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Respect for People and Continuous Improvement in Healthcare: Lessons from Lean

I was recently asked to do a recorded video presentation for a medical conference in Turkey. I spoke about the dual pillars of "The Toyota Way":

Respect for People
Continuous Improvement
The video is about 20 minutes, split about half and half on each of those interrelated topics. I'm coming to you from a hotel room, somewhat tired after a day of consulting.

(Slides PDF and transcript also included)

The GM Quality Death Spiral, Part 1: When Leaders Blame Workers for the System They Designed

GM Quality Death Spiral 1996 Part 1

My first job out of college was as an Industrial Engineer at the General Motors Livonia Engine Plant. Blogging didn't exist then (I didn't even have email or internet access at work) or I might have started my writing career then. Oh, the stories. I've shared some of them on this blog over time.

I've blogged about papers from the Don Ephlin files, a former UAW national leader. I have my own small collection of documents and artifacts from my days at GM that I thought to keep in a folder. I still have that folder today.

A few of these memos tell the story of a quality and productivity death spiral that eventually led to our plant manager being replaced. And, by "replaced," I don't mean fired or given an early retirement. He was, at least in title, PROMOTED to a role at GM Powertrain headquarters. Thankfully, the new plant manager, Larry Spiegel, was one of the original "NUMMI commandos" and he made a huge difference to the plant and to me, personally.

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.

What’s Going On with Lean at ThedaCare?

I’ve heard a lot of rumblings recently about what might be happening at ThedaCare, a health system in Wisconsin that’s been considered one of the best examples of "Lean healthcare" anywhere in the world for more than a decade. It seems that there is an evolution occurring in their approach to Lean.

I’ve received a formal statement from ThedaCare public relations, which you can find in this post, so I will stick to the facts that they have given me and other information that's publicly available online.

What Japan Taught Me About Lean, Standardized Work, and Following the Rules

Last week, I got back from my third trip to Japan and we visited three hospitals, Toyota, another manufacturer, and heard from a cafeteria services company leader about their Lean and continuous improvement journeys. As I've blogged about before, some of these organizations have been practicing TQM for 30 years and are adding elements of Lean methods on top of that foundation.

I'm hardly an expert on Japan. I still feel like I view the country with fresh eyes.

Standards and Standardized Work... at Work

During this trip, I heard a number of people talk about the cultural imperative about following rules and laws. In the workplace, we might call these rules "standardized work"...

The WSJ Gets Japan Wrong: Why Lean Isn’t “The Japanese Model”

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).

Free Webinar: How to Use A3 Thinking in Everyday Life

This Thursday, we'll be hosting a webinar presented by a former Toyota engineer, Jess Orr. She will be sharing lessons learned at Toyota about the A3 problem-solving methodology, referred to there as "Toyota Business Practices." In particular, Jess will be sharing a case study about using the A3 approach to improving communication.

Lean Can Be Very Fragile, Especially With Executive Changes

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?