Search Results for oba

Operational Excellence Mixtape: December 7, 2018

Healthcare – Creating Value for Patients Healthcare is the world’s largest cottage industry, as evidenced by the enormous variation in practice.  Healthcare practitioners may finally be ready to acknowledge that reducing variation is important to improving patient safety and outcomes according…

Throwback Thursday: This is Not a Drill — It Happened Again

I really don't enjoy the type of "Throwback Thursday" posts that are triggered by something in the news that reminds me of something that I've blogged about in the past.

Sometimes, it seems people are doomed to keep repeating the same preventable errors instead of learning from others, improving systems, and mistake proofing things in life. In this post, we look back at repeated errors in pathology, building demolition, and emergency alert systems...

GM Shrinking, Laying Off People, Shutting Down Factories, and Cutting Costs Isn’t “Lean and Agile”

I take no joy in the troubles of any automaker, be it Tesla, Nissan, GM or any others over time.

Of course, Nissan and GM have been in the news most recently, with the firing (and jailing) of Nissan and Renault CEO Carlos Ghosn. And now, GM has announced major layoffs, the cancelation of some passenger car programs, and the shutdown (and possible closure) of five plants in North America.

I was talking to a friend the other day and I predicted that we'd see news headlines about something like "GM to get Leaner." These headlines would be using the word "lean" to mean "get smaller" instead of referring to "Lean" (which I capitalize as a proper noun) as a synonym for the Toyota Production System.

I was disappointed to hear GM's CEO, Mary Barra, a long-time GM employee using the word "lean" in the context of the company getting smaller.

Daily Management Board Examples: Beyond Red and Green Metrics

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).

Podcast #321 – Mark Hamel on “Lean Math,” Kaizen, People, and More

My guest for episode #321 of the podcast is Mark Hamel, He is a partner and COO with The Murli Group. Mark is a two-time recipient of the Shingo Research and Professional Publication Award for his books The Kaizen Event Fieldbook and his most recent book Lean Math, the reason we got together for this episode (although we talked about other things too).
I hope you enjoy the discussion, which is about people as much as it is about math.

Skip Steward on Deming’s Lessons, Don Wheeler, Process Behavior Charts, and Respect for People

Skip Steward, the Chief Improvement Officer at Baptist Memorial Health Care in Tennessee, was a guest on Episode #314 of the podcast talking about TWI and Toyota Kata in healthcare (he was joined by Brandon Brown).

Today, I've asked Skip to come back and chat 1x1, in Episode #320, about his experience with Don Wheeler, learning from W. Edwards Deming, and more. I hope you enjoy his reflections, our discussions about healthcare, and connections to my book Measures of Success (Skip undoubtedly has a book in him too).