About a week ago, I was flying, and the passenger beside me knocked his water over right into my lap. Argh! I sent a Tweet posing a “contest with no prize” (as I didn’t want to stifle creativity with an…
Interesting news from Idaho, where an outside Lean consultant has been named interim CEO of St. Luke’s Magic Valley Medical Center (see “Consultant to fill in as T.F. hospital CEO“). From the article: Mike Reno, a consultant helping St. Luke’s…
The Winnipeg Free Press has an article about their local St. Boniface Hospital, a member of the LEI/ThedaCare network I’m involved with called the Healthcare Value Network. About 40 of us from different Network member organizations visited last Thursday and…
I’m sharing this appeal on behalf of a good Lean friend, Karl Wadensten from VIBCO in Rhode Island. Karl is fired up, rightfully so, because the Rhode Island state legislature has proposed cutting some previously-promised employee training funds. Believe it…
Due out in June is a book that I think will be an important one for the Lean Healthcare movement. That book is about the Lean journey of the Wisconsin health system ThedaCare. It’s called On the Mend: Transforming Healthcare…
I’m blogging notes and thoughts as I watch the Discovery Channel documentary by actor Dennis Quaid and others — “Chasing Zero: Winning the War on Healthcare Harm” that first aired April 24 at 8 am EDT. With laptop and…
TL;DR: Patient safety leader Lucian Leape’s critique appears less about Lean itself and more about “L.A.M.E.”–Lean As Misguidedly Executed. True Lean in healthcare prioritizes patient safety, quality, and respect for people; when those are missing, the problem isn’t Lean–it’s how…
What really motivates people to improve their work–especially in healthcare and other complex environments? Drawing on Daniel Pink’s Drive, Dr. W. Edwards Deming’s teachings, and Lean principles, this post explores why intrinsic motivation consistently outperforms incentives, rewards, and punishment in…
Note: I edited the post title on April 3 to make it clear this was an April Fool’s Joke. Comments posted by readers on 4/1 and 4/2 may have been “fooled” – thanks for taking the joke in good spirits.…
Episode #87 is a discussion with a returning guest, Steven J. Spear, DBA, author of the outstanding book Chasing the Rabbit: How Market Leaders Outdistance the Competition and How Great Companies Can Catch Up and Win. The book is due…
In recent years, healthcare has been learning a lot of lessons from aviation — including checklists and “Crew Resource Management,” as written about in the excellent books The Checklist Manifesto and Why Hospitals Should Fly. Aviation has gotten much…
TL;DR: The Olympic gold-medal puck was almost lost not because of bad intent, but because the system relied on people remembering under chaotic conditions. The real lesson is timeless: leaders must design processes that account for human fallibility instead of…