System Support Center (TSSC). Jamie started his career at Chrysler (where he knew Jamie Flinchbaugh, a good friend…
Here are some recorded keynote talks and video presentations from the "Results Washington" annual conference, as part of the state's Lean government efforts. See this post for talks from LEI's Jim Womack and John Shook, Toyota's Jamie Bonini, and many healthcare improvement leaders.
There’s a hospital somewhere this quarter presenting a labor efficiency story to its board. A unit that used to have a dedicated charge nurse now has a “Working Charge Nurse” – someone who takes patients and runs the unit. The…
Jamie Bonini described a person who looks like 25% overhead to a finance team — but without whom the entire Toyota Production System falls apart. Bonini is the vice president of Toyota’s Production System Support Center (TSSC), which has spent…
People keep asking me a reasonable question: “Why not just use ChatGPT?” After all, ChatGPT “knows” a lot about Lean. You can ask it about value stream mapping, PDSA cycles, or the Toyota Production System and get a decent answer.…
TL;DR: Learning from mistakes requires more than problem-solving tools — it requires psychological safety.In this Shingo Institute webinar, Mark Graban explains why fear and futility prevent people from speaking up, how Toyota and healthcare organizations respond constructively to mistakes, and…
TL;DR: Claims that workplaces can have “too much” psychological safety are based on a flawed definition. Psychological safety doesn’t eliminate accountability–it enables speaking up, learning, and better performance. Thanks to Timothy R. Clark and Junior Clark for this excellent episode…
This video explores what it really means to build a Lean hospital culture, drawing on lessons from Toyota, healthcare leaders, and real-world improvement examples. Earlier this year, I was invited to give a recorded virtual presentation for a conference in…
Listen: In Episode 41, Mark Graban and Jamie Flinchbaugh try a couple experiments, in the spirit of continuous improvement. You’ll first notice that we moved the whiskey talk to the end. The hypothesis here is that some people don’t want…
In this Lean Blog Interviews episode, Zeynep Ton explains why good jobs are not a perk or policy–but a system. We discuss her book The Case for Good Jobs, the Good Jobs System, and how dignity, fair pay, slack, and…
This week’s episode of the “My Favorite Mistake” podcast features Mike Kaeding, the CEO of a company, Norhart, that designs, builds, and rents apartments. They are transforming the way this is done by incorporating technologies and techniques that have revolutionized…
When I visited the Toyota Museum in Nagoya, Japan (see my previous blog posts about it), they had a display that includes a video that gives an overview of the Toyota Production System. I’ve seen the video a few times…
