Healthcare improvement isn’t about working harder—it’s about better systems, better leadership, and a culture that supports learning and speaking up. This archive brings together blog posts, podcasts, and reflections on Lean healthcare, patient safety, quality improvement, leadership, and continuous improvement. Many of these posts draw on real hospital experiences and lessons from Deming, Toyota, and frontline healthcare teams, with a consistent emphasis on respect for people and learning from mistakes.
Recently, I was able to visit VIBCO, a Lean manufacturing company in Rhode Island. Company President Karl Wadensten is the host of “The Lean Nation” radio show. It was my third time visiting the factory in the last six months,…
TL;DR: Patient safety leader Lucian Leape’s critique appears less about Lean itself and more about “L.A.M.E.”–Lean As Misguidedly Executed. True Lean in healthcare prioritizes patient safety, quality, and respect for people; when those are missing, the problem isn’t Lean–it’s how…
I’m a bit hesitant to blog about a bad experience with a doctor’s office and waiting time. There are multiple “draft” posts I’ve started to write, left saved out there without being published, as it seems a bit like a…
I have strong ties and connections to the state of Michigan, growing up in Livonia, starting my career there in Livonia, and having my parents and many friends in the area, although I moved away in 1997. I was thrilled…
In this post, I’m going to tell you about some upcoming Lean events I’m involved in – planning, producing, or participating. Eric Ries “Lean Startups” Webinar for LEI Shingo Prize Conference Lean Healthcare Transformation Summit I think these will all…
What really motivates people to improve their work–especially in healthcare and other complex environments? Drawing on Daniel Pink’s Drive, Dr. W. Edwards Deming’s teachings, and Lean principles, this post explores why intrinsic motivation consistently outperforms incentives, rewards, and punishment in…
Here’s a thought starter for a Monday morning – I’m looking forward to hearing your perspectives. A few weeks ago, I heard a leader from a healthcare organization (one that will remain unnamed) say this: “In healthcare, we get results…
Note: I edited the post title on April 3 to make it clear this was an April Fool’s Joke. Comments posted by readers on 4/1 and 4/2 may have been “fooled” – thanks for taking the joke in good spirits.…
Episode #87 is a discussion with a returning guest, Steven J. Spear, DBA, author of the outstanding book Chasing the Rabbit: How Market Leaders Outdistance the Competition and How Great Companies Can Catch Up and Win. The book is due…
Dr. Donald Berwick (bio), founder of the Institute for Healthcare Improvement, has reportedly named by President Obama to head Centers for Medicare & Medicaid Services (CMS), the organization that administers programs including Medicare and Medicaid (“Berwick to be US healthcare…
Mark’s note: I am thrilled to be able to bring you this guest post from my friend and fellow lean healthcare author Naida Grunden. Her post (and Sully’s words) are far more important than anything I could write today. Read…
In recent years, healthcare has been learning a lot of lessons from aviation — including checklists and “Crew Resource Management,” as written about in the excellent books The Checklist Manifesto and Why Hospitals Should Fly. Aviation has gotten much…
