Gemba means “the real place”—where work actually happens, problems become visible, and leadership behavior matters most. These posts explore what going to the gemba really means beyond symbolic walk-throughs, dashboards, or status updates.
Drawing from Lean, Toyota practices, healthcare, manufacturing, and knowledge work, this archive focuses on gemba as a leadership practice: listening more than talking, asking better questions, building trust, and creating the conditions for daily improvement rather than fear or performance theater.
If you know me, you know I’m a huge fan of The Simpsons. The show has been on TV for 25 of my 40 years. The cable channel FXX is having an “Every Simpsons Ever” marathon, showing all 552 episodes…
I saw this piece by Bob Herman at Becker’s Hospital Review and ended up writing a blog post here instead of writing a long comment there. The piece is: 10 Ideas That Hospital and Health System CEOs Need to Ditch…
California week on the blog continues after yesterday’s post about Lean at San Francisco General Hospital. Today, I’m flying to Los Angeles to attend the 5th annual Lean Healthcare Transformation Summit. I will be, as usual, moderating the CEO panel…
=Following up on posts from Monday and Wednesday, we see this headline today: “Shinseki resigns after VA scandal.” As I wrote about on LinkedIn, instead of blaming “bad managers” or a “lack of integrity” at local VA sites, like Phoenix,…
I didn’t know , until yesterday, that Toyota has an official company blog (at least for Toyota UK). Even though I’ve learned from Toyota people and many books and classes (and I’ve written books of my own), I always encourage…
Sorry to get all Katie Couric on you, but I’m going to have a colonoscopy on Friday. I turned 40 last October and I have some family history that leads my doctor to get one done now rather than at…
Every once in a while, I have too many browser windows open and it slows my computer down. That’s when I dump a bunch of links in a post that clears out the Lean Blog backlog. Dan Markovitz had a…
Out there in the Lean and quality improvement communities, you sometimes hear some silly things. Sometimes, I want to attach the “Lean As Mistakenly Explained” (or L.A.M.E.) label to what’s said when it really seems off the mark from what…
I was asked a question by a Twitter follower over the weekend: “What are the pros & cons of using direct observations in hospital environment to identify value & non value adding activities?” It’s a short question, but I didn’t…
I recently stumbled across a very interesting and well-produced mixed-media presentation that starts with the sounds of snow crackling under a pair a boots… a video clip that illustrates Delvecchio Finley, the CEO of Harbor-UCLA Medical Center, making a snowy trip…
Mark’s Note: I’m just getting back from vacation, so we’re wrapping up the guest posts. Today’s post is by Christina Kach and you can read her previous guest posts here. Check out her updated bio at the bottom of the…
My wife is a leader in a business (not GE) that does aircraft engine “MRO” work – maintenance, repair, and overhaul. I’ve been able to visit her shop floor (her “gemba”) and we noticed similar parallels between their work (bring…
