When surgeons have no better options than complaining about process problems on LinkedIn, are their leaders and organizations really properly supporting them? In this post, we'll explore questions of blame, accountability, and engaging people in process improvement... being of better service to them.
Last week, a nurse manager downloaded the free first chapter of my book Lean Hospitals and wrote this message in the contact form:
"Interested to see how the disconnect between management and the staff supervised can be helped. Too many managers refuse to help those they supervise. A growing number have never done the work that they are in charge of getting done. Patients and residents feel it, not healthy. Poor PR. It does get back to the consumer. Difficult to fix at that point."
In my experience working with many hospitals, her comments resonate with me. Identifying problems like these doesn't mean Lean provides easy solutions for organizational transformation.
Not all Japanese companies are the same. "Lean isn't easy" if you're a Japanese company. Toyota has created something special, since "Toyota culture" is not exactly the same as "Japanese culture."
The WSJ says the "model is cracking."
Do scandals involving quality and ethical lapses involving companies including those and Nissan tarnish Lean and the Toyota Production System? No. That's as silly as thinking the Wells Fargo banking scandal tarnishes Silicon Valley (although the Valley does enough to tarnish itself).
Lean can be very fragile. History shows that Lean can fall apart even in an organization that is years into a "Lean journey" with strong CEO involvement.
How is this possible? If often happens when a new CEO is brought in from the outside. In the case of the manufacturing company, Wiremold, it happened when they were acquired by a French company, Legrand.
As an aside, the team that coined the term "Lean" almost used the term "fragile," as I blogged about here.
Back in 2007, Bob Emiliani joined me for Episode #30 of the podcast. As we revisit the podcast and the new transcript I had made, what are the lessons for manufacturers or hospitals?
What's the risk that's created when new leadership takes over?
For today's Throwback Thursday, I'd like to look back at some blog posts about the trips I took to Japan in 2012 and 2014 to study Lean healthcare and Kaizen with healthcare practitioners from around the world.
I'm again partnering with Kaizen Institute to plan and help lead a trip that will be held in the last week of February, as I wrote about here...
Joining me again for episode 290 is a three-time guest, Eric Ries. When we first talked, in episode 115 six years ago, his New York Times bestselling book The Lean Startup was being published. In 2012, we discussed the impact of Toyota's Taiichi Ohno on his work, in episode 142. This time, we're talking about his new book, The Startup Way.
Today, I’m looking back at at podcast from two years ago, sharing this written summary that hopefully better reaches an audience that doesn’t listen to podcasts. I love The Good Jobs Strategy book and approach and I hope you’re inspired by it,…
Mark’s note: I somehow stumbled across this 2002 HBR article, Read a Plant–Fast, so I asked regular guest blogger Paul Critchley to write a post about it and his thoughts. Personally, I think it’s fair to refer to Lean transformations as…
I’m at the 8th annual Lean Healthcare Transformation Summit in Palm Springs, California. Follow on Twitter using the hashtag #HCSummit2017. If you’re here at the event, please say hello! I love meeting blog readers and podcast listeners. I’ll be adding…
Alternative headline: “Poorly Designed Card Trips Up Beatty and Dunaway at The Oscars.” Or “A Bad Process Beats Warren Beatty Every Time.” What are the Lean lessons from this mistake?
In my travels, I often meet people or visit organizations that say something like: "We're doing Lean... we just call it Process Improvement." They have a "Process Improvement" (PI) department...
I think this will be my last post before taking some time off for Christmas and the New Year (other than tomorrow’s reposting of “Gemba Clause“). Thanks everybody for reading my blog throughout 2016! It’s been a great year and I…