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All posts from Mark Graban’s LeanBlog.org, including podcasts, announcements, articles, and more.

A New Book by a Friend: Lean Veterinary Practice Management

So what's the new book and cover pictured here? This is the book being finished by my friend Chip Ponsford, III, DVM. Yes, DVM stands for Doctor of Veterinary Medicine.

"Lean Veterinary Practice Management: Higher Quality, Less Waste, Greater Staff Engagement and Continuous Improvement."

Podcast #323 – Davis Balestracci on “Data Sanity”

I first met Davis Balestracci at a conference a few years back, where I heard him give a very spirited and insightful presentation. That's why I'm happy to have him as my guest for Episode #323 of the podcast.

We'll talk about a range of topics, including some of the key lessons that you'll find in his book (as a much deeper dive than we can get into here) Data Sanity: A Quantum Leap to Unprecedented Results (2nd edition). Davis has been a long-time columnist for Quality Digest, and you'll hear his thoughts on Process Behavior Charts, W. Edwards Deming, Lean Six Sigma, and more.

“Movember” Fundraising – Why I Shaved For the First Time in 15 Years

Today is the start of the annual "Movember" fundraising movement where men grow mustaches to raise money and awareness for men's health issues, including prostate cancer, testicular cancer, and mental health. I don't mean to ignore women's health issues or other cancer fundraising efforts, but this is what I'm participating in right now... so I thought I'd share.

Yeah, there's a photo...

Podcast #322 – Samuel Selay’s Reflections on Lean

Today's podcast is a departure from the usual interview format. As I blogged about last week, the Lean community has lost a young, thoughtful, inquisitive, and reflective member -- Samuel Selay.

I regret not having Sam on the podcast to talk about our learning and reflections. He was a guest of Ron Pereira's on the Gemba Academy podcast in 2016, talking about Lean in the Department of Defense.

Today, I'm doing a reading of a blog post that Sam wrote for this site back in August. I'm also sharing the audiobook version of his chapter from the book Practicing Lean (which is read by our audiobook narrator). It's not his voice, but it's his words and thoughts.

As the Marines say (Sam was an active duty Marine for 13 years), Semper Fi. 

There is a GoFundMe page that was set up by Sam's sister-in-law to provide financial support to the family — his wife and four children under 18. I've donated and I hope you might consider doing the same. 

Operational Excellence Mixtape: October 26, 2018

Close-up of a vintage audio cassette tape with purple and white label.

Healthcare – Creating Value for Patient A lot can be done to optimize flow in hospitals without investing in additional staff and infrastructure by using an operations research approach.  Here’s an example from Ottawa. Patient interviews can be uncomfortable, and it…

Remembering and Honoring Samuel Selay

I've been sad the last few days after learning that Samuel Selay, a friend of mine (and this blog) went missing after going kayaking alone on Lake Elsinore in southern California on Saturday. As it says in this news report and video...

Lean Daily Management Boards: Moving Beyond Red-Green Metrics to Process Behavior Charts

The other day, I saw a post on Twitter that included a few photos related to what's often called Lean Daily Management practices in a hospital.

The spirit of my post is not meant to come across as "they're doing it wrong" but more in the spirit of "they're doing a lot of great things, but it would be better if..."

If Lean Daily Management is supposed to be, at its core, about identifying opportunities for improvement, I'd hope they wouldn't be offended by my recommendations, but I also don't want to link to the Twitter post or call them out by name. I will pass along private feedback through a channel I have. But, I'm writing a post because what I see here is VERY common in different organizations (not just healthcare).

Cleveland Clinic’s New CEO on Improvement and “Tiered Huddles”

Tomislav Mihaljevic, MD was named CEO of the Cleveland Clinic just over a year ago, replacing long-time CEO Toby Cosgrove, MD.

As I've blogged about (and podcasted about), I've been impressed with the Cleveland Clinic Improvement Model and their approach to continuous improvement, problem solving, and Lean management.

Dr. Mihaljevic has written a blog post about the power of "tiered huddles"...