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Lean Leads to Green, Which Supports Lean

Forgive me if some Texas pride comes through in this post, as well as some former-client pride. The clinical laboratory team at Children’s Medical Center Dallas was featured in the peer-reviewed Medical Laboratory Observer for their combination of Lean and…

The Queen Sets the Takt Time?

Clients of mine always end up saying something like “Lean really gets into your head… it’s hard to turn off” – or at least one on every project ends up saying that. That’s a good thing… a way of thinking,…

Fire Fighting vs. Root Cause Problem Solving

Below is some of the text from edition #3 of the newsletter from my upcoming book Lean Hospitals: Improving Quality, Patient Safety, and Employee Satisfaction. ————————————— Hospitals are notorious for employing “workarounds” to respond to problems. For example, when supplies…

More Lean Healthcare

The News-Gazette.com:Christie campaign has its seed in Toyota production system Here’s another link to a story about Lean progress in a hospital, this time in Champaign, Illinois. It’s especially good they are looking at reducing patient waiting times, MRI, CT…

What Toyota’s 1992 Booklet Means by Kaizen and Job Ownership

Lean Blog Post Cover Image - 2026-05-04T072020.396

Nearly two million improvement proposals in a single year. Ninety-seven percent implemented. That doesn’t sound like the suggestion-box model most organizations know. It sounds like something else. The number comes from Toyota’s April 1992 publication “The Toyota Production System.” It…