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Operational Excellence Mixtape: November 9, 2018

Healthcare – Creating Value for Patients The benefits of Electronic healthcare records are a polarizing topic with healthcare providers.  Standardization and electronic workflows have their upsides, but many are developed to optimize billing and payments, and are not designed with…

Operational Excellence Mixtape: October 26, 2018

Close-up of a vintage audio cassette tape with purple and white label.

Healthcare – Creating Value for Patient A lot can be done to optimize flow in hospitals without investing in additional staff and infrastructure by using an operations research approach.  Here’s an example from Ottawa. Patient interviews can be uncomfortable, and it…

Remembering and Honoring Samuel Selay

I've been sad the last few days after learning that Samuel Selay, a friend of mine (and this blog) went missing after going kayaking alone on Lake Elsinore in southern California on Saturday. As it says in this news report and video...

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). 

GE Gets a Lean CEO, From the Outside: Larry Culp

Jet lag, even well managed and planned for, meant I was awake early on a Sunday morning. Over breakfast, I read more about news from last week, that GE had fired their CEO John Flannery after 14 months and replaced him with a relatively new board member, Larry Culp.

Culp is GE's first outsider CEO hire in their 100+ year history. So who is this guy and why did they hire him?

Culp was CEO of Danaher, a company that's quite often held up as the best non-Toyota Lean company out there. And they're an American company. Danaher, through its Danaher Business System (DBS) approach, uses Lean as a business strategy in a way that's very different than Toyota. Danaher has acquired companies and brought DBS and Lean in as a way to turn around and improve those businesses.

Karen Martin on Clarity First and Why Leaders Must Confront Ambiguity

My guest for Episode #319 is Karen Martin, whose most recent book is Clarity First: How Smart Leaders and Organizations Achieve Outstanding Performance. She was previously a guest on Episodes #151, #190, and #285.

Karen is an author of many books on Lean, quality, and performance excellence. She is also a speaker and a consultant with a B.S. in Microbiology from Pennsylvania State University and an M.A. in Education from California State University, Bakersfield. Read her full bio.

What is clarity? How can we work toward creating less fog and more clarity in organizations? We'll talk about that, along with a bit of discussion about clarity in metrics, as I write about in my book Measures of Success.

Operational Excellence Mixtape: September 14, 2018

Healthcare – Creating Value for Patient The legendary quality leader W. Edwards Deming is widely known for his thoughts on statistics and systems.  However, Deming believed that psychology was of crucial importance when improving organizational performance.  The Institute for Improvement in Healthcare shares…

Robert Maurer on Mastering Fear, Deming, and Motivational Interviewing

Why do people fear change? Why are adults afraid of talking about their fears? My guest today is eminently qualified to answer such questions and to provide advice that can help us. My guest for Episode #315 is Robert Maurer, Ph.D., author of the outstanding book Mastering Fear.

Bob was previously my guest for Episode #153, where we discussed one of his earlier books on Kaizen, One Small Step Can Change Your Life: The Kaizen Way. By the way, earlier this year I noticed that his other book The Spirit of Kaizen was one of the few books by an American author that Toyota was selling at the Toyota Commemorative Museum of Industry and Technology in Nagoya (see photo below).

I hope you enjoy today's discussion on Mastering Fear. As the subtitle says, can we "harness emotion to achieve excellence in health, work, and relationships"?

Operational Excellence Mixtape: August 17, 2018

Healthcare – Creating Value for Patient Canadian healthcare is still mired in a system of outdated technology (including reliance on faxing and pagers) in a world where consumers expect total transparency and availability of data.  Canadian doctors agree that patients should have…

Skip Steward & Brandon Brown on TWI, Toyota Kata, and Building the Baptist Management System

Today I have two guests joining me for Episode #314 of the podcast. They are Skip Steward, the Chief Improvement Officer at Baptist Memorial Health Care in Tennessee and Brandon Brown, the owner and "Master Kata Coach" of his firm, Continuous Coaching Commitment, LLC.

In this episode, we discuss their use of methods such as "Training Within Industry" and "Toyota Kata" in the important work of healthcare improvement. Skip and Brandon both have backgrounds in manufacturing, but they have been able to translate Lean skills and mindsets into healthcare. We'll also talk about their dynamic as consultant / client and how the roles of "coach" and "learner" are often very situational and how we can be both at different times.