My wife and I are getting ready to leave tomorrow night for a two-week vacation, so it jogged my memory about this story I saw back in December in the WSJ: Airlines Try to Make Coach Classier. Anything that makes long…
The Wall St Journal loves writing about how “Just In Time” (JIT) is a risky inventory strategy. See my past posts about how the WSJ is so often wrong on this. The WSJ seem to only understand Lean as JIT, as opposed…
I’ve been intrigued by the “Lean Startup” movement since I first saw Eric Ries speak at MIT back in late 2009. I’ve read his book The Lean Startup, have attended a bunch of the conferences (speaking at two of them –…
Editor’s note (2026): In an era of AI, dashboards, and real-time data, Spear’s reminder still holds: information only matters if it changes behavior. TL;DR: Steve Spear argues that organizations deliver quality and value faster not by working harder, but by…
Editor’s note (2026): This post remains highly relevant as organizations increasingly rely on algorithmic scheduling, utilization targets, and AI-driven workforce planning. TL;DR: Zeynep Ton’s Good Jobs Strategy shows that cutting labor costs creates a vicious cycle of poor performance. In…
In American healthcare, there’s a growing gap between hospitals and clinics that are being innovative and those who are stuck in the “way it’s always been done” mode. For example, innovative primary care clinics are using a combination of better…
TL;DR: Lean is often misunderstood. It’s not about rushing patients, cutting staff, or blindly installing tools. When practiced properly, Lean is fundamentally patient-centered, focused on safety, quality, and respect for people. When organizations have bad experiences, that usually reflects poor…
TL;DR: Lean works across factories, hospitals, startups, and services because it’s built on shared mindsets, not tools. These include customer focus, respect for people, going to the gemba, avoiding blame, solving problems at the root, and resisting “command and control.”…
Joining me for episode #222 of the podcast is Erin S. DuPree, M.D., FACOG, the Chief Medical Officer and Vice President for the Joint Commission Center for Transforming Healthcare. Dr. DuPree is an OB/GYN by training, was previously the Chief Medical…
In my first post about the on-site Kaizen learning experience at Franciscan St. Francis Health, an event I came to call “Kaizen Live,” I wrote about some of the initial presentations and discussions from Franciscan leaders. You can also see…
Following up on yesterday’s post on seemingly successful experiments with ACOs, here’s another article, from HBR, on “safety huddles” in healthcare: “How Every Hospital Should Start the Day“ I’ve seen some hospitals using daily safety huddles. It sends a powerful message…
Last Wednesday and Thursday, I collaborated with Joe Swartz and a countless number of his colleagues to host 24 visitors from different health systems (and an Indiana state government organization) to learn about the “Kaizen” approach to continuous improvement first hand…
