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My Article for the LEI “Lean Post”: React Less and Improve More…

It's been a while since I've contributed something to the Lean Enterprise Institute's online publication, The Lean Post (see past articles).

Today, they're allowing me to introduce some ideas from my book Measures of Success. Many "Lean thinkers" just haven't been exposed to these ideas. Many haven't read Deming or Wheeler... it's not their fault for not knowing of Process Behavior Charts and methods like this.

But, I hope this post helps people see that "bowling charts" and "red/green" analysis are not the only way (or the best way) to look at metrics.

My article:

"React Less and Improve More by Using SPC More Effectively"

Mark Graban
August 14, 2018
1 Comment

Blog, Check it Out

“Measures of Success” is Done! Now Available in the Amazon Kindle Store (and Apple Books)

I’m happy to announce that my latest book, Measures of Success: React Less, Lead Better, Improve More, is completed! That means I was able to release it in the Amazon Kindle Store, which is probably the easiest way for most people…

Mark Graban
August 6, 2018
6 Comments

Blog

Stop Overreacting to Metrics: Lessons from Lean Startup Week

Thanks to Eric Ries and the organizers for Lean Startup Week for allowing me to share video of my 15-minute talk from last year's event.

One reason for sharing this today is to celebrate yesterday's initial release of the in-progress version of my book Measures of Success. If you buy the book now, you'll get a PDF of the first three chapters, or about 40% of the book's expected content.

Mark Graban
April 4, 2018
1 Comment

Blog

What The Toyota Way Says About Visual Metrics and Performance Measurement

As I've been writing about "process behavior charts" - a simple, yet effective method for charting and reacting to (or not overreacting to) metrics, it's made curious what some of the modern Toyota books say about metrics and performance measures.... or at least the first two in The Toyota Way series.

Mark Graban
November 15, 2017
1 Comment

Blog

Reader Question: More Clarity in Visualizing Hospital Performance Data

I received another reader question (submit yours here) and it’s about statistics, “daily Lean management,” and visualizing performance data. Hey Mark: I like your posts about control charts and data. Our health system is rolling out a “Daily Lean Management” system…

Mark Graban
May 30, 2017
6 Comments

Blog

Meeting Donald J. Wheeler: Why “Understanding Variation” Still Shapes Better Decisions

I recently got to meet Prof. Donald J. Wheeler when he gave a keynote talk at the Society for Health Systems Conference. Check out his book Understanding Variation and learn more about him in this post.

Mark Graban
March 13, 2017
2 Comments

Audio, Blog

Better Metrics & “Understanding Variation” – An Important Topic for Healthcare

My favorite book, as I've written about before, is not a "Lean book" -- it's Understanding Variation: The Key to Managing Chaos by Donald J. Wheeler, PhD. It might look like a book about statistics...

Mark Graban
January 9, 2017
3 Comments

Audio, Blog

Dr. Don Berwick is “Stunned” By How Few Organizations Study Deming

One of the first people in healthcare to be influenced by Deming’s work is Dr. Don Berwick, founder of the Institute for Healthcare Improvement (at right in that picture). Berwick wrote about Deming’s ideas back in...

Mark Graban
January 7, 2016
11 Comments

Audio, Blog

The One Thing Google Should Show When You Search for a Hospital

Today’s post is hosted over at LinkedIn, as part of my participation in the LinkedIn Influencers series. The post is titled: “The One Thing Google Should Show When You Search for a Hospital.” It’s not about Lean per se, but…

Mark Graban
March 3, 2015
6 Comments

Blog

Lean is Not About Cutting Costs; 2 Data Point Comparisons in EDs & the NFL

Two pet peeves of mine are hearing people say things like “Lean is all about reducing waste” and or “Lean is all about cost cutting” (and thankfully others are also trying to dispel that myth). Another pet peeve is people…

Mark Graban
September 17, 2014
3 Comments

Blog

Parallels and Learning Between Aircraft Engine MRO and Human Healthcare

My wife is a leader in a business (not GE) that does aircraft engine “MRO” work – maintenance, repair, and overhaul. I’ve been able to visit her shop floor (her “gemba”) and we noticed similar parallels between their work (bring…

Mark Graban
October 7, 2013
10 Comments

Blog

Shorter MD Intern Work Hours – Quality Has Gotten Worse (Unless it Hasn’t)

In recent years, there’s been a movement away from having first-year residents work such long grueling hours – 24 hour shifts or longer, multiple days in a row on call, etc. The idea was that fatigued residents were making poor…

Mark Graban
April 3, 2013
18 Comments

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